Medical-Surgical Nursing, 11th Edition

• NEW! Updated content throughout reflects the most current, evidence-based clinical practice in medical-surgical nursing, including the latest national and international guidelines.
• NEW and UNIQUE! Key components of AACN’s 2021 Essentials are integrated throughout, including the four “spheres” of nursing care: health promotion/disease prevention, chronic disease care, regenerative or restorative care, and hospice/palliative/supportive care.
• NEW! One unfolding case for the Next-Generation NCLEX^® Exam (NGN) in each Concepts of Care chapter replaces the previous open-ended Clinical Judgment Challenge questions, and each includes multiple questions for the NGN, or 2-3 Bowtie or Trend questions for the NGN.
• NEW! Enhanced emphasis on need-to-know content with streamlined A&P and pathophysiology content provides a solid foundation for beginning nurse generalists, including the most important patient problems for each health condition and an emphasis on what is most relevant to nursing care.
• NEW and UNIQUE! Iggy’s approach to care views medical and nursing management through the lens of the nursing process and the six cognitive skills of the NCSBN Clinical Judgment Measurement Model, and aligns with the Interprofessional Education Collaborative (IPEC) Core Competencies for Interprofessional Collaborative Practice.
• NEW! Case Studies for the NGN on the Evolve website are updated from the previous open-ended question style to questions for the NGN.
• NEW and UNIQUE! Key Points in Concepts of Care chapters summarize essential information for each of the nursing spheres with a four-quadrant matrix corresponding to the four spheres of care from the 2021 AACN Essentials.
• NEW! Essential Points for Assessment are included at the end of chapters to emphasize critical information in alignment with the 2021 AACN Essentials.
• NEW and UNIQUE! The six domains recommended for inclusion in nursing education in the 2020-2030 Future of Nursing Report are incorporated into the textbook, including new Nurse Well-Being boxes, covering the domains of health equity and health care equity, social determinants of health, ethics, environmental health, disaster/public health emergencies, and nurse well-being.
• NEW! Coverage of COVID-19 is expanded into an Exemplar disorder, highlighting the multifaceted aspects of care including critical care, and COVID-19 content is also interwoven into other body systems chapters.
• NEW! Enhanced index includes all figures, tables, and special boxes, as well as the following types of content:
  
  • Legal/ethical issues (including boxes)
  • Health equity (including boxes)
  • Veteran health (including boxes)
  • Older adult health (including boxes)
  • Health promotion/disease prevention
  • Critical care topics
  • Trauma topics
  • Physical disability topics
  • Chronic disease topics
  • Interprofessional collaboration topics (including IPEC boxes)
  • Healthcare technologies
  • Evidence-based practice (including boxes)
  • Quality improvement/systems thinking (including boxes)

• NEW! Ethical/Legal Considerations boxes are changed to Legal/Ethical Considerations boxes and increased in number throughout the book to reflect the growing challenges of clinical practice.
• NEW! Sequential numbering systems (one for boxes, one for tables) are used for special boxes and Drug Therapy and Lab Profile tables throughout each chapter for quicker and more concise referencing.

