Medical-Surgical Nursing
- 8th Edition - March 8, 2022
- Authors: Adrianne Dill Linton, Mary Ann Matteson
- Language: English
- Other ISBN:9 7 8 - 0 - 4 4 3 - 1 1 1 5 6 - 3
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 8 2 6 7 1 - 6
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 8 2 8 4 4 - 4
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 2 8 4 7 - 5
Provide quality nursing care for adults with medical-surgical and psychiatric disorders! Building upon the fundamentals of nursing, Medical-Surgical Nursing, 8th Edition helps yo… Read more
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Request a sales quoteProvide quality nursing care for adults with medical-surgical and psychiatric disorders! Building upon the fundamentals of nursing, Medical-Surgical Nursing, 8th Edition helps you master the role and responsibilities of the LPN/LVN in medical-surgical care. The text addresses the special problems of older adult patients, then covers each major disorder by body system, presenting patient problems, goals, outcome criteria, and nursing interventions. As LPN/LVNs do not formulate NANDA diagnoses, the book is organized by patient problems rather than NANDA nursing diagnoses. Written by noted educators Adrianne Dill Linton and Mary Ann Matteson, this text helps you build the clinical judgment skills you need to succeed on the Next-Generation NCLEX-PN® examination and in nursing practice.
- UNIQUE! Older Adult Patient unit covers the special problems and disorders — such as falls, dementia, and incontinence — that are common to gerontologic patients, as this is the primary patient group for whom LPN/LVNs provide care.
- UNIQUE! In-depth pharmacology coverage includes Pharmacology Capsule boxes highlighting critical information for common drugs, Pharmacology and Medications tables including classification, use/action, side/adverse effects, and nursing interventions, and a Pharmacology Tutorial on the Evolve website covering drug classifications, how drugs work, and nursing responsibilities.
- Nursing care plans illustrate the application of content to the nursing process in realistic scenarios, with critical thinking questions to encourage thoughtful analysis of patient needs and nursing care.
- For each body system, an introductory chapter provides a refresher review of anatomy and physiology; to minimize repetition in subsequent chapters, relevant diagnostic tests and procedures are described; and common classifications of the drugs used to manage system disorders are introduced.
- Get Ready for the NCLEX® Examination! section at the end of each chapter covers key points and includes review questions and critical thinking questions to help you prepare for class tests and the NCLEX-PN examination.
- Put on Your Thinking Cap boxes ask you to analyze and apply concepts to clinical situations.
- Patient Teaching boxes provide nursing instructions, stressing the role and responsibility of the LPN/LVN in patient education.
- Health Promotion Considerations boxes highlight timely wellness and disease prevention topics.
- Nutrition Considerations boxes emphasize the role nutrition plays in disease and holistic nursing care.
- Complementary and Alternative Therapies boxes break down nontraditional therapies along with precautions and possible side effects.
- Coordinated Care boxes highlight the team approach to patient care, helping nurses prioritize tasks and assign them safely to assistive personnel.
- Cultural Considerations boxes promote understanding of the needs of culturally diverse patients when planning nursing care.
- Key terms include phonetic pronunciations and make learning easier with terms listed at the beginning of each chapter, shown in color at first mention in the text, and defined in the glossary.
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Acknowledgments
- Contributors and Reviewers
- LPN Advisory Board
- To the Instructor
- Organization
- Key Features
- Other Features
- Ancillaries
- To the Student
- Key Features
- Reading and Review Tools
- Additional Learning Resources
- Chapter Features
- Unit I. Medical-Surgical Nursing
- 1. Aspects of Medical-Surgical Nursing
- Description
- Professional Organizations
- Roles
- Practice Settings
- Essential Knowledge and Skills
- Ethical Considerations
- Legal Considerations
- Leadership and Management in Medical-Surgical Settings
- Issues Related to Leadership and Management
- Clinical Judgment in Nursing
- 2. Medical-Surgical Practice Settings
- Community and Home Health Nursing
- Rehabilitation
- Long-Term Care
- Assisted Living
- Continuing Care Retirement Communities
- Supportive Housing Programs
- Other Patient Care Settings
- Unit II. Populations Receiving Medical-Surgical Care
- 3. Medical-Surgical Patients: Individuals, Families, and Communities
- Health-Illness Continuum
- Health Promotion, Disease Prevention, and Health Maintenance
- Cultural Awareness and Competency
- Medical-Surgical Patients From Various Cultures
- Stage of Development
- Social Network
- Unit III. Pathology Processes and Effects
- 4. Health, Illness, Stress, and Coping
- Health, Disease, and Illness
- Psychologic Responses to Illness
- Nursing Care to Promote Coping With Illness
- 5. Immunity, Inflammation, and Infection
- Physical and Chemical Barriers
- Immunity
- Nonspecific Defenses Against Infection
- Specific Defenses Against Infection: Immune Response
- Inflammatory Process
- Infection
- Care of Patients With Infection
- Nursing Care of the Patient With an Infection
- Immunodeficiency
- Nursing Care of the Immunosuppressed Patient
- Hypersensitivity and Allergy
- Nursing Care of the Patient With Allergies
- Anaphylaxis
- Nursing Care of the Patient With Anaphylaxis
- Autoimmune Diseases
- Nursing Care of the Patient With an Autoimmune Disorder
- 6. Fluid, Electrolyte, and Acid-Base Balance
- Homeostasis
- Body Fluid Compartments
- Composition of Body Fluids
- Transport of Water and Electrolytes
- Osmolality
- Regulatory Mechanisms
- Age-Related Changes Affecting Fluid Balance
- Focused Assessment of Fluid and Electrolyte Balance
- Fluid Imbalances
- Electrolyte Imbalances
- Acid-Base Disturbances
- 7. The Patient With Cancer
- Why Study Cancer?
