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Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition, ISBN-13: 978-0323612425

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Description

Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition, ISBN-13: 978-0323612425

[PDF eBook eTextbook]

  • Publisher: ‎ Elsevier; 10th edition (October 30, 2020)
  • Language: ‎ English
  • 1632 pages (Large File: 49 MB)

  • ISBN-10: ‎ 0323612423
  • ISBN-13: ‎ 978-0323612425

Master the essential medical-surgical nursing content you’ll need for success on the Next Generation NCLEX® Exam (NGN) and safe clinical practice! Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 10th Edition uses a conceptual approach to provide adult health knowledge and help you develop the clinical nursing judgment skills that today’s medical-surgical nurses need to deliver safe, effective care. “Iggy” emphasizes three emerging trends in nursing ― interprofessional collaborative care, concept-based learning, and clinical judgment and systems thinking ― trends that will ground you in how to think like a nurse and how to apply your knowledge in the classroom, simulation laboratory, and clinical settings. A perennial bestseller, “Iggy” also features NCLEX Exam-style Challenge and Mastery questions to prepare you for success on the NGN!

  • Consistent use of interprofessional terminology promotes interprofessional collaboration through the use of a common healthcare language, instead of using isolated nursing-specific diagnostic language.
  • UNIQUE! Enhanced conceptual approach to learning integrates nursing concepts and exemplars, providing a foundation in professional nursing concepts and health and illness concepts, and showing their application in each chapter.
  • Unparalleled emphasis on clinical reasoning and clinical judgment helps you develop these vital skills when applying concepts to clinical situations.
  • Emphasis on QSEN and patient safety focuses on safety and evidence-based practice with Nursing Safety Priority boxes, including Drug Alert, Critical Rescue, and Action Alert boxes.
  • Direct, easy-to-read writing style features concise sentences and straightforward vocabulary.
  • Emphasis on health promotion and community-based care reflects the reality that most adult health care takes place in environments outside of high-acuity (hospital) settings.
  • NEW! Strengthened conceptual approach with data-driven Concept and Exemplar selections adds the concepts of pain, inflammation, and infection, and presents Exemplar disorders with a full nursing-process format and extra depth to help prepare you for the Next Generation NCLEX® Exam (NGN).
  • NEW and UNIQUE! Enhanced focus on clinical judgment and systems thinking ensures alignment with the NCSBN Clinical Judgment Model and emphasizes the six cognitive skills you’ll need for effective clinical judgment, for the NGN, and for safe clinical practice.
  • NEW and UNIQUE! Emphasis on NGN preparation includes chapter-opening Learning Outcomes and chapter-ending Get Ready for the NCLEX Examination! sections, plus NCLEX Examination Challenge questions and new chapter-ending Mastery Questions, with an answer key in the back of the book and on the companion Evolve website.
  • UNIQUE! Interprofessional collaborative approach to care views medical and nursing management through the lens of the nursing process and the NCSBN Clinical Judgment Model and aligns with the Interprofessional Education Collaborative (IPEC) Core Competencies for Interprofessional Collaborative Practice.
  • NEW! Emphasis on need-to-know content provides a solid foundation for beginning nurse generalists, including only the most important patient problems for each medical condition, with streamlined chapters and concise coverage of nursing skills for preoperative and postoperative care.
  • NEW! Updated content throughout reflects the latest national and international evidence-based guidelines and protocols.
  • NEW! Improved learning resources on Evolve are thoroughly updated and closely integrated with the textbook.
  • NEW! Interprofessional Collaboration boxes highlight how the nurse collaborates with other members of the healthcare team.
  • NEW! Ethical/Legal Considerations boxes address dilemmas that medical-surgical nurses face related to technological changes and socioeconomic disparities.
  • NEW! Increased emphasis on home care, health promotion, and community-based care reflects the ongoing shift of care from hospitals to the home environment.
  • NEW! Updated illustrations include new anatomy and physiology images, procedure images, and disorder photos.
  • NEW! Updated drug tables are designed for quick reference and the use of drug trade names is eliminated for better alignment with the NGN.
  • NEW! Coverage of opioid use disorder is updated to reflect the opioid crisis in the U.S.
  • NEW! Content on personal safety and preparedness for mass casualty events has been expanded to equip you for the realities of healthcare today.
  • NEW! Key terms and definitions at the beginning of each chapter give you advance familiarity with essential terminology.
  • NEW! Revised Key Points align closely with Learning Outcomes and each includes a QSEN or Clinical Nursing Concept “tag” to maximize your study efficiency.

