Medical-Surgical Nursing, 6th Edition
Concepts and Practice
Author :
Holly K. Stromberg
Date of Publication: 03/2025
Build your clinical judgment skills and prepare for the Next-Generation NCLEX-PN® (NGN) examination! Medical-Surgical Nursing: Concepts and Practice, Sixth Edition provides a solid foundation in nursing concepts and skills essential to the LPN/LV
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Build your clinical judgment skills and prepare for the Next-Generation NCLEX-PN® (NGN) examination! Medical-Surgical Nursing: Concepts and Practice, Sixth Edition provides a solid foundation in nursing concepts and skills essential to the LPN/LVN role. Complete coverage of common adult medical-surgical conditions includes all body systems and their disorders, addressing patient care in a variety of settings. Special attention is given to care of older adults, those with chronic illnesses, and residents in long-term care settings. Emphasizing evidence-based practice, this text reflects the expanding scope of practice for LPN/LVNs. What’s more, it makes exam prep easier with new NGN case studies and an emphasis on developing critical thinking and clinical judgment.
Build your clinical judgment skills and prepare for the Next-Generation NCLEX-PN® (NGN) examination! Medical-Surgical Nursing: Concepts and Practice, Sixth Edition provides a solid foundation in nursing concepts and skills essential to the LPN/LVN role. Complete coverage of common adult medical-surgical conditions includes all body systems and their disorders, addressing patient care in a variety of settings. Special attention is given to care of older adults, those with chronic illnesses, and residents in long-term care settings. Emphasizing evidence-based practice, this text reflects the expanding scope of practice for LPN/LVNs. What’s more, it makes exam prep easier with new NGN case studies and an emphasis on developing critical thinking and clinical judgment.
Key Features
- NEW! Expanded coverage of end-of-life care includes information on assisted suicide, institutional vs. in-home care, and more
- NEW! Additional information covering the LPN’s role in behavioral care for patients with Alzheimer’s
- NEW! Expanded neurological content ensures you are learning the latest information in this evolving area
- Get Ready for the Next-Generation NCLEX® Examination! section at the end of each chapter covers key points and includes Next-Generation NCLEX® review questions and critical thinking questions to help you prepare for class tests and the NCLEX-PN® examination
- Nursing care plans show plans of care based on patient history and include patient goals and outcomes, with critical thinking questions that allow you to assess your understanding of related nursing concepts
- Concept maps illustrate how a disorder’s symptoms, treatments, and side effects relate to each other
- Safety alerts emphasize safety precautions to protect patients, family, healthcare providers, and the public from accidents, spread of disease, and medication-related accidents
- Focused Assessment boxes show how to collect patient data, including history and physical and psychosocial assessment, with guidance on collecting information for specific disorders
- Communication boxes help in developing therapeutic communication skills in realistic patient care situations
- Patient Teaching boxes provide instructions and guidelines for educating patients in self-care
- Older Adult Care Points address the unique care issues that affect older adults and provide suggestions for assessment and interventions for long-term patients.
- Home Care Considerations focus on adapting medical-surgical nursing care to the home environment after discharge
- Companion study guide further promotes clinical judgment through additional case studies, critical thinking opportunities, and interactive communication activities. Emphasis is placed on understanding and application of nursing knowledge. Sold separately
Author Information
By Holly K. Stromberg, RN, BSN, MSN, PHN, Alumnus CCRN, Professor Emeritus of Nursing, Allan Hancock College, Clinical Educator, Marian Regional Medical Center, Santa Maria, California, USA
| ISBN Number | 9780443121029 |
|---|---|
| Author Information | By Holly K. Stromberg, RN, BSN, MSN, PHN, Alumnus CCRN |
| Copyright Year | 2026 |
| Edition Number | 6 |
| Format | Book |
| Format Size | 216w x 276h (8.50" x 10.875") |
| Imprint | Saunders |
| Page Count | 1272 |
| Publication Date | 17-03-2025 |
| Stock Status | IN STOCK |
UNIT I MEDICAL-SURGICAL NURSING
SETTINGS
1 Caring for Medical-Surgical Patients
Roles of the LPN/LVN
Employment Opportunities
Ethical and Legal Practice
Quality and Safety
Evidence-Based Practice
Quality Improvement
Informatics
Safety
Health Care Today
Biomedicine
Complementary and Alternative Medicine/
Integrative Medicine
Healthy People 2030
Financing of Health Care
Insurance: Government and Private Funding
Cost Containment
Providing Holistic Care
Promoting a Therapeutic Nurse–Patient
Relationship
Meeting Cultural Needs
Meeting Spiritual Needs
2 Critical Thinking, Clinical Judgment, and the
Nursing Process
Critical Thinking and Clinical Judgment
