Help students develop the clinical judgment skills they need to succeed on the NCLEX-RN® Examination and in medical-surgical nursing practice with Iggy’s innovative, conceptual, and traditional approach that seamlessly supports every curricular structure! Ignatavicius' Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care, 12th Edition,provides a comprehensive foundationin patient-centered, evidence-based medical-surgical nursing practice while emphasizing clinical judgment, collaborative care, and inclusive nursing practice. Each major body system begins with a dedicated assessment chapter that equips students with the foundational knowledge and skills nurses need to collect and interpret patient data through health histories, physical assessments, diagnostic testing, and analysis of assessment findings. Care chapters are organized by priority and interrelated nursing concepts, followed by commonly occurring exemplars that reinforce clinical reasoning and application. From a team of nursing experts led by Cherie Rebar and Nicole Heimgartner, this trusted bestseller helps students learn to think like a nurse and confidently apply their knowledge in the classroom, simulation laboratory, and clinical settings.
NEW! Current guidelines and curricular emphases include the NCLEX® Exam (NGN), the 2026 version of the AACN Essentials, Healthy People 2030, and the 2020-2030 Future of Nursing Report
NEW! Evidence‑based practice updates reflect the latest clinical guidelines, safety standards, and national quality initiatives
NEW and updated case studies strengthen clinical judgment, priority setting, and safe patient care
NEW! AI Impact boxes explore the growing role of artificial intelligence in healthcare and its implications for nursing practice
NEW! Leadership at the Bedside boxes highlight how all registered nurses demonstrate leadership through patient advocacy, clinical decision-making, communication, and care coordination
NEW! Critical Nursing Care boxes at the end of every exemplar distill important elements of the nursing role, helping you quickly identify key priorities for safe, patient-centered care
NEW! Expanded coverage of emerging health conditionsand updated pathophysiology explanations help you connect disease processes to patient assessment, clinical reasoning, and nursing care
NEW! Enhanced emphasis on collaborationand team‑based care reflects today’s healthcare environment and prepares you to thrive as an effective member of the interprofessional team
NEW! Comprehensive pharmacology updates include newly approved medications, current drug safety alerts, and the latest evidence-based recommendations to help you deliver safe, high-quality drug therapy
NEW! Current guidelines and curricular emphases include the NCLEX® Exam (NGN), the 2026 version of the AACN Essentials, Healthy People 2030, and the 2020-2030 Future of Nursing Report
NEW! Evidence‑based practice updates reflect the latest clinical guidelines, safety standards, and national quality initiatives
NEW and updated case studies strengthen clinical judgment, priority setting, and safe patient care
NEW! AI Impact boxes explore the growing role of artificial intelligence in healthcare and its implications for nursing practice
NEW! Leadership at the Bedside boxes highlight how all registered nurses demonstrate leadership through patient advocacy, clinical decision-making, communication, and care coordination
NEW! Critical Nursing Care boxes at the end of every exemplar distill important elements of the nursing role, helping students quickly identify key priorities for safe, patient-centered care
NEW! Expanded coverage of emerging health conditionsand updated pathophysiology explanations help students connect disease processes to patient assessment, clinical reasoning, and nursing care
