Medical-Surgical Nursing Elsevier eBook on VitalSource, 6th Edition

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

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