- What Is Cancer?
- Diagnosis of Cancer
- Medical Treatment of Cancer
- Complementary and Alternative Therapies
- Unproven Methods of Cancer Treatment
- Nursing Care of the Patient Who Has Cancer
- Oncologic Emergencies
- 8. Pain
- Definition of Pain
- Physiology of Pain
- Factors Influencing Response to Pain
- Responses to Pain
- Nursing Care of the Patient in Pain
- 9. Shock
- Definition of Shock
- Types of Shock
- Effects of Shock on Body Systems and Functions
- Stages of Shock
- Diagnosis
- First Aid for Shock Outside the Medical Facility
- General Medical Treatment
- Nursing Care of the Patient in Shock
- Systemic Inflammatory Response Syndrome
- Unit IV. Special Problems of the Older Adult Patient
- 10. The Older Adult Patient
- Definitions
- Roles of the Gerontological Nurse
- Ageism: Myths and Stereotypes
- Biologic and Physiologic Factors in Aging
- Theories of Biologic Aging
- Physiologic Changes in Body Systems
- Psychosocial Theories of Aging
- Coping and Adaptation
- Family
- Functional Assessment
- Drug Therapy and Older Adults
- The Nurse and the Older Patient
- 11. Falls
- Definition of Falls
- Incidence and Risk Factors
- Restraints
- Nursing Assessment and Intervention
- Reducing Fall-Related Injuries
- 12. Immobility
- Psychosocial
- Nursing Assessment and Intervention
- 13. Delirium and Dementia
- Delirium
- Mild Neurocognitive Disorder
- Major Neurocognitive Disorder (Dementia)
- Nursing Care of the Patient With a Neurocognitive Disorder
- Guidelines for Working With Patients With Dementia
- 14. Incontinence
- Urinary Incontinence
- Bowel (Fecal) Incontinence
- Unit V. Therapeutics
- 15. Nutrition
- Nutritional Requirements of Healthy Adults
- Guidelines for Dietary Planning
- Vegetarian Diets
- Nursing Assessment of Nutritional Status
- Disorders Associated With Food Consumption
- Nutritional Delivery Methods for Feeding Problems
- Medical Nutrition Therapy
- Nutrition for the Older Adult
- 16. Intravenous Therapy
- Indications for Intravenous Therapy
- Types of Intravenous Fluids
- Venous Access Devices
- Initiation of Intravenous Therapy
- Maintenance of Intravenous Therapy
- Intravenous Infusion of Medications
- Changing Venous Access Devices and Administration Sets
- Termination of Intravenous Therapy
- Precautions
- Complications of Intravenous Therapy
- The Older Patient and Intravenous Therapy
- Nursing Care During Intravenous Therapy
- 17. Surgery
- Purposes of Surgery
- Variables Affecting Surgical Outcomes
- Preoperative Phase
- Intraoperative Phase
- Intraoperative Nursing Care
- Postoperative Phase
- Immediate Postoperative Nursing Care in the Postanesthesia Care Unit
- Postoperative Nursing Care on the Nursing Unit
- 18. The Patient With an Ostomy
- Indications and Preparation for Ostomy Surgery
- Nursing Care of the Patient Having Ostomy Surgery
- Fecal Diversion
- Urinary Diversion
- 19. Palliative and Hospice Care
- Loss and Grief
- Palliative Care
- Hospice Care
- Legal and Ethical Issues Related to Terminal Illness and Death
- The Dying Process
- Nursing Care at End of Life
- Nursing Care Near End of Life
- Care of the Body After Death
- Needs of Caregivers
- 20. Complementary and Alternative Therapies and Integrative Health Care
- Nonmainstream Therapies
- Whole Medical Systems
- Nonmainstream Products and Practices in the United States
- Unit VI. Neurological System
- 21. Neurologic System Introduction
- Anatomy and Physiology of the Nervous System
- Age-Related Changes
- Pathophysiology of Neurologic Diseases
- Nursing Assessment of Neurologic Function
- Diagnostic Tests and Procedures
- Common Therapeutic Measures
- Increased Intracranial Pressure
- 22. Neurologic Disorders
- Headache
- Nursing Care of the Patient with A Migraine Headache
- Seizure Disorder
- Nursing Care of the Patient With a Seizure Disorder