NEW! Enhanced emphasis on collaborationand team‑based care reflects today’s healthcare environment and prepares students to thrive as effective members of the interprofessional team
NEW! Comprehensive pharmacology updates include newly approved medications, current drug safety alerts, and the latest evidence-based recommendations to help students deliver safe, high-quality drug therapy
Direct, easy-to-read writing style features concise sentences and straightforward vocabulary, making this one of the most readable medical-surgical nursing textbooks available
UNIQUE! Unparalleled focus on clinical judgment and systems thinking ensures alignment with the NCSBN Clinical Judgment Measurement Model and emphasizes the six cognitive skills that students will need to develop effective clinical judgment, to succeed when taking the NCLEX® Exam (NGN), and to enter clinical practice as safe, competent, compassionate generalist nurses
UNIQUE! Data-driven Concept and Exemplar selections provide a strong foundation in professional nursing concepts and health and illness concepts, with application in each chapter
UNIQUE! Exceptional emphasis on NGN preparation includes chapter-opening Learning Outcomes and chapter-ending Get Ready for the Next-Generation NCLEX Examination! sections, plus NCLEX Examination Challenge questions and Mastery and NGN Questions, with an answer key that includes rationales on the Evolve companion website
Emphasis on patient safety highlights safety and evidence-based practice with Nursing Safety Priority boxes, as well as Drug Alert, Critical Rescue, and Action Alert boxes
Focus on care coordination and transition management addresses the continuity of care between acute care and community-based care
Consistent use of interprofessional terminology promotes interprofessional collaboration through the use of a common healthcare language, instead of using nursing-specific diagnostic language
Sherpath (sold separately) for Ignatavicius’ Medical-Surgical Nursing, 12th Edition, provides an interactive, adaptive learning experience
SECTION I CONCEPTS FOR MEDICAL-SURGICAL NURSING Chapter 1 Overview of Professional Nursing Concepts for Medical-Surgical Nursing Chapter 2 Overview of Health Concepts for Medical-Surgical Nursing Chapter 3 Clinical Judgment, Health Systems, and the Bedside Leader Chapter 4 Concepts of Care for Older Adults Chapter 5 Concepts of Care for LGBTQIA2S+ Patients Chapter 6 Assessment and Care for Patients With Pain Chapter 7 Concepts of Rehabilitation for Chronic and Disabling Health Conditions Chapter 8 Concepts of Care for Patients at End of Life Chapter 9 Concepts of Care for Perioperative Patients SECTION II CONCEPTS OF EMERGENCY CARE AND DISASTER PREPAREDNESS Chapter 10 Concepts of Emergency and Trauma Nursing Chapter 11 Concepts of Care for Patients With Common Environmental Emergencies Chapter 12 Concepts of Disaster Preparedness SECTION III CONCEPTS OF FLUID, ELECTROLYTE, AND ACID-BASE BALANCE AND IMBALANCE Chapter 13 Concepts of Fluid and Electrolyte Balance and Imbalance Chapter 14 Concepts of Acid-Base Balance and Imbalance Chapter 15 Concepts of Infusion Therapy SECTION IV INTERPROFESSIONAL COLLABORATIVE CARE FOR PATIENTS WITH CONDITIONS OF IMMUNITY Chapter 16 Concepts of Inflammation and Immunity Chapter 17 Concepts of Care for Patients With Allergy and Immunity Conditions Chapter 18 Concepts of Care for Patients With Infection Chapter 19 Concepts of Care for Patients With Cancer SECTION V INTERPROFESSIONAL COLLABORATIVE CARE FOR PATIENTS WITH CONDITIONS OF THE SKIN, HAIR, AND NAILS Chapter 20 Assessment of the Skin, Hair, and Nails Chapter 21 Concepts of Care for Patients With Skin, Hair, and Nail Conditions SECTION VI INTERPROFESSIONAL COLLABORATIVE CARE FOR PATIENTS WITH CONDITIONS OF THE RESPIRATORY SYSTEM Chapter 22 Assessment of the Respiratory System Chapter 23 Concepts of Care for Patients With Noninfectious Upper Respiratory Conditions Chapter 24 Concepts of Care for Patients With