Table Of ContentMedical-Surgical Nursing
Concepts and Practice
3 EDITION
Susan C. deWit, MSN, RN, CNS, PHN
Formerly, Instructor of Nursing
El Centro College
Dallas, Texas
Holly K. Stromberg, RN, BSN, MSN, PHN, CCRN
Professor of Nursing
Allan Hancock College;
Staff Nurse/Nurse Educator
Marian Medical Center
Santa Maria, California
Carol Vreeland Dallred, PhD, MSN, RN, WHNP-BC
Professor of Nursing
Kaplan School of Nursing;
Faculty and Advanced Facilitator
University of Phoenix;
Oncology Clinical Specialist
Ashfield Healthcare-Clinical
Houston, Texas
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Table of Contents
Cover image
Title page
Copyright
Dedication
Selected Student Resources on Evolve
General Resources
Skills with Skill Performance Checklists
Nursing Care Plans
Patient Teaching
Additional Content
Animations
Audio Clips
Video Clips
Contributor
Reviewers
LPN Advisory Board
To the Instructor
About the Text
Pedagogical Features
Organization of the Text
LPN Threads
For the Instructor
For the Student
To the Student
Reading and Review Tools
Chapter Features
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Acknowledgments
Unit I Medical–Surgical Nursing Settings
Chapter 1 Caring for Medical-Surgical Patients
Caring for Medical-Surgical Patients
Roles of the LPN/LVN
Employment Opportunities
Ethical and Legal Practice
Quality and Safety
Health Care Today
Financing of Health Care
Providing Holistic Care
Getting Ready for the NCLEX® Examination!
Chapter 2 Critical Thinking and the Nursing Process
Critical Thinking and Clinical Judgment
Applying LPN/LVN Standards in Medical-Surgical Nursing
Interdisciplinary (Collaborative) Care Plans
Get Ready for the NCLEX® Examination!
Unit II Medical–Surgical Patient Care Problems
Chapter 3 Fluids, Electrolytes, Acid-Base Balance, and Intravenous Therapy
Distribution and Regulation of Body Fluids
Fluid Imbalances
Osmolality
Electrolytes
Acid-Base System
Acid-Base Imbalances
Intravenous Fluid Therapy
Community Care
Get Ready for the NCLEX® Examination!
Chapter 4 Care of Preoperative and Intraoperative Surgical Patients
Surgery
Technological Advances in Surgery
Autologous Blood for Transfusion
Bloodless Surgery
The Surgical Team
The Surgical Suite
Anesthesia
Potential Intraoperative Complications
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Get Ready for the NCLEX® Examination!
Chapter 5 Care of Postoperative Surgical Patients
Immediate Postoperative Care
Discharge Planning
Community Care
Get Ready for the NCLEX® Examination!
Chapter 6 Infection Prevention and Control
The Infectious Process and Disease
The Body's Defense Against Infection
Infection Prevention and Control
Health Care–Associated Infections
Sepsis and Septic Shock
Community Care
Get Ready for the NCLEX® Examination!
Chapter 7 Care of Patients With Pain
Theories of Pain
Classification of Pain
Perception of Pain
Acute versus Chronic Pain
Management of Pain
Community Care
Get Ready for the NCLEX® Examination!
Chapter 8 Care of Patients With Cancer
The Impact of Cancer
Physiology of Cancer
Classification of Tumors
Metastasis
Causative Factors
Contributing Factors
Measures to Prevent Cancer
Detection of Cancer
Common Therapies, Problems, and Nursing Care
Evaluating the Effectiveness of Medical Treatment
Common Problems Related to Cancer or Cancer Treatment
Care for a Dying Cancer Patient
Get Ready for the NCLEX® Examination!
Chapter 9 Chronic Illness and Rehabilitation
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Chronic Illness
Rehabilitation
Home Care
Get Ready for the NCLEX® Examination!
Unit III Immune System
Chapter 10 The Immune and Lymphatic Systems
Anatomy and Physiology of the Immune and Lymphatic Systems
Protective Mechanisms of the Immune and Lymphatic Systems
Immune and Lymphatic System Disorders
Common Problems Related to the Immune and Lymphatic Systems
Get Ready for the NCLEX® Examination!
Chapter 11 Care of Patients With Immune and Lymphatic Disorders
Immune Function and Dysfunction
Immune Deficiency Disorders
Therapeutic Immunosuppression
Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome
Human Immunodeficiency Virus Risk in Patients Older than 50 Years
Community Education and Care
Autoimmune Disorders
Disorders of the Lymphatic System
Disorders of Inappropriate Immune Response
Get Ready for the NCLEX® Examination!
Unit IV Respiratory System
Chapter 12 The Respiratory System
Overview of Anatomy and Physiology of the Respiratory System
Causes of Respiratory Disorders
Respiratory Disorders
Common Respiratory Patient Care Problems
Get Ready for the NCLEX® Examination!
Chapter 13 Care of Patients With Disorders of the Upper Respiratory System
Disorders of the Nose and Sinuses
Obstruction and Trauma
Community Care
Get Ready for the NCLEX® Examination!
Chapter 14 Care of Patients With Disorders of the Lower Respiratory System
Respiratory Infectious Diseases
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Restrictive Pulmonary Disorders
Obstructive Pulmonary Disorders
Pulmonary Vascular Disorders
Chest Injuries
Lung Disorders
Common Therapeutic Measures
Community Care
Get Ready for the NCLEX® Examination!