Factors That Influence Critical Thinking and
Nursing Care
Integrating Critical Thinking and the Nursing
Process
Applying LPN/LVN Standards in Medical-Surgical Nursing
Assessment (Data Collection)
Data Analysis and Problem Identification
Planning
Implementation
Evaluation
Interdisciplinary (Collaborative) Care Plans
UNIT II MEDICAL-SURGICAL PATIENT
CARE PROBLEMS
3 Fluids, Electrolytes, Acid-Base Balance,
and Intravenous Therapy
Distribution and Regulation of Body Fluids
Pathophysiology
Osmolality
Movement of Fluid and Electrolytes
Fluid Imbalances
Pathophysiology
Deficient Fluid Volume
Nausea and Vomiting
Diarrhea
Excess Fluid Volume
Home Care
Electrolytes
Electrolyte Imbalances
Acid-Base System
Pathophysiology
Acid-Base Imbalances
Pathophysiology
Arterial Blood Gas Analysis
Respiratory Acidosis
Metabolic Acidosis
Respiratory Alkalosis
Metabolic Alkalosis
Home Care
Intravenous Fluid Therapy
Nursing Responsibilities in Administering
Intravenous Fluids
Calculating and Regulating the Rate
of Flow
Nursing Management
Assessment (Data Collection)
Data Analysis and Problem Identification/
Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
4 Care of Preoperative and Intraoperative Surgical
Patients
Surgery
Technological Approaches in Surgery
Autologous Blood for Transfusion
Bloodless Surgery
Perioperative Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
The Surgical Team
The Surgical Suite
The Surgical Holding Area
Roles of the Circulating Nurse and the Scrub
Person
Anesthesia
General Anesthesia
Regional Anesthesia
Procedural or Conscious Sedation Anesthesia
(Moderate Sedation)
Local Anesthesia
Potential Intraoperative Complications
5 Care of Postoperative Surgical Patients
Immediate Postoperative Care
Postanesthesia Care Unit
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Discharge Planning
Community Care
6 Infection Prevention and Control
The Infectious Process and Disease
Factors That Influence Infectious Disease
Disease-Producing Pathogens
The Body’s Defense Against Infection
Skin
Normal Flora
The Inflammatory Response
The Immune Response
Infection Prevention and Control
Preventing and Controlling the Spread of
Infection
Precaution Categories for Infection Prevention
and Control
Health Care–Associated Infections
Multidrug-Resistant Organisms (MDROs)
The Cost of Health Care–Associated Infections
Nursing Interventions to Prevent Health Care–
Associated Infections
Infection Surveillance and Reporting
Medical Asepsis and Surgical Asepsis
Sepsis and Septic Shock
Nursing Interventions for Patients With Sepsis
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
Home Care
Long-Term Care
7 Care of Patients With Pain
Theories of Pain
Classification of Pain
Nociceptive Pain
Neuropathic Pain
Perception of Pain
Acute Versus Chronic Pain
Acute Pain
Chronic Pain
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Documentation
Management of Pain
Pharmacologic Approaches
Nonpharmacologic Approaches
Community Care
Extended Care
Home Care
8 Care of Patients With Cancer
The Impact of Cancer
Pathophysiology of Cancer
Normal Cells
Cancer Cells
Metastasis
Genetic Factors
Carcinogens
Chemical Carcinogens
Exogenous Hormones
Cancer Promotion
Physical Carcinogens
Genetic Predisposition
Contributing Factors
Intrinsic Factors
Dietary Factors
Disease Factors: Diabetes Mellitus
Classification of Tumors
Cancer Staging
Measures to Prevent Cancer
Nutrition and Exercise for Cancer Prevention
Environment
Identifying High-Risk People
Detection of Cancer
Diagnostic Tests
Laboratory Tests
Nursing Management
Assessment (Data Collection)
Analysis/Problem Identification
Planning
Implementation
Evaluation
Common Therapies, Problems, and Nursing
Care
Surgery
Radiation Therapy
Chemotherapy
Hormone Therapy
Immunotherapy: Biologic Response
Modifiers
Monoclonal Antibodies
Targeted Therapies
Bone Marrow and Stem Cell
Transplantation
Common Problems Related to Cancer or Cancer
Treatment
Anorexia and Weight Loss
Mucositis and Stomatitis
Chemotherapy-Induced Nausea and
Vomiting
Diarrhea
Constipation
Chemotherapy-Induced Peripheral
Neuropathy
Bone Marrow Suppression
Cancer-Related Fatigue
Alopecia
Pain
Fear and Ineffective Coping
Oncologic Emergencies
Care Settings for the Cancer Patient
Acute Care
Acute Rehabilitation
Long-Term Care
Home Care/Community
9 Chronic Illness and End-of-Life Care
Chronic Illness
Preventing the Hazards of Decreased
Mobility
Chronic Illness and Rehabilitation Care
Long-Term Care
End-of-Life Care
Legal and Ethical Considerations
Palliative Care
Hospice Care
Psychological Process of Death
Anticipatory Guidance
After-Death Care
UNIT III IMMUNE SYSTEM
10 The Immune and Lymphatic Systems
Anatomy and Physiology of the Immune and
Lymphatic Systems
Organs and Structures
Functions of the Immune and Lymphatic
Systems
Age in Relation to the Immune and Lymphatic
Systems
Protective Mechanisms of the Immune and
Lymphatic Systems
Inflammatory Response
Immune Response
Immune and Lymphatic System Disorders
Prevention of Immune and Lymphatic System
Problems
Nursing Management
Assessment (Data Collection)
Problem Statements/Nursing Diagnosis
Planning
Implementation
Evaluation
Common Problems Related to the Immune and
Lymphatic Systems
Fever
Nutrition
Immunosuppression