Noninfectious Lower Respiratory Conditions Chapter 25 Concepts of Care for Patients With Infectious Respiratory Conditions Chapter 26 Critical Care of Patients With Respiratory Emergencies SECTION VII INTERPROFESSIONAL COLLABORATIVE CARE FOR PATIENTS WITH CONDITIONS OF THE CARDIOVASCULAR SYSTEM Chapter 27 Assessment of the Cardiovascular System Chapter 28 Concepts of Care for Patients With Dysrhythmias Chapter 29 Concepts of Care for Patients With Cardiac Conditions Chapter 30 Concepts of Care for Patients With Vascular Conditions Chapter 31 Critical Care of Patients With Shock Chapter 32 Critical Care of Patients With Acute Coronary Syndromes SECTION VIII INTERPROFESSIONAL COLLABORATIVE CARE FOR PATIENTS WITH CONDITIONS OF THE HEMATOLOGIC SYSTEM Chapter 33 Assessment of the Hematologic System Chapter 34 Concepts of Care for Patients With Hematologic Conditions SECTION IX INTERPROFESSIONAL COLLABORATIVE CARE FOR PATIENTS WITH CONDITIONS OF THE NERVOUS SYSTEM Chapter 35 Assessment of the Nervous System Chapter 36 Concepts of Care for Patients With Conditions of the Central Nervous System: The Brain Chapter 37 Concepts of Care for Patients With Conditions of the Central Nervous System: The Spinal Cord Chapter 38 Critical Care of Patients With Neurologic Emergencies SECTION X INTERPROFESSIONAL COLLABORATIVE CARE FOR PATIENTS WITH CONDITIONS OF THE SENSORY SYSTEM Chapter 39 Assessment and Concepts of Care for Patients With Eye and Vision Conditions Chapter 40 Assessment and Concepts of Care for Patients With Ear and Hearing Conditions SECTION XI INTERPROFESSIONAL COLLABORATIVE CARE FOR PATIENTS WITH CONDITIONS OF THE MUSCULOSKELETAL SYSTEM Chapter 41 Assessment of the Musculoskeletal System Chapter 42 Concepts of Care for Patients With Musculoskeletal Conditions Chapter 43 Concepts of Care for Patients With Arthritis and Total Joint Arthroplasty Chapter 44 Concepts of Care for Patients With Musculoskeletal Trauma SECTION XII INTERPROFESSIONAL COLLABORATIVE CARE FOR PATIENTS WITH CONDITIONS OF THE GASTROINTESTINAL SYSTEM Chapter 45 Assessment of the Gastrointestinal System Chapter 46 Concepts of Care for Patients With Oral Cavity and Esophageal Conditions Chapter 47 Concepts of Care for Patients With Stomach Conditions Chapter 48 Concepts of Care for Patients With Noninflammatory Intestinal Conditions Chapter 49 Concepts of Care for Patients With Inflammatory Intestinal Conditions Chapter 50 Concepts of Care for Patients With Liver Conditions Chapter 51 Concepts of Care for Patients With Biliary System and Pancreas Conditions Chapter 52 Concepts of Care for Patients With Malnutrition: Undernutrition and Obesity SECTION XIII INTERPROFESSIONAL COLLABORATIVE CARE FOR PATIENTS WITH CONDITIONS OF THE ENDOCRINE SYSTEM Chapter 53 Assessment of the Endocrine System Chapter 54 Concepts of Care for Patients With Pituitary and Adrenal Gland Conditions Chapter 55 Concepts of Care for Patients With Thyroid and Parathyroid Gland Conditions Chapter 56 Concepts of Care for Patients With Diabetes Mellitus SECTION XIV INTERPROFESSIONAL COLLABORATIVE CARE FOR PATIENTS WITH CONDITIONS OF THE RENAL/URINARY SYSTEM Chapter 57 Assessment of the Renal/Urinary System Chapter 58 Concepts of Care for Patients With Urinary Conditions Chapter 59 Concepts of Care for Patients With Kidney Conditions Chapter 60 Concepts of Care for Patients With Acute Kidney Injury and Chronic Kidney Disease SECTION XV INTERPROFESSIONAL COLLABORATIVE CARE FOR PATIENTS WITH CONDITIONS OF THE REPRODUCTIVE SYSTEM Chapter 61 Assessment of the Reproductive System Chapter 62 Concepts of Care for Patients With Breast Conditions Chapter 63 Concepts of Care for Patients With Gynecologic Conditions Chapter 64 Concepts of Care for Patients With Male Reproductive Conditions Chapter 65 Concepts of Care for Patients With Sexually Transmitted Infections
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