UNIT I: Essential Concepts of Medical-Surgical Nursing
1. Overview of Professional Nursing Concepts for Medical-Surgical Nursing
2. Clinical Judgment and Systems Thinking
3. Overview of Health Concepts for Medical-Surgical Nursing
4. Concepts of Care for Older Adults
5. Concepts of Care for Transgender and Non-Binary Patients
6. Assessment and Concepts of Care for Patients with Pain
7. Concepts of Rehabilitation for Chronic and Disabling Health Conditions
8. Concepts of Care for Patients at End-of-Life
9. Concepts of Care for Perioperative Patients
UNIT II: Concepts of Emergency Care and Disaster Preparedness
10. Concepts of Emergency and Trauma Nursing
11. Concepts of Care for Patients with Common Environmental Emergencies
12. Concepts of Disaster Preparedness
UNIT III: Concepts of Fluid, Electrolyte, and Acid-Base Balance and Imbalance
13. Concepts of Fluid and Electrolyte Balance and Imbalance
14. Concepts of Acid-Base Balance and Imbalance
15. Concepts of Infusion Therapy
UNIT IV: Interprofessional Collaboration for Patients with Immunity Conditions
16. Concepts of Inflammation and Immunity
17. Concepts of Care for Patients with Allergy and Immunity Conditions
18. Concepts of Care for Patients with Cancer
19. Concepts of Care for Patients with Infection
UNIT V: Interprofessional Collaboration for Patients with Integumentary System Conditions
20. Assessment of the Skin, Hair, and Nails
21. Concepts of Care for Patients with Conditions of the Skin, Hair, and Nails
UNIT VI: Interprofessional Collaboration for Patients with Respiratory System Conditions
22. Assessment of the Respiratory System
23. Concepts of Care for Patients with Noninfectious Upper Respiratory Conditions
24. Concepts of Care for Patients with Noninfectious Lower Respiratory Conditions
25. Concepts of Care for Patients with Infectious Respiratory Conditions
26. Critical Care of Patients with Respiratory Emergencies
UNIT VII: Interprofessional Collaboration for Patients with Cardiovascular System Conditions
27. Assessment of the Cardiovascular System
28. Concepts of Care for Patients with Dysrhythmias
29. Concepts of Care for Patients with Cardiac Conditions
30. Concepts of Care for Patients with Vascular Conditions
31. Critical Care of Patients with Shock
32. Critical Care of Patients with Acute Coronary Syndromes
UNIT VIII: Interprofessional Collaboration for Patients with Hematologic System Conditions
33. Assessment of the Hematologic System
34. Concepts of Care for Patients with Hematologic Conditions
UNIT IX: Interprofessional Collaboration for Patients with Nervous System Conditions
35. Assessment of the Nervous System
36. Concepts of Care for Patients with Conditions of the Central Nervous System: The Brain
37. Concepts of Care for Patients with Conditions of the Central Nervous System: The Spinal Cord
38. Critical Care of Patients with Neurologic Emergencies
UNIT X: Interprofessional Collaboration for Patients with Sensory System Conditions
39. Assessment and Concepts of Care for Patients with Eye and Vision Conditions
40. Assessment and Concepts of Care for Patients with Ear and Hearing Conditions
UNIT XI: Interprofessional Collaboration for Patients with Musculoskeletal System Conditions
41. Assessment of the Musculoskeletal System
42. Concepts of Care for Patients with Musculoskeletal Conditions
43. Concepts of Care for Patients with Arthritis and Total Joint Arthroplasty
44. Concepts of Care for Patients with Musculoskeletal Trauma
UNIT XII: Interprofessional Collaboration for Patients with Gastrointestinal System Conditions
45. Assessment of the Gastrointestinal System
46. Concepts of Care for Patients with Oral Cavity and Esophageal Conditions
47. Concepts of Care for Patients with Stomach Conditions
48. Concepts of Care for Patients with Noninflammatory Intestinal Conditions
49. Concepts of Care for Patients with Inflammatory Intestinal Conditions
50. Concepts of Care for Patients with Liver Conditions
51. Concepts of Care for Patients with Conditions of the Biliary System and Pancreas
52. Concepts of Care for Patients with Malnutrition: Undernutrition and Obesity
UNIT XIII: Interprofessional Collaboration for Patients with Endocrine System Conditions
53. Assessment of the Endocrine System
54. Concepts of Care for Patients with Pituitary and Adrenal Gland Conditions
55. Concepts of Care for Patients with Conditions of the Thyroid and Parathyroid Glands
56. Concepts of Care for Patients with Diabetes Mellitus
UNIT XIV: Interprofessional Collaboration for Patients with Renal/Urinary System Conditions
57. Assessment of the Renal/Urinary System
58. Concepts of Care for Patients with Urinary Conditions
59. Concepts of Care for Patients with Kidney Conditions
60. Concepts of Care for Patients with Acute Kidney Injury and Chronic Kidney Disease
UNIT XV: Interprofessional Collaboration for Patients with Reproductive System Conditions
61. Assessment of the Reproductive System
62. Concepts of Care for Patients with Breast Conditions
63. Concepts of Care for Patients with Gynecologic Conditions
64. Concepts of Care for Patients with Male Reproductive Conditions
65. Concepts of Care for Patients with Sexually Transmitted Infections
Index

Donna D. Ignatavicius, MS, RN, CNE, CNEcl, ANEF, FAADN, Speaker and Curriculum Consultant for Academic Nursing Programs; Founder, Boot Camp for Nurse Educators; President, DI Associates, Inc. Littleton, Colorado, USA, Cherie R. Rebar, PhD, MBA, RN, CNE, CNEcl, COI, FAADN, Subject Matter Expert and Nursing Education Consultant, Beavercreek, Ohio; Professor of Nursing, Wittenberg University, Springfield, Ohio and Nicole M. Heimgartner, DNP, RN, CNE, CNEcl, COI, FAADN, Subject Matter Expert and Nursing Education Consultant, Louisville, Kentucky; Adjunct Faculty, American Sentinel University, Aurora, Colorado