Table of Contents:

Cover image

Title page

Table of Contents

Priority Concept Exemplars

Front Matter

Copyright

Contributors

Reviewers

Preface

Dedication

About the Authors

Acknowledgments

Guide to Special Features

UNIT I. Concepts for Medical-Surgical Nursing

1. Overview of Professional Nursing Concepts for Medical-Surgical Nursing

Quality and Safety Education for Nurses’ Competencies

Patient-Centered Care

Safety

Teamwork and Collaboration

Evidence-Based Practice

Quality Improvement

Informatics

Clinical Judgment

Ethics

Health Care Disparities

2. Clinical Judgment and Systems Thinking

Overview

Health Care Concepts

Individual Patient Care: Critical Thinking, Clinical Reasoning, and Decision Making

Individual Patient Care: Clinical Judgment

The Health Care System: Environment of Care

The Health Care System: Role of the Interprofessional Health care Team

The Need for Systems Thinking

Moving from Clinical Judgment to Systems Thinking

3. Overview of Health Concepts for Medical-Surgical Nursing

Acid-Base Balance

Cellular Regulation

Clotting

Cognition

Comfort

Elimination

Fluid and Electrolyte Balance

Gas Exchange

Glucose Regulation

Immunity

Infection

Inflammation

Mobility

Nutrition

Pain

Perfusion

Sensory Perception

Sexuality

Tissue Integrity

4. Common Health Problems of Older Adults

Overview

Health Issues for Older Adults in Community-Based Settings

Health Issues for Older Adults in Hospitals and Long-Term Care Settings

Care Coordination and Transition Management

5. Assessment and Concepts of Care for Patients With Pain

Overview of Pain

6. Concepts of Genetics and Genomics

Overview

Genetic Biology Review

Patterns of Inheritance

Genetic/Genomic Testing

The Role of the Medical-Surgical Nurse in Genetic Counseling

Gene Therapy

7. Concepts of Rehabilitation for Chronic and Disabling Health Problems

Overview

8. Concepts of Care for Patients at End of Life

Overview of Death, Dying, and End of Life

Comfort Concept Exemplar: End of Life

Ethics and Dying

9. Concepts of Care for Perioperative Patients

Surgery Overview

Preoperative Phase

Postoperative Phase

UNIT II. Concepts of Emergency Care and Disaster Preparedness

10. Concepts of Emergency and Trauma Nursing

The Emergency Department Environment of Care

Staff and Patient Safety Considerations

Scope of Emergency Nursing Practice

Emergency Nursing Principles

Trauma Nursing Principles

11. Concepts of Care for Patients With Common Environmental Emergencies

Heat-Related Illnesses

Heat Exhaustion

Heat Stroke

Snakebites and Arthropod Bites and Stings

Lightning Injuries

Cold-Related Injuries

Hypothermia

Frostbite

Altitude-Related Illnesses

Drowning

12. Concepts of Disaster Preparedness

Types of Disasters

Impact of External Disasters

Emergency Preparedness and Response

Event Resolution and Debriefing

Role of Nursing in Community Emergency Preparedness and Response

Psychosocial Response of Survivors to Mass Casualty Events

UNIT III. Interprofessional Collaboration for Patients With Problems of Fluid, Electrolyte, and Acid-Base Balance

