Help students develop skills in clinical judgment and prepare for the Next-Generation NCLEX-PN® (NGN) examination! Medical-Surgical Nursing: Concepts and Practice, SixthEdition 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 students are learning the latest information in this evolving area
NEW!Unit Case Studies on the Evolve companion website help instructors facilitate classroom discussion and apply real-world scenarios to abstract concepts
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 students 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 students to assess their 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
UNIT I MEDICAL-SURGICAL NURSING SETTINGS 1. Caring for Medical-Surgical Patients Roles of the LPN/LVN Employment Opportunities Ethical and Legal Practice Quality and Safety Evidence-Based Practice Quality Improvement Informatics Safety Health Care Today Biomedicine Complementary and Alternative Medicine/Integrative Medicine Healthy People 2030 Financing of Health Care Insurance: Government and Private Funding Cost Containment Providing Holistic Care Promoting a Therapeutic Nurse–Patient Relationship Meeting Cultural Needs Meeting Spiritual Needs
2. Critical Thinking, Clinical Judgment, and the Nursing Process Critical Thinking and Clinical Judgment Factors That Influence Critical Thinking and Nursing Care Integrating Critical Thinking and the Nursing Process Applying LPN/LVN Standards in Medical-Surgical Nursing Assessment (Data Collection) Data Analysis and Problem Identification Planning Implementation Evaluation Interdisciplinary (Collaborative) Care Plans
UNIT II MEDICAL-SURGICAL PATIENT CARE PROBLEMS 3. Fluids, Electrolytes, Acid-Base Balance, and Intravenous Therapy Distribution and Regulation of Body Fluids Pathophysiology Osmolality Movement of Fluid and Electrolytes Fluid Imbalances Pathophysiology Deficient Fluid Volume Nausea and Vomiting Diarrhea Excess Fluid Volume Home Care Electrolytes Electrolyte Imbalances Acid-Base System Pathophysiology Acid-Base Imbalances Pathophysiology Arterial Blood Gas Analysis Respiratory Acidosis Metabolic Acidosis Respiratory Alkalosis Metabolic Alkalosis Home Care Intravenous Fluid Therapy Nursing Responsibilities in Administering Intravenous Fluids Calculating and Regulating the Rate of Flow Nursing Management Assessment (Data Collection) Data Analysis and Problem Identification/Nursing Diagnosis Planning Implementation Evaluation Community Care
4. Care of Preoperative and Intraoperative Surgical Patients Surgery Technological Approaches in Surgery Autologous Blood for Transfusion Bloodless Surgery Perioperative Nursing Management Assessment (Data Collection) Problem Statement/Nursing Diagnosis Planning Implementation Evaluation The Surgical Team The Surgical Suite The Surgical Holding Area Roles of the Circulating Nurse and the Scrub Person Anesthesia General Anesthesia Regional Anesthesia Procedural or Conscious Sedation Anesthesia (Moderate Sedation) Local Anesthesia Potential Intraoperative Complications
5. Care of Postoperative Surgical Patients Immediate Postoperative Care Postanesthesia Care Unit Nursing Management Assessment (Data Collection) Problem Statement/Nursing Diagnosis Planning Implementation Evaluation Discharge Planning Community Care
6. Infection Prevention and Control The Infectious Process and Disease Factors That Influence Infectious Disease Disease-Producing Pathogens The Body’s Defense Against Infection Skin Normal Flora The Inflammatory Response The Immune Response Infection Prevention and Control Preventing and Controlling the Spread of Infection Precaution Categories for Infection Prevention and Control Health Care–Associated Infections Multidrug-Resistant Organisms (MDROs) The Cost of Health Care–Associated Infections Nursing Interventions to Prevent Health Care–Associated Infections Infection Surveillance and Reporting Medical Asepsis and Surgical Asepsis Sepsis and Septic Shock Nursing Interventions for Patients With Sepsis Nursing Management Assessment (Data Collection) Problem Statement/Nursing Diagnosis Planning Implementation Evaluation Community Care Home Care Long-Term Care
7. Care of Patients With Pain Theories of Pain Classification of Pain Nociceptive Pain Neuropathic Pain Perception of Pain Acute Versus Chronic Pain Acute Pain Chronic Pain Nursing Management Assessment (Data Collection) Problem Statement/Nursing Diagnosis Planning Implementation Evaluation Documentation Management of Pain Pharmacologic Approaches Nonpharmacologic Approaches Community Care Extended Care Home Care
8. Care of Patients With Cancer The Impact of Cancer Pathophysiology of Cancer Normal Cells Cancer Cells Metastasis Genetic Factors Carcinogens Chemical Carcinogens Exogenous Hormones Cancer Promotion Physical Carcinogens Genetic Predisposition Contributing Factors Intrinsic Factors Dietary Factors Disease Factors: Diabetes Mellitus Classification of Tumors Cancer Staging Measures to Prevent Cancer Nutrition and Exercise for Cancer Prevention Environment Identifying High-Risk People Detection of Cancer Diagnostic Tests Laboratory Tests Nursing Management Assessment (Data Collection) Analysis/Problem Identification Planning Implementation Evaluation Common Therapies, Problems, and Nursing Care Surgery Radiation Therapy Chemotherapy Hormone Therapy Immunotherapy: Biologic Response Modifiers Monoclonal Antibodies Targeted Therapies Bone Marrow and Stem Cell Transplantation Common Problems Related to Cancer or Cancer Treatment Anorexia and Weight Loss Mucositis and Stomatitis Chemotherapy-Induced Nausea and Vomiting Diarrhea Constipation Chemotherapy-Induced Peripheral Neuropathy Bone Marrow Suppression Cancer-Related Fatigue Alopecia Pain Fear and Ineffective Coping Oncologic Emergencies Care Settings for the Cancer Patient Acute Care Acute Rehabilitation Long-Term Care Home Care/Community
9. Chronic Illness and End-of-Life Care Chronic Illness Preventing the Hazards of Decreased Mobility Chronic Illness and Rehabilitation Care Long-Term Care End-of-Life Care Legal and Ethical Considerations Palliative Care Hospice Care Psychological Process of Death Anticipatory Guidance After-Death Care
UNIT III IMMUNE SYSTEM 10. The Immune and Lymphatic Systems Anatomy and Physiology of the Immune and Lymphatic Systems Organs and Structures Functions of the Immune and Lymphatic Systems
Holly K. Stromberg, RN, BSN, MSN, PHN, Alumnus CCRN, Professor Emeritus of Nursing, Allan Hancock College, Clinical Educator, Marian Regional Medical Center, Santa Maria, California, USA
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