Unit V Hematologic System
Chapter 15 The Hematologic System
Overview of Anatomy and Physiology of the Hematologic System
Causes of Hematologic Disorders
Prevention of Hematologic Disorders
Diagnostic Tests and Procedures
Common Problems Related to Disorders of the Hematologic System
Get Ready for the NCLEX® Examination!
Chapter 16 Care of Patients With Hematologic Disorders
Disorders of the Hematologic System
Therapies Frequently Used in the Management of Hematologic Disorders
Community Care
Get Ready for the NCLEX® Examination!
Unit VI Cardiovascular System
Chapter 17 The Cardiovascular System
Overview of Anatomy and Physiology of the Cardiovascular System
Cardiovascular Disease
Common Problems of Patients With Cardiovascular Disorders
Get Ready for the NCLEX® Examination!
Chapter 18 Care of Patients With Hypertension and Peripheral Vascular Disease
Hypertension
Arteriosclerosis and Atherosclerosis
Peripheral Vascular Disease
Venous Disorders
Community Care
Get Ready for the NCLEX® Examination!
Chapter 19 Care of Patients With Cardiac Disorders
Disorders of the Heart
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Inflammatory and Infectious Diseases of the Heart
Cardiac Valve Disorders
Common Therapies and Their Nursing Implications
Community Care
Get Ready for the NCLEX® Examination!
Chapter 20 Care of Patients With Coronary Artery Disease and Cardiac Surgery
Coronary Artery Disease
Surgical and Nonsurgical Treatment Options
Community Care
Get Ready for the NCLEX® Examination!
UNIT VII Neurologic System
Chapter 21 The Neurologic System*
Anatomy and Physiology of the Neurologic System
Causative Factors Involved in Neurologic Disorders
Prevention of Neurologic Disorders
Evaluation of Neurologic Status
Common Neurologic Patient Care Problems
Get Ready for the NCLEX® Examination!
Chapter 22 Care of Patients With Head and Spinal Cord Injuries
Traumatic Brain (Head) Injuries
Increased Intracranial Pressure
Injuries of the Spine and Spinal Cord
Back Pain and Ruptured Intervertebral Disk (“Slipped Disk”)
Get Ready for the NCLEX® Examination!
Chapter 23 Care of Patients With Brain Disorders
Seizure Disorders and Epilepsy
Transient Ischemic Attack
Cerebrovascular Accident (Stroke, Brain Attack)
Brain Tumor
Infectious and Inflammatory Disorders of the Nervous System
Headaches
Cranial Nerve Disorders
Get Ready for the NCLEX® Examination!
Chapter 24 Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders
Parkinson Disease
Multiple Sclerosis
Alzheimer Disease
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Amyotrophic Lateral Sclerosis
Guillain-Barré Syndrome
Poliomyelitis and Postpolio Syndrome
Huntington Disease
Myasthenia Gravis
Restless Leg Syndrome
Community Care
Get Ready for the NCLEX® Examination!
Unit VIII Sensory System
Chapter 25 The Sensory System: Eye and Ear
Anatomy and Physiology of the Eye
The Eye
Community Care
Anatomy and Physiology of the Ear
The Ear
Community Care
Get Ready for the NCLEX® Examination!
Chapter 26 Care of Patients With Disorders of the Eyes and Ears
Common Disorders of the Eye
Nursing Care of Patients Having Eye Surgery
Community Care
Common Disorders of the Ear
Nursing Care of Patients Having Ear Surgery
Community Care
Get Ready for the NCLEX® Examination!
Unit IX Gastrointestinal System
Chapter 27 The Gastrointestinal System
Anatomy and Physiology of the Gastrointestinal System
The Gastrointestinal System
Get Ready for the NCLEX® Examination!
Chapter 28 Care of Patients With Disorders of the Upper Gastrointestinal System
Eating Disorders
Upper Gastrointestinal Disorders
Common Therapies for Disorders of the Gastrointestinal System
Get Ready for the NCLEX® Examination!
Chapter 29 Care of Patients With Disorders of the Lower Gastrointestinal System
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Disorders of the Abdomen and Bowel
Ostomy Surgery and Care
Anorectal Disorders
Community Care
Get Ready for the NCLEX® Examination!
Chapter 30 Care of Patients With Disorders of the Gallbladder, Liver, and Pancreas
Disorders of the Gallbladder
Disorders of the Liver
Disorders of the Pancreas
Community Care
Get Ready for the NCLEX® Examination!
Unit X Musculoskeletal System
Chapter 31 The Musculoskeletal System
Anatomy and Physiology of the Musculoskeletal System
Musculoskeletal Disorders
Get Ready for the NCLEX® Examination!
Chapter 32 Care of Patients With Musculoskeletal and Connective Tissue Disorders
Connective Tissue Disorders
Inflammatory Disorders of the Musculoskeletal System
Community Care
Get Ready for the NCLEX® Examination!
Unit XI Urinary System
Chapter 33 The Urinary System
Anatomy and Physiology of the Urologic System
The Urologic System
Common Urologic Problems
Get Ready for the NCLEX® Examination!
Chapter 34 Care of Patients With Disorders of the Urinary System
Inflammatory Disorders of the Urinary Tract
Obstructions of the Urinary Tract
Urologic System Trauma
Urologic System Cancers
Renal Failure
Community Care
Get Ready for the NCLEX® Examination!
Unit XII Endocrine System
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