13. Concepts of Fluid and Electrolyte Balance

Anatomy and Physiology Review

Fluid and Electrolyte Balance

Fluid and Electrolyte Balance Concept Exemplar: Dehydration

Fluid Overload

Sodium Imbalance: Hyponatremia

Sodium Imbalance: Hypernatremia

Potassium Imbalance: Hypokalemia

Potassium Imbalance: Hyperkalemia

Calcium Imbalance: Hypocalcemia

Calcium Imbalance: Hypercalcemia

Magnesium Imbalance: Hypomagnesemia

Magnesium Imbalance: Hypermagnesemia

14. Concepts of Acid-Base Balance

Maintaining Acid-Base Balance

Acid-Base Chemistry

Body Fluid Chemistry

Acid-Base Regulatory Actions and Mechanisms

Acid-Base Imbalances

Acid-Base Balance Concept Exemplar: Acidosis

Alkalosis

15. Concepts of Infusion Therapy

Overview

Peripheral Intravenous Therapy

Central Intravenous Therapy

Infusion Systems

Nursing Care For Patients Receiving Intravenous Therapy

Complications of Intravenous Therapy

Intravenous Therapy and Care of the Older Adult

Subcutaneous Infusion Therapy

Intraosseous Infusion Therapy

Intra-Arterial Infusion Therapy

Intraperitoneal Infusion Therapy

Intraspinal Infusion Therapy

UNIT IV. Interprofessional Collaboration for Patients With Problems of Immunity

16. Concepts of Inflammation and Immunity

Overview

General Immunity: Inflammation

Adaptive Immunity

17. Concepts of Care for Patients With HIV Disease

Immunity Concept Exemplar: HIV Infection And Aids (HIV-III)

18. Concepts of Care for Patients With Hypersensitivity (Allergy) and Autoimmunity

Hypersensitivities/Allergies

Types of Hypersensitivity Reactions

Angioedema

Anaphylaxis

General Autoimmunity

Immunity Concept Exemplar: Systemic Lupus Erythematosus

Lyme Disease

19. Concepts of Cancer Development

Pathophysiology Review

Cancer Development

Health Promotion: Cancer Prevention

20. Concepts of Care for Patients With Cancer

Impact of Cancer on Physical Function

Impaired Immunity and Clotting

Altered GI Function

Altered Peripheral Nerve Function

Motor and Sensory Deficits

Altered Respiratory and Cardiac Function

Cancer Pain and Quality of Life

Cancer Management

Surgery

Radiation Therapy

Cytotoxic Systemic Therapy

Oncologic Emergencies

Sepsis and Disseminated Intravascular Coagulation

Syndrome of Inappropriate Antidiuretic Hormone

Spinal Cord Compression

Hypercalcemia

Superior Vena Cava Syndrome

Tumor Lysis Syndrome

Survivorship

21. Concepts of Care for Patients With Infection

Infection

Antimicrobial Resistance

Occupational and Environmental Exposure to Sources of Infection

Emerging Infectious Diseases and Bioterrorism

Problems Resulting from Inadequate Antimicrobial Therapy

UNIT V. Interprofessional Collaboration for Patients With Problems of the Skin, Hair, and Nails

22. Assessment of the Skin, Hair, and Nails

Anatomy And Physiology Review

Assessment: recognize Cues

23. Concepts of Care for Patients With Skin Problems

Tissue Integrity Concept Exemplar: Pressure Injury

Irritation Skin Disorders

Urticaria

Inflammatory Skin Disorders

Psoriasis

Skin Infections

Parasitic Disorders

Skin Trauma

Burns

Skin Cancer

Life-Threatening Skin Disorders

UNIT VI. Interprofessional Collaboration for Patients With Problems of the Respiratory System