- Head Injury
- Nursing Care of the Patient With a Head Injury
- Brain Tumors
- Nursing Care of the Patient With a Brain Tumor
- Infectious and Inflammatory Conditions: Meningitis
- Nursing Care of the Patient With Meningitis
- Infectious and Inflammatory Conditions: Encephalitis
- Nursing Care of the Patient With Encephalitis
- Guillain-Barré Syndrome
- Nursing Care of the Patient With Guillain-Barré Syndrome
- Parkinson Disease
- Nursing Care of the Patient With Parkinson Syndrome
- Multiple Sclerosis
- Nursing Care of the Patient With Multiple Sclerosis
- Amyotrophic Lateral Sclerosis
- Nursing Care of the Patient With Amyotrophic Lateral Sclerosis
- Huntington Disease
- Myasthenia Gravis
- Nursing Care of the Patient With Myasthenia Gravis
- Trigeminal Neuralgia (TIC Douloureux)
- Nursing Care of the Patient With Trigeminal Neuralgia
- Neurofibromatosis, Types 1 and 2
- Bell’s Palsy
- Cerebral Palsy
- Nursing Care of the Patient With Cerebral Palsy
- Poliomyelitis and Postpolio Syndrome
- Summary
- 23. Cerebrovascular Accident
- Risk Factors for Cerebrovascular Accident
- Transient Ischemic Attack
- Stroke
- Nursing Care in the Acute Phase of Stroke
- Nursing Care in the Rehabilitation Phase
- Discharge
- 24. Spinal Cord Injury
- Anatomy and Physiology of the Spinal Cord
- Pathophysiology of Spinal Cord Injury
- Medical Treatment in the Acute Phase
- Nursing Care in the Acute Phase
- Nursing Care of the Laminectomy Patient
- Unit VII. Respiratory System
- 25. Respiratory System Introduction
- Anatomy and Physiology of the Respiratory System
- Nursing Assessment of the Respiratory Tract
- Diagnostic Tests and Procedures
- Common Therapeutic Measures
- 26. Upper Respiratory Disorders
- Disorders of the Nose and Sinuses
- Disorders of the Throat
- Disorders of the Larynx
- 27. Acute Lower Respiratory Tract Disorders
- Acute Bronchitis
- Nursing Care of the Patient With Acute Bronchitis
- Influenza
- Nursing Care of the Patient With Influenza
- Coronavirus
- Nursing Care of the Patient With Coronavirus
- Pneumonia
- Nursing Care of the Patient With Pneumonia
- Pleuritis (Pleurisy)
- Nursing Care of the Patient With Pleuritis
- Chest Trauma
- Pneumothorax
- Nursing Care of the Patient With Pneumothorax
- Hemothorax
- Rib Fractures
- Nursing Care of the Patient With Rib Fractures
- Flail Chest
- Nursing Care of the Patient With Flail Chest
- Pulmonary Embolus
- Nursing Care of the Patient With a Pulmonary Embolus
- Respiratory Arrest
- Acute Respiratory Distress Syndrome
- Nursing Care of the Patient With Acute Respiratory Distress Syndrome
- 28. Chronic Lower Respiratory Tract Disorders
- Obstructive Pulmonary Disorders
- Chronic Restrictive Pulmonary Disorders
- Interstitial Lung Diseases
- Occupational Lung Diseases
- Lung Cancer
- Extrapulmonary Disorders
- Unit VIII. Hematologic and Immunologic Systems
- 29. Hematologic System Introduction
- Anatomy and Physiology of the Hematologic System
- Nursing Assessment of the Hematologic System
- Diagnostic Tests and Procedures
- Common Therapeutic Measures
- 30. Hematologic Disorders
- Red Blood Cell Disorders
- Coagulation Disorders
- 31. Immunologic System Introduction
- Anatomy and Physiology of the Immune System
- Nursing Assessment of the Patient With an Immunologic Disorder
- Diagnostic Tests and Procedures
- Common Therapeutic Measures
- Nursing Actions for the Patient at Risk for Injury From Infection
- 32. Immunologic Disorders
- White Blood Cell Disorders of the Immune System
- Other Immune System Disorders
- Human Immunodeficiency Virus
- Nursing Care of the Patient With Human Immunodeficiency Virus Infection
- Unit IX. Cardiovascular System
- 33. Cardiovascular System Introduction
- Anatomy and Physiology of the Cardiovascular System
- Age-Related Changes in the Cardiovascular System