11 Care of Patients With Immune and
Lymphatic Disorders
Immune Function and Dysfunction
Immune Deficiency Conditions
Therapeutic Immunosuppression
Diagnostic Tests and Treatment of Immune
Deficiencies
Nursing Management
Assessment (Data Collection)
Problem Statements/Nursing
Diagnosis and Planning
Implementation
Evaluation
Human Immunodeficiency Virus and Acquired
Immunodeficiency Syndrome
Pathophysiology
Transmission
Exposure Prophylaxis
Prevention Through Education
Signs and Symptoms
Diagnosis
Management of Human Immunodeficiency Virus
Infection
Complications
Nursing Management
Assessment (Data Collection)
Planning
Implementation
Evaluation
Human Immunodeficiency Virus Risk in Patients
Older Than 50 Years
Community Education and Care
Human Immunodeficiency Virus Confidentiality
and Disclosure Issues
Bloodborne Pathogen Exposure and Health Care
Workers
Autoimmune and Autoinflammatory
Disorders
Signs and Symptoms
Diagnosis
Treatment and Nursing Management
Systemic Lupus Erythematosus
Disorders of the Lymphatic System
Lymphoma
Lymphedema
Fibromyalgia
Disorders of Inappropriate Immune
Response
Allergy and Hypersensitivity
Nursing Management
Assessment (Data Collection)
Anaphylactic Reaction and Anaphylactic
Shock
UNIT IV RESPIRATORY SYSTEM
12 The Respiratory System
Overview of Anatomy and Physiology of the
Respiratory System
Functions of the Structures of the Upper
Respiratory System
Functions of the Structures of the Lower
Respiratory System
Control of Respiration
Effect of the Bones of the Thorax and the
Respiratory Muscles on the Respiratory
Process
Factors That Affect the Exchange of Oxygen and
Carbon Dioxide
Effects of Aging on the Respiratory System
Causes of Respiratory Disorders
Respiratory Disorders
Prevention
Diagnostic Tests and Procedures
Nursing Management
Assessment (Data Collection)
Problem Statements/Nursing Diagnosis
Planning
Implementation
Evaluation
Common Respiratory Patient Care Problems
Airway Maintenance
Altered Breathing Patterns
Risk of Infection
Alterations in Nutrition and Hydration
Fatigue
13 Care of Patients With Disorders of the Upper
Respiratory System
Disorders of the Nose and Sinuses
Upper Respiratory Infections and Rhinitis
Sinusitis
Epistaxis
Pharyngitis
Tonsillitis
SARS-CoV-2/COVID-19
Obstruction and Trauma
Airway Obstruction and Respiratory Arrest
Obstructive Sleep Apnea
Nasal Fracture
Cancer of the Larynx
Community Care
Home Care
Extended Care
14 Care of Patients With Disorders of the Lower
Respiratory System
Respiratory Infectious Diseases
Acute Bronchitis
Influenza
Pneumonia
Atelectasis
Fungal Infections
Tuberculosis
Extrapulmonary Tuberculosis
Occupational Lung Disorders
Restrictive Pulmonary Disorders
Interstitial Pulmonary Disease
Pleuritis
Pleural Effusion
Empyema
Obstructive Pulmonary Disorders
Bronchiectasis
Cystic Fibrosis
Chronic Obstructive Pulmonary Disease
Emphysema
Chronic Bronchitis
Asthma
Complications of Chronic Obstructive Pulmonary
Disease
Lung Cancer
Pulmonary Vascular Disorders
Pulmonary Embolism
Pulmonary Hypertension
Lung Transplantation
Chest Injuries
Pneumothorax and Hemothorax
Lung Disorders
Pulmonary Edema
Acute Respiratory Distress Syndrome
Respiratory Failure
Common Therapeutic Measures
Intrathoracic Surgery
Medication Administration
Humidification
Pulmonary Hygiene
Oxygen Therapy
Mechanical Ventilation
Community Care
UNIT V HEMATOLOGIC SYSTEM
15 The Hematologic System
Overview of Anatomy and Physiology of the
Hematologic System
Functions of Blood
Components of Blood
Functions of the Plasma Proteins
Production of Blood Cells
Functions of the Red Blood Cells
Functions of the White Blood Cells
Platelets and Their Function
Interaction of the Lymphatic System With the
Vascular System
Changes of the Hematologic System That Occur
With Aging
Causes of Hematologic Disorders
Prevention of Hematologic Disorders
Diagnostic Tests and Procedures
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Common Problems Related to Disorders of the
Hematologic System
Excessive Bleeding
Excessive Clotting
Fatigue
Anorexia
Pain
Infection
Bone Marrow Failure
16 Care of Patients With Hematologic Disorders
Disorders of the Hematologic System
Anemia
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Aplastic Anemia
Sickle Cell Disease
Polycythemia Vera
Leukemia
Coagulation Disorders
Thrombocytopenia
Multiple Myeloma
Genetic Bleeding Disorders
Disseminated Intravascular Coagulation
Therapies Frequently Used in the Management of
Hematologic Disorders
Transfusions
Leukapheresis
Biologic Response Modifiers: Colony-Stimulating
Factor Therapy
Hematopoietic Cell Transplantation
Oxygen Therapy
Iron Therapy
Vitamin B12 Therapy
Splenectomy
Community Care
UNIT VI CARDIOVASCULAR SYSTEM
17 The Cardiovascular System
Overview of Anatomy and Physiology of
the Cardiovascular System
The Structures of the Heart and Their
Functions
Contraction of the Heart to Pump Blood
The Cardiac Cycle
The Ejection Fraction
Blood Flow Throughout the Body
Blood Pressure
Cardiovascular System Changes Related to
Aging
Cardiovascular Disease
Women and Heart Disease
Causes of Cardiovascular Disorders
Prevention of Cardiovascular Disease
Diagnostic Tests and Procedures
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Implementation
