Lewis's Medical-Surgical Nursing - 11th Edition - ISBN: 9780323551496, 9780323595186

Lewis's Medical-Surgical Nursing

11th Edition

Assessment and Management of Clinical Problems, Single Volume

Authors: Mariann Harding Jeffrey Kwong Dottie Roberts Debra Hagler Courtney Reinisch
Hardcover ISBN: 9780323551496
Hardcover ISBN: 9780323677011
Paperback ISBN: 9780323756815
eBook ISBN: 9780323595186
eBook ISBN: 9780323595193
eBook ISBN: 9780323595209
Imprint: Mosby
Published Date: 12th January 1996
Page Count: 1712

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Get a unique, conceptual approach to nursing care in this rapidly changing healthcare environment. Lewis’s Medical-Surgical Nursing, 11th Edition gives you a solid foundation in medical-surgical nursing. This thoroughly revised text includes a more conversational writing style, an increased focus on nursing concepts and clinical trends, strong evidence-based content, and an essential pathophysiology review. Content covers all aspects of nursing care including health promotion, acute intervention, and ambulatory care. Helpful boxes and tables make it easy for you to find essential information, and a building-block approach makes even the most complex concepts simple to grasp. Key topics such as interprofessional care, delegation, safety, and prioritization are integrated throughout. Additionally, extensive drug therapy information and diagnostic studies tables give you a full picture of care. Best of all — a complete collection of learning and study resources helps you learn more effectively and offers valuable, real-world preparation for clinical practice.

Key Features

  • Content written and reviewed by leading experts in the field ensures that information is comprehensive, current, and clinically accurate.
  • Interprofessional Care tables and sections in all management chapters emphasize the importance of total patient care in today's health care settings and outline the role of each provider in managing disorders.
  • Bridge to NCLEX Examination review questions at the end of each chapter reinforce key content while helping you to prepare for the NCLEX examination with both standard and alternate item format questions.
  • Check Your Practice boxes challenge you to think critically and interact with patient data.
  • Informatics in Practice boxes discuss how technology is used by nurses and patients in healthcare settings.
  • Evidence-based practice boxes help you understand how to apply the latest research to real-life patient care.
  • Safety Alerts throughout the book highlight patient safety issues and focus on the latest National Patient Safety Goals.
  • UNIQUE! Nursing management is presented in a consistent and comprehensive format, addressing the unique approaches to nursing care.
  • Case studies throughout text emphasize prioritization, delegation, and concept mapping to help you learn to prioritize and delegate patient care.
  • Separate chapter on Genetics focuses on practical application to nursing care of patients.
  • Genetics in Clinical Practice boxes cover key topics such as genetic testing, Alzheimer's disease, sickle cell disease, and genetics-related ethics issues.
  • Genetic Risk alerts and Genetic Link headings highlight specific genetic issues related to body system assessments and disorders.
  • Ethical/Legal Dilemmas boxes promote critical thinking for timely and sensitive ethical and legal issues.
  • Pathophysiology Map flow charts make it easier for you to visualize and understand changes occurring in major diseases.
  • Focused Assessment tables reflect a realistic "assessment on the run" approach and offer brief checklists for evaluating the status of previously identified health problems and monitoring for signs of new problems.
  • Extensive drug therapy content includes Drug Therapy tables and concise Drug Alerts highlighting important safety considerations for key drugs.
  • Promoting Population Health tables summarize government health care goals as they relate to specific disorders and identify important strategies for the prevention and early detection of diseases.
  • Nutritional Therapy tables summarize nutritional interventions and strategies for promoting healthy lifestyles in patients with various conditions.
  • Promoting Health Equity boxes and a dedicated chapter on health disparities and culturally competent care highlight risk factors and important issues related to the nursing care of various ethnic groups.
  • Complementary and Alternative Therapies boxes summarize what you need to know about the clinical uses, effects, and nursing implications of herbal remedies and complementary and alternative treatment options.
  • Nursing interventions and nursing diagnoses are listed in order of priority.
  • Nursing Management boxes highlight the nurse’s role in working with members of the interprofessional team and also cover specific topics and skills related to delegation.
  • Assessment Abnormalities tables alert the nurse to frequently encountered abnormalities and their possible etiologies.
  • Core clinical content focuses on highlighting and incorporating QSEN competencies.
  • Emergency Management tables outline the treatment of health problems most likely to create medical emergencies.
  • Learning Outcomes and Key Terms help you identify the key content for that chapter.
  • Health History tables present key questions to ask patients related to a specific disease or disorder.
  • Patient and Caregiver teaching tables provide critical information to help you educate others who will be helping to care for the patient.
  • Gerontology and chronic illness included throughout the text under Gerontologic Considerations headings and in Gerontologic Assessment tables.
  • Nursing Assessment tables summarize the key subjective and objective data related to common diseases.
  • Gender Differences boxes discuss how women and men are affected differently by conditions such as pain and hypertension.
  • Diagnostic Studies tables provide details of commonly used lab tests that help assess various body systems.
  • Over 60 nursing care plans clearly shows the linkages among NIC, NOC, and nursing diagnoses, and applies them to nursing practice.
  • Over 800 full-color illustrations and photographs clearly demonstrate disease processes and related anatomy and physiology.

