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Medical-Surgical Nursing
Concepts and Practice
- 6th Edition - March 3, 2025
- Author: Holly K. Stromberg
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 1 2 1 0 2 - 9
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 2 7 9 2 2 - 5
Build your clinical judgment skills and prepare for the Next-Generation NCLEX-PN® (NGN) examination! Medical-Surgical Nursing: Concepts and Practice, Sixth Edition provides a so… Read more
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Request a sales quoteBuild your clinical judgment skills and prepare for the Next-Generation NCLEX-PN® (NGN) examination! Medical-Surgical Nursing: Concepts and Practice, Sixth Edition provides a solid foundation in nursing concepts and skills essential to the LPN/LVN role. Complete coverage of common adult medical-surgical conditions includes all body systems and their disorders, addressing patient care in a variety of settings. Special attention is given to care of older adults, those with chronic illnesses, and residents in long-term care settings. Emphasizing evidence-based practice, this text reflects the expanding scope of practice for LPN/LVNs. What’s more, it makes exam prep easier with new NGN case studies and an emphasis on developing critical thinking and clinical judgment.
- NEW! Expanded coverage of end-of-life care includes information on assisted suicide, institutional vs. in-home care, and more
- NEW! Additional information covering the LPN’s role in behavioral care for patients with Alzheimer’s
- NEW! Expanded neurological content ensures you are learning the latest information in this evolving area
- Get Ready for the Next-Generation NCLEX® Examination! section at the end of each chapter covers key points and includes Next-Generation NCLEX® review questions and critical thinking questions to help you prepare for class tests and the NCLEX-PN® examination
- Nursing care plans show plans of care based on patient history and include patient goals and outcomes, with critical thinking questions that allow you to assess your understanding of related nursing concepts
- Concept maps illustrate how a disorder’s symptoms, treatments, and side effects relate to each other
- Safety alerts emphasize safety precautions to protect patients, family, healthcare providers, and the public from accidents, spread of disease, and medication-related accidents
- Focused Assessment boxes show how to collect patient data, including history and physical and psychosocial assessment, with guidance on collecting information for specific disorders
- Communication boxes help in developing therapeutic communication skills in realistic patient care situations
- Patient Teaching boxes provide instructions and guidelines for educating patients in self-care
- Older Adult Care Points address the unique care issues that affect older adults and provide suggestions for assessment and interventions for long-term patients.
- Home Care Considerations focus on adapting medical-surgical nursing care to the home environment after discharge
- Companion study guide further promotes clinical judgment through additional case studies, critical thinking opportunities, and interactive communication activities. Emphasis is placed on understanding and application of nursing knowledge. Sold separately
Students in LPN/LVN programs
- Cover Image
- Title page
- Copyright
- Dedication
- Contributors
- Reviewers
- Acknowledgments
- To the Instructor
- To the Student
- Contents
- Unit I Medical-Surgical Nursing Settings
- 1 Caring for Medical-Surgical Patients
- Objectives
- Key Terms
- Roles of the LPN/LVN
- Employment Opportunities
- Ethical and Legal Practice
- Quality and Safety
- Health Care Today
- Financing of Health Care
- Providing Holistic Care
- 2 Critical Thinking, Clinical Judgment, and the Nursing Process
- Objectives
- Key Terms
- Critical Thinking and Clinical Judgment
- Applying LPN/LVN Standards in Medical-Surgical Nursing
- Interdisciplinary (Collaborative) Care Plans
- Unit II Medical-Surgical Patient Care Problems
- 3 Fluids, Electrolytes, Acid-Base Balance, and Intravenous Therapy
- Objectives
- Key Terms
- Distribution and Regulation of Body Fluids
- Osmolality
- Fluid Imbalances
- Electrolytes
- Acid-Base System
- Acid-Base Imbalances
- Intravenous Fluid Therapy
- Nursing Management
- Community Care
- 4 Care of Preoperative and Intraoperative Surgical Patients
- Objectives
- Key Terms
- Surgery
- Technological Approaches in Surgery