24. Assessment of the Respiratory System

Anatomy and Physiology Review

Health Promotion and Maintenance

Assessment: Recognize Cues

25. Concepts of Care for Patients Requiring Oxygen Therapy or Tracheostomy

Oxygen Therapy

Tracheostomy

26. Concepts of Care for Patients With Noninfectious Upper Respiratory Problems

Upper Airway Obstruction

Gas Exchange Concept Exemplar: Obstructive Sleep Apnea

Epistaxis

Fractures of the Nose

Facial Trauma

Laryngeal Trauma

Cancer of the Nose and Sinuses

Head and Neck Cancer

27. Concepts of Care for Patients With Noninfectious Lower Respiratory Problems

Asthma

Gas Exchange Concept Exemplar: Chronic Obstructive Pulmonary Disease

Cystic Fibrosis

Pulmonary Arterial Hypertension

Idiopathic Pulmonary Fibrosis

Lung Cancer

28. Concepts of Care for Patients With Infectious Respiratory Problems

Seasonal Influenza

Pandemic Respiratory Infections

Gas Exchange Concept Exemplar: Pneumonia

Infection Concept Exemplar: Pulmonary Tuberculosis

Rhinosinusitis

Peritonsillar Abscess

Inhalation Anthrax

Endemic/Geographic Respiratory Infection

29. Critical Care of Patients With Respiratory Emergencies

Gas Exchange Concept Exemplar: Pulmonary Embolism

Acute Respiratory Failure

Acute Respiratory Distress Syndrome

The Patient Requiring Intubation and Ventilation

Chest Trauma

Pneumothorax and Hemothorax

UNIT VII. Interprofessional Collaboration for Patients With Problems of the Cardiovascular System

30. Assessment of the Cardiovascular System

Anatomy and Physiology Review

Assessment: Recognize Cues

31. Concepts of Care for Patients With Dysrhythmias

Review of Cardiac Conduction System

Electrocardiography

Common Dysrhythmias

Sinus Dysrhythmias

Atrial Dysrhythmias

Interprofessional Collaborative Care

Perfusion Concept Exemplar: Atrial Fibrillation

Ventricular Dysrhythmias

32. Concepts of Care for Patients With Cardiac Problems

Perfusion Concept Exemplar: Heart Failure

Valvular Heart Disease

Inflammations and Infections

Pericarditis

Rheumatic Carditis

Cardiomyopathy

33. Concepts of Care for Patients With Vascular Problems

Perfusion Concept Exemplar: Hypertension

Arteriosclerosis and Atherosclerosis

Peripheral Arterial Disease

Acute Peripheral Arterial Occlusion

Aneurysms of the Central Arteries

Aneurysms of the Peripheral Arteries

Aortic Dissection

Peripheral Venous Disease

Clotting Concept Exemplar: Venous Thromboembolism

Venous Insufficiency

Varicose Veins

34. Critical Care of Patients With Shock

Overview

Perfusion Concept Exemplar: Hypovolemic Shock

Infection Concept Exemplar: Sepsis and Septic Shock

35. Critical Care of Patients With Acute Coronary Syndromes

Chronic Stable Angina Pectoris

Perfusion Concept Exemplar: Acute Coronary Syndrome

UNIT VIII. Interprofessional Collaboration for Patients With Problems of the Hematologic System

36. Assessment of the Hematologic System

Anatomy and Physiology Review

Assessment: recognize cues

37. Concepts of Care for Patients With Hematologic Problems

Perfusion Concept Exemplar: Sickle Cell Disease

Anemia

Polycythemia Vera

Immunity Concept Exemplar: Leukemia and Preleukemia

Malignant Lymphomas

Multiple Myeloma

Thrombocytopenic Purpura

Transfusion Therapy

UNIT IX. Interprofessional Collaboration for Patients With Problems of the Nervous System

38. Assessment of the Nervous System

Anatomy and Physiology Review

Assessment: Recognize Cues

39. Concepts of Care for Patients With Problems of the Central Nervous System: The Brain

Cognition Concept Exemplar: Alzheimer’s Disease

Mobility Concept Exemplar: Parkinson Disease

Migraine Headache

Seizures and Epilepsy

Meningitis

40. Concepts of Care for Patients With Problems of the Central Nervous System: The Spinal Cord

Immunity Concept Exemplar: Multiple Sclerosis

Mobility Concept Exemplar: Spinal Cord Injury

Low Back Pain (Lumbosacral Back Pain)

Cervical Neck Pain

41. Critical Care of Patients With Neurologic Emergencies

Transient Ischemic Attack

Perfusion Concept Exemplar: Stroke

Cognition Concept Exemplar: Traumatic Brain Injury

Brain Tumors

UNIT X. Interprofessional Collaboration for Patients With Problems of the Sensory System