- Nursing Assessment of Cardiovascular Function
- Diagnostic Tests and Procedures
- Common Therapeutic Measures
- 34. Hypertension
- Introduction
- Definitions
- Anatomy and Physiology of Blood Pressure Regulation
- Types of Hypertension
- Hypertensive Crisis
- Technology and Hypertension
- 35. Cardiac Disorders
- Coronary Artery Disease
- Myocardial Infarction
- Heart Failure
- Cardiomyopathy
- Cardiac Transplantation
- Inflammatory Disorders
- Valvular Disease
- 36. Vascular Disorders
- Peripheral Arterial Disease of Lower Extremities
- Arterial Embolism
- Chronic Venous Insufficiency
- Venous Thrombosis
- Varicose Vein Disease
- Thromboangiitis Obliterans
- Raynaud Disease
- Aneurysms
- Aortic Dissection
- Lymphangitis
- Unit X. Digestive System
- 37. Digestive System Introduction
- Anatomy and Physiology of the Digestive Tract
- Accessory Organs
- Age-Related Changes
- Nursing Assessment of the Digestive Tract
- Diagnostic Tests and Procedures
- Common Therapeutic Measures
- 38. Upper Digestive Tract Disorders
- Disorders Affecting Ingestion
- Disorders Affecting Digestion and Absorption
- 39. Lower Digestive Tract Disorders
- Obesity
- Disorders Affecting Absorption and Elimination
- Patient Education to Promote Normal Bowel Function
- 40. Liver, Gallbladder, and Pancreatic Disorders
- Disorders of the Liver
- Disorders of the Gallbladder
- Disorders of the Pancreas
- Unit XI. Urologic System
- 41. Urologic System Introduction
- Anatomy of the Urinary System
- Physiology of the Urinary System
- Age-Related Changes in the Urinary System
- Diagnostic Tests and Procedures
- Common Therapeutic Measures
- 42. Urologic Disorders
- Urinary Tract Inflammation and Infections
- Hereditary Renal Disease
- Immunologic Renal Disease
- Urinary Tract Obstructions
- Urologic Trauma
- Cancers of the Urinary System
- Kidney Failure
- Renal Transplantation
- Unit XII. Musculoskeletal System
- 43. Musculoskeletal System Introduction
- Anatomy and Physiology of the Musculoskeletal System
- Age-Related Changes in the Musculoskeletal System
- Nursing Assessment of the Musculoskeletal System
- Diagnostic Tests and Procedures
- Common Therapeutic Measures
- 44. Connective Tissue Disorders
- Osteoarthritis
- Nursing Care of the Patient With Osteoarthritis
- Total Joint Replacement
- Nursing Care After Total Joint Replacement
- Intervertebral Osteoarthritis
- Rheumatoid Arthritis
- Nursing Care of the Patient With Rheumatoid Arthritis
- Gout
- Nursing Care of the Patient With Gout
- Osteoporosis
- Nursing Care of the Patient With Osteoporosis
- Systemic Sclerosis (Scleroderma)
- Nursing Care of the Patient With Progressive Systemic Sclerosis
- Other Connective Tissue Disorders
- 45. Fractures
- Classification of Fractures
- Cause and Risk Factors
- Fracture Healing
- Complications
- Clinical Manifestations
- Diagnostic Tests and Procedures
- Medical Treatment
- Common Therapeutic Measures
- Assistive Devices
- Nursing Care of the Patient With a Fracture
- Management of Specific Fractures
- 46. Amputations
- Indications and Incidence
- Diagnostic Tests and Procedures
- Medical Treatment
- Surgical Treatment
- Complications
- Prostheses
- Nursing Care Of The Patient Having Amputation Surgery
- Older Adult With an Amputation
- Replantation
- Surgical Care
- Unit XIII. Endocrine System
- 47. Endocrine System Introduction
- Hormone Functions and Regulation
- Anatomy and Physiology of the Endocrine System
- Age-Related Changes in the Endocrine System
- Nursing Assessment of the Patient With an Endocrine Disorder
- Diagnostic Tests and Procedures
- Drug Therapy
- 48. Pituitary and Adrenal Disorders
- Disorders of the Pituitary Gland
- Posterior Pituitary Disorders
- Disorders of the Adrenal Glands
- Nursing Care of the Adrenalectomy Patient
- Pheochromocytoma
- 49. Thyroid and Parathyroid Disorders