Table of Contents

Section One – Concepts in Nursing Practice
1. Professional Nursing    
2. Health Equity and Culturally Competent Care    
3. Health History and Physical Examination      
4. Patient and Caregiver Teaching                           
5. Chronic Illness and Older Adults
Section Two – Problems Related to Comfort and Coping                                                    
6. Stress Management    
7. Sleep and Sleep Disorders       
8. Pain         
9. Palliative and End-of-Life Care   
10. Substance Use Disorders
Section Three – Problems Related to Homeostasis and Protection
11. Inflammation and Healing       
12. Genetics
13. Immune Responses and Transplantation
14. Infection
15. Cancer         
16. Fluid, Electrolyte, and Acid-Base Imbalances    
Section Four – Perioperative Care
17. Management: Preoperative Care    
18. Management: Intraoperative Care     
19. Management: Postoperative Care    
Section Five – Problems Related to Altered Sensory Input
20. Assessment and Management: Visual Problems  
21. Assessment and Management: Auditory Problems  
22. Assessment:  Integumentary System   
23. Management: Integumentary Problems    
24. Management: Burns      
Section Six – Problems of Oxygenation: Ventilation
25. Assessment:  Respiratory System      
26. Management: Upper Respiratory Problems   
27. Management: Lower Respiratory Problems    
28. Management: Obstructive Pulmonary Diseases   
Section Seven – Problems of Oxygenation: Transport
29. Assessment: Hematologic System      
30. Management: Hematologic Problems   
Section Eight – Problems of Oxygenation: Perfusion
31. Assessment: Cardiovascular System     
32. Management: Hypertension
33. Management: Coronary Artery Disease and Acute Coronary Syndrome
34. Management: Heart Failure      
35. Management: Dysrhythmias     
36. Management: Inflammatory and Structural Heart Disorders 
37. Management: Vascular Disorders     
Section Nine – Problems of Ingestion, Digestion, Absorption, and Elimination
38. Assessment:  Gastrointestinal System   
39. Management: Nutritional Problems    
40. Management: Obesity     
41. Management: Upper Gastrointestinal Problems  
42. Management: Lower Gastrointestinal Problems   
43. Management: Liver, Biliary Tract, Pancreas   
Section Ten – Problems of Urinary Function
44. Assessment:  Urinary System     
45. Management: Renal and Urologic Problems    
46. Management: Acute Renal Failure and Chronic Kidney Disease 
Section Eleven – Problems Related to Regulatory and Reproductive Mechanisms
47. Assessment:  Endocrine System     
48. Management: Diabetes Mellitus    
49. Management: Endocrine Problems      
50. Assessment: Reproductive System      
51. Management: Breast Disorders     
52. Management: Sexually Transmitted Infections
53. Management: Female Reproductive Problems    
54. Management: Male Reproductive Problems  
Section Twelve – Problems Related to Movement and Coordination
55. Assessment:  Nervous System    
56. Management: Acute Intracranial Problems   
57. Management: Stroke     
58. Management: Chronic Neurologic Problems 
59. Management: Alzheimer’s Disease and Dementia  
60. Management: Peripheral Nerve and Spinal Cord Problems
61. Assessment:  Musculoskeletal System   
62. Management: Musculoskeletal Trauma and Orthopedic Surgery 
63. Management: Musculoskeletal Problems      
64. Management: Arthritis and Connective Tissue Diseases 
Section Thirteen – Nursing Care in Specialized Settings
65. Management: Critical Care     
66. Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction Syndrome
67. Management: Respiratory Failure and Acute Respiratory Distress Syndrome
68. Management: Emergency Care Situations
A: Basic Life Support for Health Care Providers
B: Nursing Diagnosis
C: Laboratory Reference Intervals


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12th January 1996
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About the Authors

Mariann Harding

Affiliations and Expertise

Professor, Department of Nursing, Kent State University at Tuscarawas, New Philadelphia, Ohio

Jeffrey Kwong

Affiliations and Expertise

Program Director, Adult-Gerontology Nurse Practitioner Program; Program Director, HIV Sub-specialty; Columbia University School of Nursing, New York, New York

Dottie Roberts

Affiliations and Expertise

Instructor, University of South Carolina College of Nursing, Columbia, South Carolina

Debra Hagler

Affiliations and Expertise

Clinical Professor College of Nursing and Healthcare Innovation Arizona State University Phoenix, Arizona

Courtney Reinisch

Affiliations and Expertise

Director of Undergraduate Nursing School of Nursing Montclair State University Montclair, New Jersey