Evaluation
Common Problems of Patients With
Cardiovascular Disorders
Fatigue and Dyspnea
Edema
Pain
Altered Tissue Perfusion
Impaired Tissue Integrity
18 Care of Patients With Hypertension and Peripheral
Vascular Disease
Hypertension
Etiology
Pathophysiology
Signs, Symptoms, and Diagnosis
Treatment
Complications
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Arteriosclerosis and Atherosclerosis
Peripheral Vascular Disease
Peripheral Arterial Disease (Arterial
Insufficiency)
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Aneurysm
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Carotid Artery Disease
Thromboangiitis Obliterans (Buerger Disease)
Nursing Management
Assessment (Data Collection), Problem
Statement/Nursing Diagnosis, Planning, and
Evaluation
Raynaud Disease and Raynaud Phenomenon
Venous Disorders
Superficial Thrombophlebitis
Deep Vein Thrombosis
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis, Planning,
and Implementation
Evaluation
Varicose Veins
Chronic Venous Insufficiency
Venous Stasis Ulcers
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Community Care
19 Care of Patients With Cardiac Disorders
Disorders of the Heart
Heart Failure
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Cardiac Dysrhythmias
Inflammatory and Infectious Diseases of the
Heart
Infective Endocarditis
Pericarditis
Nursing Management for Inflammatory and
Infectious Heart Disease
Cardiomyopathy
Cardiac Valve Disorders
Mitral Regurgitation (Insufficiency)
Mitral Stenosis
Aortic Stenosis
Aortic Regurgitation (Insufficiency)
Treatment of Valve Disorders
Common Therapies and Their Nursing
Implications
Oxygen Therapy
Pharmacologic Agents
Dietary Control
Community Care
20 Care of Patients With Coronary Artery Disease and
Cardiac Surgery
Coronary Artery Disease/Coronary Heart
Disease
Etiology
Pathophysiology
Signs and Symptoms
Diagnosis
Treatment
Nursing Management
Acute Coronary Syndrome and Myocardial
Infarction
Cardiogenic Shock
Surgical and Nonsurgical Treatment
Options
Percutaneous Coronary Intervention
Transmyocardial Laser Revascularization
Cardiac Surgery
Community Care
UNIT VII NEUROLOGIC SYSTEM
21 The Neurologic System
Anatomy and Physiology of the Neurologic
System
Organization of the Nervous System
Nerves and the Conduction of Impulses
Control of the Body
Interaction of the Peripheral Nervous System and
the Central Nervous System
Protection of the Central Nervous System
Blood Flow to the Central Nervous System
Intracranial Pressure (ICP)
Special Characteristics of the Nervous System
Aging-Related Changes in the Nervous System
Causative Factors Involved in Neurologic
Disorders
Prevention of Neurologic Disorders
Evaluation of Neurologic Status
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Common Neurologic Patient Care Problems
Altered Breathing Pattern
Altered Mobility
Skin Integrity
Altered Self-Care Ability
Dysphagia
Bowel and Bladder Function
Pain
Confusion
Aphasia
Altered Sexual Function
Psychosocial Concerns
Altered Family Functioning
22 Care of Patients With Head and Spinal
Cord Injuries
Traumatic Brain (Head) Injuries
Etiology
Concussion
Skull Fracture
Bleeding
Signs and Symptoms
Diagnosis
Treatment
Nursing Management
Increased Intracranial Pressure
Etiology and Pathophysiology
Signs, Symptoms, and Diagnosis
Treatment
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis, Planning,
and Implementation
Evaluation
Injuries of the Spine and Spinal Cord
Etiology
Pathophysiology
Signs, Symptoms, and Diagnosis
Treatment
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning, Implementation, and Evaluation
Back Pain and Herniated Disk (Bulged, Slipped,
or Ruptured Disk)
Etiology
Pathophysiology
Signs, Symptoms, and Diagnosis
Nursing Management
23 Care of Patients With Brain Disorders
Seizure Disorders and Epilepsy
Etiology
Pathophysiology
Signs and Symptoms
Diagnosis
Treatment
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis, Planning,
and Implementation
Evaluation
Transient Ischemic Attack
Cerebrovascular Accident (Stroke, Brain Attack)
Etiology
Pathophysiology
Signs and Symptoms
Diagnosis
Treatment
Complications
Nursing Management
Assessment (Data Collection): Acute Phase of
Stroke
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Rehabilitation
Continuum of Care
Brain Tumor
Etiology and Pathophysiology
Signs, Symptoms, and Diagnosis
Treatment
Nursing Management
Assessment (Data Collection) and Problem
Statement/Nursing Diagnosis
Complications
Infectious and Inflammatory Disorders of the
Nervous System
Bacterial Meningitis
Viral Meningitis
Nursing Management
Assessment (Data Collection) and Problem
Statement/Nursing Diagnosis
Planning, Implementation, and Evaluation
Encephalitis
Brain Abscess
Headaches
Migraine Headaches
Cluster Headaches
Tension Headaches
Cranial Nerve Disorders
Trigeminal Neuralgia (Tic Douloureux)
Nursing Management
Assessment (Data Collection) and Problem
Statement/Nursing Diagnosis
Planning, Implementation, and Evaluation
Bell Palsy
24 Care of Patients With Peripheral Nerve and
Degenerative Neurologic Disorders
Parkinson Disease
Etiology
Pathophysiology
Signs and Symptoms
Diagnosis
Treatment
Complications
Nursing Management
Assessment (Data Collection) and Problem