- Thyroid Disorders
- Parathyroid Disorders
- 50. Diabetes and Hypoglycemia
- Diabetes Mellitus
- Nursing Care of the Patient With Diabetes Mellitus
- Hypoglycemia Unrelated to Diabetes
- Nursing Care of the Patient With Hypoglycemia
- Unit XIV. Reproductive Systems
- 51. Female Reproductive System Introduction
- Anatomy and Physiology of the Female Reproductive System
- Nursing Assessment of the Female Reproductive System
- Diagnostic Tests and Procedures
- Common Therapeutic Measures
- 52. Female Reproductive Disorders
- Uterine Bleeding Disorders
- Infections And Inflammation
- Pelvic Inflammatory Disease
- Fibrocystic Breast Changes
- Nursing Care of the Patient With Fibrocystic Changes
- Benign Growths
- Vaginal Fistulas
- Cancer
- Infertility
- Menopause
- 53. Male Reproductive System Introduction
- Anatomy of the Male Reproductive System
- Physiology of the Male Reproductive System
- Age-Related Changes in the Male Reproductive System
- 54. Male Reproductive Disorders
- Infections and Inflammatory Conditions
- Benign Prostatic Hyperplasia
- Prostatic Cancer
- Nursing Care of the Patient With Prostatic Cancer
- Erectile Dysfunction
- Peyronie Disease
- Priapism
- Phimosis and Paraphimosis
- Infertility
- Penile Cancer
- Testicular Cancer
- 55. Sexually Transmitted Infections
- Diagnostic Tests and Procedures
- Pathophysiology
- Drug Therapy
- Reporting Sexually Transmitted Infections
- Specific Sexually Transmitted Infections
- Nursing Care of the Patient With a Sexually Transmitted Infection
- Condom Use
- Dental Dam Use
- Unit XV. Integumentary Systems
- 56. Integumentary System Introduction
- Anatomy and Physiology of the Skin
- Nursing Assessment of the Skin
- Age-Related Changes in the Skin
- Diagnostic Tests and Procedures
- Common Therapeutic Measures
- 57. Skin Disorders
- Pruritus
- Inflammatory Conditions and Infections
- Infestations
- Pemphigus
- Cancer
- Burns
- Unit XVI. Special Senses: Vision and Hearing
- 58. Special Senses: Vision and Hearing Introduction
- Vision and Hearing
- Eye and Vision
- Ear and Hearing
- Surgical Intervention for the Eye and Ear
- 59. Eye and Vision Disorders
- External Eye Disorders
- Errors of Refraction
- Nursing Care of the Patient With Errors of Refraction
- Internal Eye Disorders
- 60. Ear and Hearing Disorders
- Hearing Disorders
- Unit XVII. Medical-Surgical Patients with Psychiatric Disorders
- 61. Psychobiologic Disorders
- Establishing Therapeutic Relationships
- Types of Psychiatric Disorders
- Summary
- 62. Substance-Related and Addictive Disorders
- The Science of Addiction
- Diagnostic Tests
- Gambling Disorder
- Prescription Drug Addiction
- Substance-Related Disorders
- Conditions Associated With Substance Use Disorders
- Treatment for Substance Use Disorders
- Special Problems for Populations of People With Substance Use Disorders
- Peer Assistance Programs
- Unit XVIII. Nursing in Disasters and First AID
- 63. First Aid, Emergency Care, and Disaster Management
- General Principles of Emergency Care
- Specific Emergencies
- Epidemics and Pandemics
- Acts of Bioterrorism
- Disaster Planning
- Legal Aspects of Emergency Care
- Bibliography and Reader References
- Index
- Patient Problem Statements
- No. of pages: 1426
- Language: English
- Edition: 8
- Published: March 8, 2022
- Imprint: Saunders
- Other ISBN: 9780443111563
- Paperback ISBN: 9780323826716
- Paperback ISBN: 9780323828444
- eBook ISBN: 9780323828475
AL
Adrianne Dill Linton
Affiliations and expertise
Professor Emeritus and former Chair of the Department of Family and Community Health at the University of Texas San Antonio School of Nursing.MM
Mary Ann Matteson
Affiliations and expertise
Professor Emeritus and former Chair of the Department of Family Nursing at the University of Texas San Antonio School of Nursing