Table Of ContentL W B K 4 0 6 - F M _ i - v i i i . q x d 0 9 / 0 9 / 2 0 0 9 1 0 : 1 4 P M P a g e i A p t a r a
Study Guide for
Brunner and Suddarth’s
Textbook of
Medical-Surgical
Nursing
TW E L F T H E D I T I O N
Mary Jo Boyer, R.N., M.S.N., Ph.D.
Vice Provost and Adjutant Nursing Faculty
Former Dean and Professor of Allied Health and Nursing
Delaware County Community College
Media, Pennsylvania
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12th edition
Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.
Copyright © 2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business. Copyright ©
2004, 2000 by Lippincott Williams and Wilkins. Copyright © 1996 by Lippincott-Raven
Publishers. Copyright © 1992 by J.B. Lippincott Company. All rights reserved. This book is
protected by copyright. No part of this book may be reproduced or transmitted in any form
or by any means, including as photocopies or scanned-in or other electronic copies, or utilized
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This book is dedicated to
. . . my son, Brian, and my daughter, Susan, whose career choices reflect their commitment and appreciation
of lifelong learning and teaching
. . . my students whose energy, motivation, and dedication to learning challenges and enriches
my professional life
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Preface
The Study Guide for Brunner and Suddarth’s Textbook of Medical-Surgical Nursing,
Twelfth Edition, was developed as a learning tool to help you, a nursing student, focus
on content areas considered essential for understanding the concepts, techniques, and
disease processes presented in the textbook. A Critical Thinking approach was used
to present facts from a knowledge-based level (using multiple choice, matching and fill
in) to the highest levels of analysis and syntheses (using comparison analysis, pattern
identification, contradiction recognition, supportive argumentation, and critical
analysis and discussion). The application of theory to practice is tested by having you
complete nursing care plans, outline detailed patient teaching guides, and complete
decision-making trees and critical clinical pathways. Case studies are offered at the end
of most sections.
The answer to every question is presented in the Answer Key at the end of the book.
Critical thinking, the nursing process, and a community-based focus to nursing care
are incorporated throughout; information is tested from the viewpoint of nursing
intervention. Some answers are derived from analysis and are implied. They may not
be found specifically in the chapter. Pathophysiologic processes are included only if
relevant to specific nursing actions.
It was my intent to present information in a manner that will stimulate critical
thinking and promote learning. It is my hope that knowledge gained and reinforced
will be used to provide competent nursing care to those in need.
Mary Jo Boyer, R.N., M.S.N., Ph.D.
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Contents
1. Health Care Delivery and Nursing Practice 1 33. Assessment and Management of
2. Community-Based Nursing Practice 8 Patients With Hematologic Disorders 204
3. Critical Thinking, Ethical Decision Making, 34. Assessment of Digestive and
and the Nursing Process 12 Gastrointestinal Function 212
4. Health Education and Health Promotion 21 35. Management of Patients With Oral and
5. Adult Health and Nutritional Assessment 26 Esophageal Disorders 218
6. Homeostasis, Stress, and Adaptation 31 36. Gastrointestinal Intubation and Special
7. Individual and Family Considerations Nutritional Modalities 224
Related to Illness 40 37. Management of Patients With Gastric
8. Perspectives in Transcultural Nursing 45 and Duodenal Disorders 230
9. Genetics and Genomics Perspectives in 38. Management of Patients With Intestinal
Nursing 49 and Rectal Disorders 236
10. Chronic Illness and Disability 53 39. Assessment and Management of
11. Principles and Practices of Rehabilitation 57 Patients With Hepatic Disorders 243
12. Health Care of the Older Adult 63 40. Assessment and Management of
13. Pain Management 68 Patients With Biliary Disorders 250
14. Fluid and Electrolytes: Balance and 41. Assessment and Management of
Disturbance 73 Patients With Diabetes Mellitus 254
15. Shock and Multiple Organ Dysfunction 42. Assessment and Management of
Syndrome 85 Patients With Endocrine Disorders 263
16. Oncology: Nursing Management in 43. Assessment of Renal and Urinary Tract
Cancer Care 93 Function 271
17. End-of-Life Care 101 44. Management of Patients With Renal
18. Preoperative Concepts and Disorders 274
Nursing Management 104 45. Management of Patients With Urinary
19. Intraoperative Nursing Management 109 Disorders 281
20. Postoperative Nursing Management 114 46. Assessment and Management of Female
21. Assessment of Respiratory Function 120 Physiologic Processes 285
22. Management of Patients With Upper 47. Management of Patients With Female
Respiratory Tract Disorders 127 Reproductive Disorders 291
23. Management of Patients With Chest and 48. Assessment and Management of
Lower Respiratory Tract Disorders 134 Patients With Breast Disorders 297
24. Management of Patients With Chronic 49. Assessment and Management of
Pulmonary Disease 143 Problems Related to Male
25. Respiratory Care Modalities 149 Reproductive Processes 303
26. Assessment of Cardiovascular Function 158 50. Assessment of Immune Function 308
27. Management of Patients With 51. Management of Patients With
Dysrhythmias and Conduction Problems 165 Immunodeficiency 312
28. Management of Patients With Coronary 52. Management of Patients With HIV
Vascular Disorders 173 Infection and AIDS 315
29. Management of Patients With Structural, 53. Assessment and Management of
Infectious, and Inflammatory Cardiac Patients With Allergic Disorders 320
Disorders 181 54. Assessment and Management of
30. Management of Patients With Patients With Rheumatic Disorders 324
Complications From Heart Disease 187 55. Assessment of Integumentary Function 330
31. Assessment and Management of 56. Management of Patients With
Patients With Vascular Disorders and Dermatologic Problems 334
Problems of Peripheral Circulation 194 57. Management of Patients With Burn Injury 341
32. Assessment and Management of 58. Assessment and Management of Patients
Patients With Hypertension 200 With Eye and Vision Disorders 347
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viii Contents
59. Assessment and Management of Patients 66. Assessment of Musculoskeletal Function 384
With Hearing and Balance Disorders 353 67. Musculoskeletal Care Modalities 388
60. Assessment of Neurologic Function 358 68. Management of Patients With
61. Management of Patients With Neurologic Musculoskeletal Disorders 394
Dysfunction 363 69. Management of Patients With
62. Management of Patients With Musculoskeletal Trauma 398
Cerebrovascular Disorders 368 70. Management of Patients With Infectious
63. Management of Patients With Neurologic Diseases 404
Trauma 372 71. Emergency Nursing 409
64. Management of Patients With Neurologic 72. Terrorism, Mass Casualty, and Disaster
Infections, Autoimmune Disorders, and Nursing 414
Neuropathies 376
65. Management of Patients With Oncologic Answer Key 417
or Degenerative Neurologic Disorders 380