Statement/Nursing Diagnosis
Planning, Implementation, and Evaluation
Multiple Sclerosis
Etiology
Pathophysiology
Signs and Symptoms
Diagnosis
Treatment
Nursing Management
Assessment (Data Collection), Problem Statement/
Nursing Diagnosis, and Planning
Implementation and Evaluation
Alzheimer Disease
Amyotrophic Lateral Sclerosis
Etiology and Pathophysiology
Signs and Symptoms
Diagnosis and Treatment
Nursing Management
Guillain-Barré Syndrome
Etiology and Pathophysiology
Signs and Symptoms
Diagnosis
Treatment
Nursing Management
Assessment (Data Collection), Problem Statement/
Nursing Diagnosis, and Planning
Implementation and Evaluation
Poliomyelitis and Postpolio Syndrome
Huntington Disease
Myasthenia Gravis
Etiology and Pathophysiology
Signs and Symptoms
Diagnosis
Treatment
Nursing Management
Assessment (Data Collection), Problem Statement/
Nursing Diagnosis, and Planning
Implementation and Evaluation
Restless Leg Syndrome
Community Care
UNIT VIII SENSORY SYSTEM
25 The Sensory System: Eye
Anatomy and Physiology of the Eye
Structures of the Eye
Functions of the Eye Structures
Aging-Related Eye Changes
The Eye
Eye Disorders
Basic Eye Care
Prevention of Eye Injury
Prevention of Vision Loss
Diagnostic Tests and Examinations
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Common Disorders of the Eye
Errors of Refraction
Uveitis
Dry Eye
Corneal Disorders
Eye Trauma
Cataract
Glaucoma
Open-Angle Glaucoma
Angle-Closure (Narrow-Angle) Glaucoma
Retinal Detachment
Retinopathy
Macular Degeneration
Nursing Care of Patients Having Eye Surgery
Preoperative Care
Postoperative Care
Community Care
26 The Sensory System: Ear
Anatomy and Physiology of the Ear
Structures of the Ear
Functions of the Ear Structures
Age-Related Changes in the Ear
The Ear
Hearing Loss
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Common Problems of Patients With Ear
Disorders
Hearing Impairment
Rehabilitation for Hearing Loss
Common Disorders of the Ear
External Otitis
Impacted Cerumen and Foreign Bodies
Otitis Media
Labyrinthitis
Ménière Disease (Ménière Syndrome)
Acoustic Neuroma (Vestibular Schwannoma)
Otosclerosis and Hearing Loss
Cochlear Implant
Nursing Care of Patients Having Ear
Surgery
Preoperative Care
Postoperative Care
Community Care
UNIT IX GASTROINTESTINAL SYSTEM
27 The Gastrointestinal System
Anatomy and Physiology of the Gastrointestinal
System
Organs and Structures of the Gastrointestinal
System
Functions of the Gastrointestinal System
Control of the Gastrointestinal System
Effects of Aging on the Gastrointestinal System
Structures and Locations of the Accessory
Organs
Functions of the Gallbladder, Liver, and Pancreas
Effects of Aging on the Accessory Organs of
Digestion
The Gastrointestinal System
Gastrointestinal System Disorders
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Common Problems Related to the Gastrointestinal
System
28 Care of Patients With Disorders of the Upper
Gastrointestinal System
Eating Disorders
Anorexia Nervosa
Bulimia Nervosa
Obesity
Nursing Management of Obesity
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Upper Gastrointestinal Disorders
Stomatitis
Dysphagia
Cancer of the Oral Cavity
Cancer of the Esophagus
Hiatus (Hiatal) Hernia (Diaphragmatic
Hernia)
Gastroesophageal Reflux Disease
Gastroenteritis
Gastritis
Peptic Ulcer
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Gastric Cancer
Common Therapies for Disorders of the
Gastrointestinal System
Gastrointestinal Decompression
Enteral Nutrition
Peripheral Parenteral Nutrition
Total Parenteral Nutrition
29 Care of Patients With Disorders of the Lower
Gastrointestinal System
Disorders of the Abdomen and Bowel
Diarrhea or Constipation
Irritable Bowel Syndrome
Diverticula
Intestinal Obstruction
Abdominal and Inguinal Hernia
Bowel Ischemia
Inflammatory Bowel Disease: Ulcerative Colitis
and Crohn Disease
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation and Evaluation
Appendicitis
Peritonitis
Malabsorption
Cancer of the Colon
Ostomy Surgery and Care
Colostomy
Ileostomy
Preoperative Nursing Care
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Anorectal Disorders
Hemorrhoids
Pilonidal Sinus (Pilonidal Cyst)
Anorectal Abscess and Fistula
Community Care
30 Care of Patients With Disorders of the Gallbladder,
Liver, and Pancreas
Disorders of the Gallbladder
Cholelithiasis and Cholecystitis
Disorders of the Liver
Hepatitis
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation and Evaluation
Cirrhosis
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis, Planning,
Implementation, and Evaluation
Liver Transplantation
Cancer of the Liver
Disorders of the Pancreas
Acute Pancreatitis
Chronic Pancreatitis
Cancer of the Pancreas
Community Care
UNIT X MUSCULOSKELETAL SYSTEM
31 The Musculoskeletal System
Anatomy and Physiology of the Musculoskeletal
System
Structures of the Musculoskeletal System
Functions of the Bones
Functions of the Muscles
Aging-Related Changes in the Musculoskeletal
System
Musculoskeletal Disorders
Causes
Prevention
Nursing Management
Data Collection
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
32 Care of Patients With Musculoskeletal and
Connective Tissue Disorders
Connective Tissue Disorders
Sprain
Strain
Dislocation