- Autologous Blood for Transfusion
- Bloodless Surgery
- Perioperative Nursing Management
- The Surgical Team
- The Surgical Suite
- Anesthesia
- Potential Intraoperative Complications
- 5 Care of Postoperative Surgical Patients
- Objectives
- Key Terms
- Immediate Postoperative Care
- Nursing Management
- Discharge Planning
- Community Care
- 6 Infection Prevention and Control
- Objectives
- Key Terms
- The Infectious Process and Disease
- The Body’s Defense Against Infection
- Infection Prevention and Control
- Health Care–Associated Infections
- Multidrug-Resistant Organisms (MDROs)
- Sepsis and Septic Shock
- Nursing Management
- Community Care
- 7 Care of Patients With Pain
- Objectives
- Key Terms
- Theories of Pain
- Classification of Pain
- Perception of Pain
- Acute Versus Chronic Pain
- Nursing Management
- Management of Pain
- Community Care
- 8 Care of Patients With Cancer
- Objectives
- Key Terms
- The Impact of Cancer
- Pathophysiology of Cancer
- Metastasis
- Genetic Factors
- Contributing Factors
- Classification of Tumors
- Measures to Prevent Cancer
- Detection of Cancer
- Nursing Management
- Common Therapies, Problems, and Nursing Care
- Common Problems Related to Cancer or Cancer Treatment
- Care Settings for the Cancer Patient
- 9 Chronic Illness and End-of-Life Care
- Objectives
- Key Terms
- Chronic Illness
- End-of-Life Care
- Unit III Immune System
- 10 The Immune and Lymphatic Systems
- Objectives
- Key Terms
- Anatomy and Physiology of the Immune and Lymphatic Systems
- Protective Mechanisms of the Immune and Lymphatic Systems
- Immune and Lymphatic System Disorders
- Nursing Management
- Common Problems Related to the Immune and Lymphatic Systems
- 11 Care of Patients With Immune and Lymphatic Disorders
- Objectives
- Key Terms
- Immune Function and Dysfunction
- Immune Deficiency Conditions
- Therapeutic Immunosuppression
- Nursing Management
- Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome
- Human Immunodeficiency Virus Risk in Patients Older Than 50 Years
- Community Education and Care
- Autoimmune and Autoinflammatory Disorders
- Disorders of the Lymphatic System
- Disorders of Inappropriate Immune Response
- Unit IV Respiratory System
- 12 The Respiratory System
- Objectives
- Key Terms
- Overview of Anatomy and Physiology of the Respiratory System
- Causes of Respiratory Disorders
- Respiratory Disorders
- Nursing Management
- Common Respiratory Patient Care Problems
- 13 Care of Patients With Disorders of the Upper Respiratory System
- Objectives
- Key Terms
- Disorders of the Nose and Sinuses
- SARS-CoV-2/COVID-19
- Obstruction and Trauma
- Community Care
- 14 Care of Patients With Disorders of the Lower Respiratory System
- Objectives
- Key Terms
- Respiratory Infectious Diseases
- Restrictive Pulmonary Disorders
- Obstructive Pulmonary Disorders
- Pulmonary Vascular Disorders
- Chest Injuries
- Lung Disorders
- Common Therapeutic Measures
- Community Care
- Unit V Hematologic System
- 15 The Hematologic System
- Objectives
- Key Terms
- Overview of Anatomy and Physiology of the Hematologic System
- Causes of Hematologic Disorders
- Prevention of Hematologic Disorders
- Diagnostic Tests and Procedures
- Nursing Management
- Common Problems Related to Disorders of the Hematologic System
- 16 Care of Patients With Hematologic Disorders
- Objectives
- Key Terms
- Disorders of the Hematologic System
- Nursing Management
- Coagulation Disorders
- Therapies Frequently Used in the Management of Hematologic Disorders
- Community Care
- Unit VI Cardiovascular System
- 17 The Cardiovascular System
- Objectives
- Key Terms
- Overview of Anatomy and Physiology of the Cardiovascular System
- Cardiovascular Disease
- Nursing Management
- Common Problems of Patients With Cardiovascular Disorders
- 18 Care of Patients With Hypertension and Peripheral Vascular Disease
- Objectives
- Key Terms
- Hypertension
- Nursing Management
- Arteriosclerosis and Atherosclerosis
- Peripheral Vascular Disease
- Nursing Management
- Nursing Management
- Assessment (Data Collection)
- Problem Statement/Nursing Diagnosis and Planning
- Implementation
- Evaluation
- Carotid Artery Disease
- Thromboangiitis Obliterans (Buerger Disease)
- Signs, Symptoms, Diagnosis, and Treatment
- Nursing Management
- Venous Disorders
- Nursing Management
- Nursing Management
- Community Care
- 19 Care of Patients With Cardiac Disorders
- Objectives
- Key Terms
- Disorders of the Heart
- Nursing Management