42. Assessment and Concepts of Care for Patients With Eye and Vision Problems

Anatomy and Physiology Review

Assessment: Recognize cues

Sensory Perception Concept Exemplar: Cataract

Sensory Perception Concept Exemplar: Glaucoma

Corneal Disorders

Corneal Abrasion, Ulceration, And Infection

Keratoconus

Retinal Disorders

Retinal Holes, Tears, and Detachments

Refractive Errors

Trauma

43. Assessment and Concepts of Care for Patients With Ear and Hearing Problems

Anatomy and Physiology Review

Sensory Perception Concept Exemplar: Hearing Loss

Otitis Media

External Otitis

Cerumen or Foreign Bodies

Mastoiditis

Tinnitus

Ménière Disease

Acoustic Neuroma

UNIT XI. Interprofessional Collaboration for Patients With Problems of the Musculoskeletal System

44. Assessment of the Musculoskeletal System

Anatomy and Physiology Review

Assessment: recognize cues

45. Concepts of Care for Patients With Musculoskeletal Problems

Cellular Regulation Concept Exemplar: Osteoporosis

Osteomyelitis

Bone Tumors

Disorders of the Hand

Disorders Of the Foot

46. Concepts of Care for Patients With Arthritis and Total Joint Arthroplasty

Mobility Concept Exemplar: Osteoarthritis

Immunity Oncept Exemplar: Rheumatoid Arthritis

47. Concepts of Care for Patients With Musculoskeletal Trauma

Mobility Concept Exemplar: Fracture

Lower Extremity Fractures

Fractures of the Chest and Pelvis

Compression Fractures of the Spine

Perfusion Concept Exemplar: Amputation

Carpal Tunnel Syndrome

Knee Injuries

Rotator Cuff Injuries

UNIT XII. Interprofessional Collaboration for Patients With Problems of the Gastrointestinal System

48. Assessment of the Gastrointestinal System

Anatomy and Physiology Review

Assessment: Recognize Cues

49. Concepts of Care for Patients With Oral Cavity and Esophageal Problems

A Healthy Oral Cavity

Tissue Integrity Concept Exemplar: Stomatitis

Oral Cavity Disorders

Erythroplakia

Leukoplakia

Oral Cancer

Sialadenitis

Nutrition Concept Exemplar: Gastroesophageal Reflux Disease (Gerd)

Hiatal Hernias

Esophageal Tumors

Esophageal Trauma

50. Concepts of Care for Patients With Stomach Disorders

Gastritis

Infection Concept Exemplar: Peptic Ulcer Disease (PUD)

Gastric Cancer

51. Concepts of Care for Patients With Noninflammatory Intestinal Disorders

Elimination Concept Exemplar: Intestinal Obstruction

Colorectal Cancer

Irritable Bowel Syndrome

Herniation

Hemorrhoids

52. Concepts of Care for Patients With Inflammatory Intestinal Disorders

Infection Concept Exemplar: Peritonitis

Appendicitis

Gastroenteritis

Inflammation Concept Exemplar: Ulcerative Colitis

Crohn’s Disease

Diverticular Disease

Celiac Disease

Parasitic Infection

53. Concepts of Care for Patients With Liver Problems

Cellular Regulation Concept Exemplar: Cirrhosis

Infection Concept Exemplar: Hepatitis

Liver Transplantation

54. Concepts of Care for Patients With Problems of the Biliary System and Pancreas

Inflammation Concept Exemplar: Cholecystitis

Inflammation Concept Exemplar: Acute Pancreatitis

Chronic Pancreatitis

Pancreatic Cancer

55. Concepts of Care for Patients With Malnutrition: Undernutrition and Obesity

Nutrition Standards for Health Promotion and Maintenance

Food Sensitivities

Nutrition Assessment

Nutrition Concept Exemplar: Undernutrition

Nutrition Concept Exemplar: Obesity

UNIT XIII. Interprofessional Collaboration for Patients With Problems of the Endocrine System

56. Assessment of the Endocrine System

Anatomy and Physiology Review

Assessment: Recognize Cues

57. Concepts of Care for Patients With Pituitary and Adrenal Gland Problems

Disorders of the Pituitary Gland

Hyperpituitarism

Diabetes Insipidus

Syndrome of Inappropriate Antidiuretic Hormone

Disorders of the Adrenal Gland

Fluid and electrolyte balance concept exemplar: hypercortisolism (cushing disease)