Rotator Cuff Tear
Anterior Cruciate Ligament Injury
Meniscal Injury
Achilles Tendon Rupture
Bursitis
Bunion (Hallux Valgus)
Carpal Tunnel Syndrome
Fractures
Nursing Management
Data Collection (Assessment)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Inflammatory Disorders of the Musculoskeletal
System
Lyme Disease
Osteoarthritis
Rheumatoid Arthritis
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation and Evaluation
Gout
Osteoporosis
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation and Evaluation
Paget Disease
Bone Tumors
Amputation
Community Care
UNIT XI URINARY SYSTEM
33 The Urinary System
Anatomy and Physiology of the Urologic
System
Structures of the Urologic System and How They
Interrelate
Functions of the Kidneys
Regulation of Fluid Balance
Functions of the Ureters, Bladder, and
Urethra
Aging-Related Changes
The Urologic System
Disorders of the Urologic System
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Common Urologic Problems
Urinary Incontinence
Urinary Retention
34 Care of Patients With Disorders of the
Urinary System
Inflammatory Disorders of the Urinary
Tract
Cystitis
Urethritis
Pyelonephritis
Acute Glomerulonephritis
Chronic Glomerulonephritis
Nephrotic Syndrome (Nephrosis)
Obstructions of the Urinary Tract
Hydronephrosis
Renal Stenosis
Renal Stones
Urologic System Trauma
Trauma to Kidneys and Ureters
Trauma to the Bladder
Urologic System Cancers
Cancer of the Bladder
Cancer of the Kidney
Renal Failure
Acute Kidney Injury (Acute Renal Failure)
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Chronic Renal Failure
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
UNIT XII ENDOCRINE SYSTEM
35 The Endocrine System
Anatomy and Physiology of the Endocrine
System
Organs and Structures of the Endocrine
System
Functions of the Endocrine System
Effects of the Pituitary Hormones
Effects of the Thyroid Hormones
Functions of the Parathyroid Glands
Functions of the Adrenal Gland Hormones
Hormonal Function of the Pancreas
Effects of Aging on the Endocrine System
The Endocrine System
Endocrine System Disorders
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
36 Care of Patients With Pituitary, Thyroid,
Disorders of the Pituitary Gland
Pituitary Tumors
Hyperfunction of the Pituitary Gland
Hypofunction of the Pituitary Gland
Diabetes Insipidus
Syndrome of Inappropriate Antidiuretic
Hormone
Disorders of the Thyroid Gland
Goiter
Hyperthyroidism
Thyroidectomy
Hypothyroidism
Myxedema Coma
Thyroiditis
Thyroid Cancer
Disorders of the Parathyroid Glands
Hypoparathyroidism
Hyperparathyroidism
Disorders of the Adrenal Glands
Pheochromocytoma
Adrenocortical Insufficiency (Addison
Disease)
Acute Adrenal Insufficiency or Adrenal Crisis
Excess Adrenocortical Hormone (Cushing
Syndrome)
Community Care
37 Care of Patients With Diabetes and
Hypoglycemia
Diabetes Mellitus and Hypoglycemia
Diabetes Mellitus
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Hypoglycemia (Nondiabetic)
Community Care
UNIT XIII REPRODUCTIVE SYSTEM
38 The Reproductive System
The Female Reproductive System
Anatomy and Physiology of the Female
Reproductive System
Primary External Structures
Primary Internal Structures
Accessory Organs
Phases of the Female Reproductive Cycle During
the Childbearing Years
Sexual Development in the Fetus
Sexual Maturation
Menopause
Women’s Health Care
Normal Menstruation
The Normal Breast
Contraception
Menopause
Health Screening and Assessment
Breast Evaluation
Vulvar Self-Examination
Diagnostic Tests
Nursing Management
Assessment (Data Collection)
Anatomy and Physiology of the Male
Reproductive System
Structures
Functions of the Organs of the Male Reproductive
System
Control of Sperm Production
Age-Related Changes
The Male Reproductive System
Fertility
Contraception
Nursing Management
Assessment (Data Collection)
Diagnostic Tests
Care of Patients Who Identify as LGBTQIA2+
39 Care of Females With Reproductive Disorders
Menstrual Dysfunction
Premenstrual Syndrome and Premenstrual
Dysphoric Disorder
Dysmenorrhea
Sexual Disorders
Infertility
Assisted Reproduction
Nursing Management
Data Collection
Problem Statement/Nursing Diagnosis
Treatment
Menopause
Nursing Management
Data Collection
Implementation
Disorders of the Female Reproductive Tract
Pelvic Relaxation Syndrome (Cystocele, Rectocele,
Enterocele, and Uterine Prolapse)
Polycystic Ovarian Syndrome
Dysfunctional Uterine Bleeding
Abnormal Uterine Bleeding
Leiomyoma
Endometriosis
Inflammations of the Lower Genital Tract
Toxic Shock Syndrome
Cancer of the Reproductive Tract
Vulvar Cancer
Cancer of the Cervix
Cancer of the Uterus
Cancer of the Ovary
Disorders of the Breast
Benign Disorders of the Breast
Breast Cancer
Nursing Management
Problem Statements/Nursing Diagnosis
Planning
Implementation
Evaluation
Home Care
Community Care
40 Care of Males With Reproductive Disorders
Disorders of the Male Reproductive
System
Erectile Dysfunction
Ejaculation Disorders
Infertility
Hydrocele
Varicocele
Testicular Torsion
Priapism
Peyronie Disease
Benign Prostatic Hyperplasia
Inflammations and Infections of the Male
Reproductive Tract
Cancer of the Male Reproductive Tract
Community Care
41 Care of Patients With Sexually Transmitted
Infections