- Inflammatory and Infectious Diseases of the Heart
- Cardiomyopathy
- Cardiac Valve Disorders
- Common Therapies and Their Nursing Implications
- Community Care
- 20 Care of Patients With Coronary Artery Disease and Cardiac Surgery
- Objectives
- Key Terms
- Coronary Artery Disease/Coronary Heart Disease
- Surgical and Nonsurgical Treatment Options
- Community Care
- Unit VII Neurologic System
- 21 The Neurologic Systema
- Objectives
- Key Terms
- Anatomy and Physiology of The Neurologic System
- Causative Factors Involved in Neurologic Disorders
- Prevention of Neurologic Disorders
- Evaluation of Neurologic Status
- Nursing Management
- Common Neurologic Patient Care Problems
- 22 Care of Patients With Head and Spinal Cord Injuries
- Objectives
- Key Terms
- Traumatic Brain (Head) Injuries
- Increased Intracranial Pressure
- Nursing Management
- Injuries of the Spine and Spinal Cord
- Nursing Management
- Back Pain and Herniated Disk (Bulged, Slipped, or Ruptured Disk)
- 23 Care of Patients With Brain Disorders
- Objectives
- Key Terms
- Seizure Disorders and Epilepsy
- Nursing Management
- Transient Ischemic Attack
- Cerebrovascular Accident (Stroke, Brain Attack)
- Nursing Management
- Brain Tumor
- Nursing Management
- Infectious and Inflammatory Disorders of the Nervous System
- Nursing Management
- Headaches
- Cranial nerve disorders
- Nursing Management
- 24 Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders
- Objectives
- Key Terms
- Parkinson Disease
- Nursing Management
- Multiple Sclerosis
- Nursing Management
- Alzheimer Disease
- Amyotrophic Lateral Sclerosis
- Guillain-Barré Syndrome
- Nursing Management
- Poliomyelitis and Postpolio Syndrome
- Huntington Disease
- Myasthenia Gravis
- Nursing Management
- Restless Leg Syndrome
- Community Care
- Unit VIII Sensory System
- 25 The Sensory System: Eye
- Objectives
- Key Terms
- Anatomy and Physiology of the Eye
- The Eye
- Nursing Management
- Common Disorders of the Eye
- Nursing Care of Patients Having Eye Surgery
- Community Care
- 26 The Sensory System: Ear
- Objectives
- Key Terms
- Anatomy and Physiology of the Ear
- The Ear
- Nursing Management
- Common Problems of Patients With Ear Disorders
- Common Disorders of the Ear
- Cochlear Implant
- Nursing Care of Patients Having Ear Surgery
- Community Care
- Unit IX Gastrointestinal System
- 27 The Gastrointestinal System
- Objectives
- Key Terms
- Anatomy and Physiology of the Gastrointestinal System
- The Gastrointestinal System
- Nursing Management
- 28 Care of Patients With Disorders of the Upper Gastrointestinal System
- Objectives
- Key Terms
- Eating Disorders
- Nursing Management of Obesity
- Upper Gastrointestinal Disorders
- Nursing Management
- Common Therapies for Disorders of the Gastrointestinal System
- 29 Care of Patients With Disorders of the Lower Gastrointestinal System
- Objectives
- Key Terms
- Disorders of the Abdomen and Bowel
- Nursing Management
- Ostomy Surgery and Care
- Nursing Management
- Anorectal Disorders
- Community Care
- 30 Care of Patients With Disorders of the Gallbladder, Liver, and Pancreas
- Objectives
- Key Terms
- Disorders of the Gallbladder
- Disorders of the Liver
- Nursing Management
- Nursing Management
- Disorders of the Pancreas
- Community Care
- Unit X Musculoskeletal System
- 31 The Musculoskeletal System
- Objectives
- Key Terms
- Anatomy and Physiology of the Musculoskeletal System
- Musculoskeletal Disorders
- Nursing Management
- 32 Care of Patients With Musculoskeletal and Connective Tissue Disorders
- Objectives
- Key Terms
- Connective Tissue Disorders
- Nursing Management
- Inflammatory Disorders of the Musculoskeletal System
- Nursing Management
- Nursing Management
- Community Care
- Unit XI Urinary System
- 33 The Urinary System
- Objectives
- Key Terms
- Anatomy and Physiology of the Urologic System
- The Urologic System
- Nursing Management
- Common Urologic Problems
- 34 Care of Patients With Disorders of the Urinary System
- Objectives
- Key Terms
- Inflammatory Disorders of the Urinary Tract
- Obstructions of the Urinary Tract
- Urologic System Trauma
- Urologic System Cancers
- Renal Failure
- Nursing Management
- Nursing Management
- Community Care
- Unit XII Endocrine System
- 35 The Endocrine System
- Objectives
- Key Terms
- Anatomy and Physiology of the Endocrine System
- The Endocrine System
- Nursing Management
- Community Care
- 36 Care of Patients With Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
- Objectives
- Key Terms