Hyperaldosteronism

58. Concepts of Care for Patients With Problems of the Thyroid and Parathyroid Glands

Cellular Regulation Concept Exemplar: Hypothyroidism

Hyperthyroidism

Thyroiditis

Thyroid Cancer

Hypoparathyroidism

Hyperparathyroidism

59. Concepts of Care for Patients With Diabetes Mellitus

Glucose Regulation Concept Exemplar: Diabetes Mellitus

UNIT XIV. Interprofessional Collaboration for Patients With Problems of the Renal/Urinary System

60. Assessment of the Renal/Urinary System

Anatomy and Physiology Review

Assessment: Recognize Cues

61. Concepts of Care for Patients With Urinary Problems

Elimination Concept Exemplar: Urinary Incontinence

Cystitis

Urethritis

Urolithiasis

Urothelial Cancer

62. Concepts of Care for Patients With Kidney Disorders

Elimination Concept Exemplar: Pyelonephritis

Acute Glomerulonephritis

Chronic Glomerulonephritis

Nephrotic Syndrome

Nephrosclerosis

Polycystic Kidney Disease

Hydronephrosis and Hydroureter

Renovascular Disease

Diabetic Nephropathy

Renal Cell Carcinoma

Kidney Trauma

63. Concepts of Care for Patients With Acute Kidney Injury and Chronic Kidney Disease

Acute Kidney Injury

Elimination Concept Exemplar: Chronic Kidney Disease

UNIT XV. Interprofessional Collaboration for Patients With Problems of the Reproductive System

64. Assessment of the Reproductive System

Anatomy and Physiology Review

Assessment: Recognize Cues

65. Concepts of Care for Patients With Breast Disorders

Benign Breast Disorders

Proliferative Breast Lesion With Atypia: Atypical Hyperplasia

Proliferative Breast Lesion Without Atypia: Fibroadenoma

Nonproliferative Breast Lesions: Fibrocystic Changes (Fccs) And Cysts

Large Breasts

Small Breasts

Breast Inflammation and Infection

Cellular Regulation Concept Exemplar: Breast Cancer

66. Concepts of Care for Patients With Gynecologic Problems

Sexuality Concept Exemplar: Uterine Leiomyoma

Pelvic Organ Prolapse

Endometrial Cancer

Ovarian Cancer

Cervical Cancer

Vulvovaginitis

Toxic Shock Syndrome

67. Concepts of Care for Patients With Male Reproductive Problems

Elimination Concept Exemplar: Benign Prostatic Hyperplasia

Cellular Regulation Concept Exemplar: Prostate Cancer

Testicular Cancer

Erectile Dysfunction

Vasectomy

Other Conditions Affecting the Male Reproductive System

68. Concepts of Care for Transgender Patients

Patient-Centered Terminology

Transgender Health Issues

69. Concepts of Care for Patients With Sexually Transmitted Infections

Introduction to Sexually Transmitted Infections

Genital Herpes

Syphilis

Condylomata Acuminata (Genital Warts)

Chlamydia Infection

Gonorrhea

Sexuality, Infection, and Pain Concept Exemplar: Pelvic Inflammatory Disease

NCLEX® Examination Challenges Answer Key

Mastery Questions Answer Key

Index

Donna Ignatavicius is nationally recognized as an expert in nursing education and medical-surgical/gerontological nursing and has a wealth of experiences as a nurse educator, clinical nurse specialist, and administrator for over 40 years. Currently, she provides curriculum consultation and presentations for nursing faculty on topics such as concept-based curriculum, assessment of learning methods, and active learning strategies through her consulting company, DI Associates, Inc. Additionally, she is the primary author of numerous articles and books, including Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 10th ed. (2021) and her new student workbook, Developing Clinical Judgment for Professional Nursing and the Next-Generation NCLEX-RN® Examination. In 2007 she was inducted as a fellow into the prestigious Academy of Nursing Education (ANEF) for her national contribution to the field of nursing education. In 2016 she obtained her Certified Nurse Educator® (CNE) credential; in 2020 she obtained her Academic Clinical Nurse Educator (CNEcl) credential.

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