Identification, Diagnosis, and Management of
Sexually Transmitted Infections
Lesions of Sexually Transmitted Infections
Reporting Sexually Transmitted Infections
Transmission of Sexually Transmitted
Infections
Common Diagnostic Tests
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Common Infections of the Female Reproductive
Tract
Pelvic Inflammatory Disease
Candidiasis
Bacterial Vaginosis
Risk Factors for Transmission of Sexually
Transmitted Infections
Prevention of Human Papillomavirus
Community Care
UNIT XIV INTEGUMENTARY SYSTEM
42 The Integumentary System
Anatomy and Physiology of the Integumentary
System
Structure of the Skin, Hair, and Nails
Functions of the Skin and Its Structures
Aging-Related Changes in the Skin and Its
Structures
The Integumentary System
Disorders of the Integumentary System
Integrity of Skin
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
43 Care of Patients With Integumentary
Disorders and Burns
Inflammatory Infections
Dermatitis
Acne
Psoriasis
Stevens-Johnson Syndrome and Toxic Epidermal
Necrolysis (TEN)
Bacterial Infections
Etiology, Pathophysiology, Signs, and
Symptoms
Diagnosis, Treatment, and Nursing
Management
Viral Infections
Herpes Simplex
Herpes Zoster
Fungal Infections
Tinea Pedis
Parasitic Infections
Pediculosis and Scabies
Noninfectious Disorders of Skin
Skin Cancer
Pressure Injury (Ulcers)
Burns
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
UNIT XV EMERGENCY AND DISASTER
MANAGEMENT
44 Care of Patients in Disasters or
Bioterrorism Attacks
Disaster Preparedness and Response
Hospital Preparedness
Triage
Community Preparedness
Psychological Responses to Disaster
Preparing for Chemical, Nuclear, or Biological
Disasters
Chemical Disaster
Nuclear Disaster
Biologic Disaster
Active Shooter
Debriefing
45 Care of Patients With Emergent Conditions,
Trauma, and Shock
Prevention of Accidents
Home Safety
Highway Safety
Water Safety
First Aid and Good Samaritan Laws
Psychological and Social Emergencies
The Combative Patient
Domestic and Intimate Partner Violence
Emergency Care
Triage: Initial (or Primary) Survey
Airway
Breathing
Control of Bleeding
Neck and Spine Injuries
Chest Trauma
Cardiac Trauma
Abdominal Trauma
Multiple Trauma
Metabolic Emergencies
Insulin Reaction or Severe Hypoglycemia
Other Metabolic Emergencies
Injuries Caused by Extreme Heat and Cold
Heat Illness
Hypothermia
Frostbite
Poisoning
Accidental Poisoning
Inhaled Poisons
Bites and Stings
Human Bites
Animal Bites
Snakebite
Bug Bites and Stings
Electrical Injuries and Burns
Chemical Injury
Choking Emergencies
Cardiopulmonary Resuscitation
Shock
Signs and Symptoms
Hypovolemic Shock
Cardiogenic Shock
Obstructive Shock
Distributive Shock (Maldistribution
of Fluids)
Anaphylactic Shock
Neurogenic Shock
Sepsis, and Septic Shock
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis, Planning,
and Implementation, 1072
Evaluation
UNIT XVI MENTAL HEALTH NURSING OF
THE ADULT
46 Care of Patients With Cognitive
Function Disorders
Cognitive Disorders
Delirium
Substance-Induced Delirium
Dementia
Alzheimer Disease
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation and Evaluation
Community Care
47 Care of Patients With Anxiety, Mood, and Eating
Disorders
Anxiety and Related Disorders
Generalized Anxiety Disorder
Phobias
Obsessive-Compulsive Disorder
Post-Traumatic Stress Disorder
Diagnosis of Anxiety Disorders
Treatment of Anxiety Disorders
Assessment (Data Collection)
Nursing Management of Anxiety Disorders
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Depressive Disorders
Major Depressive Disorder
Nursing Management of Depressive
Disorders
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Bipolar Disorder
Nursing Management of Bipolar Disorders
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Patients With Suicidal Ideation
Nursing Management of Patients With Suicidal
Ideation
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Eating Disorders
Anorexia Nervosa
Bulimia Nervosa
Treatment of Eating Disorders
Nursing Management of Patients With an Eating
Disorder
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
48 Care of Patients With Substance-Related and
Addictive Disorders
Substance Use Disorder and Alcohol Use
Disorder
Signs and Symptoms
Effects of Substance Use on Family and
Friends
Disorders Associated With Substance-Related and
Addictive Disorders
Alcohol Use Disorder
Alcohol Intoxication and Alcohol
Withdrawal
Use of Other Central Nervous System
Depressants
Opiate Use
Stimulant Use
Nicotine Use
Cannabis Use
Hallucinogen (Psychedelic) and
Inhalant Use
Nursing Management
Assessment for Substance Use Disorder (Data
Collection)
Problem Statement Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
49 Care of Patients With Thought and Personality
Disorders
Overview of Thought Disorders
Schizophrenia
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Overview of Personality Disorders
Borderline Personality Disorder
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
APPENDIXES
A Most Common Laboratory Test Values
B Standard Precautions
C Standard Steps for All Nursing Procedures
References
Bibliography
Glossary
Index
SETTINGS
1 Caring for Medical-Surgical Patients
Roles of the LPN/LVN
Employment Opportunities