- Disorders of the Pituitary Gland
- Disorders of the Thyroid Gland
- Disorders of the Parathyroid Glands
- Disorders of the Adrenal Glands
- Community Care
- 37 Care of Patients With Diabetes and Hypoglycemia
- Objectives
- Key Terms
- Diabetes Mellitus and Hypoglycemia
- Nursing Management
- Community Care
- Unit XIII Reproductive System
- 38 The Reproductive System
- Objectives
- Key Terms
- The Female Reproductive System
- Anatomy and Physiology of the Female Reproductive System
- Women’s Health Care
- Health Screening and Assessment
- Nursing Management
- Anatomy and Physiology of the Male Reproductive System
- The Male Reproductive System
- Nursing Management
- Care of Patients who Identify as LGBTQIA2+
- 39 Care of Females With Reproductive Disorders
- Objectives
- Key Terms
- Menstrual Dysfunction
- Infertility
- Nursing Management
- Menopause
- Nursing Management
- Disorders of the Female Reproductive Tract
- Cancer of the Reproductive Tract
- Disorders of the Breast
- Nursing Management
- Home Care
- Community Care
- 40 Care of Males With Reproductive Disorders
- Objectives
- Key Terms
- Disorders of the Male Reproductive System
- Priapism
- Community Care
- 41 Care of Patients With Sexually Transmitted Infections
- Objectives
- Key Terms
- Identification, Diagnosis, and Management of Sexually Transmitted Infections
- Transmission of Sexually Transmitted Infections
- Nursing Management
- Common Infections of the Female Reproductive Tract
- Risk Factors for Transmission of Sexually Transmitted Infections
- Community Care
- Unit XIV Integumentary System
- 42 The Integumentary System
- Objectives
- Key Terms
- Anatomy and Physiology of the Integumentary System
- The Integumentary System
- Nursing Management
- 43 Care of Patients With Integumentary Disorders and Burns
- Objectives
- Key Terms
- Inflammatory Infections
- Bacterial Infections
- Viral Infections
- Fungal Infections
- Parasitic Infections
- Noninfectious Disorders of Skin
- Nursing Management
- Community Care
- Unit XV Emergency and Disaster Management
- 44 Care of Patients in Disasters or Bioterrorism Attacks
- Objectives
- Key Terms
- Disaster Preparedness and Response
- Preparing for Chemical, Nuclear, or Biological Disasters
- Active Shooter
- Debriefing
- 45 Care of Patients With Emergent Conditions, Trauma, and Shock
- Objectives
- Key Terms
- Prevention of Accidents
- First Aid and Good Samaritan Laws
- Psychological and Social Emergencies
- Emergency Care
- Metabolic Emergencies
- Injuries Caused by Extreme Heat and Cold
- Poisoning
- Bites and Stings
- Electrical Injuries and Burns
- Choking Emergencies
- Cardiopulmonary Resuscitation
- Shock
- Nursing Management
- Unit XVI Mental Health Nursing of The Adult
- 46 Care of Patients With Cognitive Function Disorders
- Objectives
- Key Terms
- Cognitive Disorders
- Nursing Management
- Community Care
- 47 Care of Patients With Anxiety, Mood, and Eating Disorders
- Objectives
- Key Terms
- Anxiety and Related Disorders
- Nursing Management of Anxiety Disorders
- Depressive Disorders
- Nursing Management of Depressive Disorders
- Nursing Management of Bipolar Disorder
- Patients With Suicidal Ideation
- Nursing Management of Patients With Suicidal Ideation
- Eating Disorders
- Nursing Management of Patients With an Eating Disorder
- Community Care
- 48 Care of Patients With Substance-Related and Addictive Disorders
- Objectives
- Key Terms
- Substance Use Disorder and Alcohol Use Disorder
- Disorders Associated With Substance- Related and Addictive Disorders
- Nursing Management
- Community Care
- 49 Care of Patients With Thought and Personality Disorders
- Objectives
- Key Terms
- Overview of Thought Disorders
- Nursing Management
- Overview of Personality Disorders
- Nursing Management
- Community Care
- Appendix A Most Common Laboratory Test Values
- Appendix B Standard Precautionsa
- Appendix C Standard Steps for All Nursing Procedures
- References
- Bibliography
- Glossary
- Index
- Priority Problem List
- No. of pages: 1272
- Language: English
- Edition: 6
- Published: March 3, 2025
- Imprint: Saunders
- Paperback ISBN: 9780443121029
- eBook ISBN: 9780443279225
HS
Holly K. Stromberg
Holly K. Stromberg is Professor Emeritus of Nursing at Allan Hancock College, Clinical Educator, Marian Regional Medical Center, Santa Maria, California.
Affiliations and expertise
Professor Emeritus of Nursing, Allan Hancock College, Clinical Educator, Marian Regional Medical Center, Santa Maria, California, USA