Ethical and Legal Practice
Quality and Safety
Evidence-Based Practice
Quality Improvement
Informatics
Safety
Health Care Today
Biomedicine
Complementary and Alternative Medicine/
Integrative Medicine
Healthy People 2030
Financing of Health Care
Insurance: Government and Private Funding
Cost Containment
Providing Holistic Care
Promoting a Therapeutic Nurse–Patient
Relationship
Meeting Cultural Needs
Meeting Spiritual Needs
2 Critical Thinking, Clinical Judgment, and the
Nursing Process
Critical Thinking and Clinical Judgment
Factors That Influence Critical Thinking and
Nursing Care
Integrating Critical Thinking and the Nursing
Process
Applying LPN/LVN Standards in Medical-Surgical Nursing
Assessment (Data Collection)
Data Analysis and Problem Identification
Planning
Implementation
Evaluation
Interdisciplinary (Collaborative) Care Plans
UNIT II MEDICAL-SURGICAL PATIENT
CARE PROBLEMS
3 Fluids, Electrolytes, Acid-Base Balance,
and Intravenous Therapy
Distribution and Regulation of Body Fluids
Pathophysiology
Osmolality
Movement of Fluid and Electrolytes
Fluid Imbalances
Pathophysiology
Deficient Fluid Volume
Nausea and Vomiting
Diarrhea
Excess Fluid Volume
Home Care
Electrolytes
Electrolyte Imbalances
Acid-Base System
Pathophysiology
Acid-Base Imbalances
Pathophysiology
Arterial Blood Gas Analysis
Respiratory Acidosis
Metabolic Acidosis
Respiratory Alkalosis
Metabolic Alkalosis
Home Care
Intravenous Fluid Therapy
Nursing Responsibilities in Administering
Intravenous Fluids
Calculating and Regulating the Rate
of Flow
Nursing Management
Assessment (Data Collection)
Data Analysis and Problem Identification/
Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
4 Care of Preoperative and Intraoperative Surgical
Patients
Surgery
Technological Approaches in Surgery
Autologous Blood for Transfusion
Bloodless Surgery
Perioperative Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
The Surgical Team
The Surgical Suite
The Surgical Holding Area
Roles of the Circulating Nurse and the Scrub
Person
Anesthesia
General Anesthesia
Regional Anesthesia
Procedural or Conscious Sedation Anesthesia
(Moderate Sedation)
Local Anesthesia
Potential Intraoperative Complications
5 Care of Postoperative Surgical Patients
Immediate Postoperative Care
Postanesthesia Care Unit
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Discharge Planning
Community Care
6 Infection Prevention and Control
The Infectious Process and Disease
Factors That Influence Infectious Disease
Disease-Producing Pathogens
The Body’s Defense Against Infection
Skin
Normal Flora
The Inflammatory Response
The Immune Response
Infection Prevention and Control
Preventing and Controlling the Spread of
Infection
Precaution Categories for Infection Prevention
and Control
Health Care–Associated Infections
Multidrug-Resistant Organisms (MDROs)
The Cost of Health Care–Associated Infections
Nursing Interventions to Prevent Health Care–
Associated Infections
Infection Surveillance and Reporting
Medical Asepsis and Surgical Asepsis
Sepsis and Septic Shock
Nursing Interventions for Patients With Sepsis
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
Home Care
Long-Term Care
7 Care of Patients With Pain
Theories of Pain
Classification of Pain
Nociceptive Pain
Neuropathic Pain
Perception of Pain
Acute Versus Chronic Pain
Acute Pain
Chronic Pain
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Documentation
Management of Pain
Pharmacologic Approaches
Nonpharmacologic Approaches
Community Care
Extended Care
Home Care
8 Care of Patients With Cancer
The Impact of Cancer
Pathophysiology of Cancer
Normal Cells
Cancer Cells
Metastasis
Genetic Factors
Carcinogens
Chemical Carcinogens
Exogenous Hormones
Cancer Promotion
Physical Carcinogens
Genetic Predisposition
Contributing Factors
Intrinsic Factors
Dietary Factors
Disease Factors: Diabetes Mellitus
Classification of Tumors
Cancer Staging
Measures to Prevent Cancer
Nutrition and Exercise for Cancer Prevention
Environment
Identifying High-Risk People
Detection of Cancer
Diagnostic Tests
Laboratory Tests
Nursing Management
Assessment (Data Collection)
Analysis/Problem Identification
Planning
Implementation
Evaluation
Common Therapies, Problems, and Nursing
Care
Surgery
Radiation Therapy
Chemotherapy
Hormone Therapy
Immunotherapy: Biologic Response
Modifiers
Monoclonal Antibodies
Targeted Therapies
Bone Marrow and Stem Cell
Transplantation
Common Problems Related to Cancer or Cancer
Treatment
Anorexia and Weight Loss
Mucositis and Stomatitis
Chemotherapy-Induced Nausea and
Vomiting
Diarrhea
Constipation
Chemotherapy-Induced Peripheral
Neuropathy
Bone Marrow Suppression
Cancer-Related Fatigue
Alopecia
Pain
Fear and Ineffective Coping
Oncologic Emergencies
Care Settings for the Cancer Patient
Acute Care
Acute Rehabilitation
Long-Term Care
Home Care/Community
9 Chronic Illness and End-of-Life Care
Chronic Illness
Preventing the Hazards of Decreased
Mobility
Chronic Illness and Rehabilitation Care
Long-Term Care
End-of-Life Care
Legal and Ethical Considerations
Palliative Care
Hospice Care
Psychological Process of Death
Anticipatory Guidance
After-Death Care
UNIT III IMMUNE SYSTEM
10 The Immune and Lymphatic Systems
Anatomy and Physiology of the Immune and
Lymphatic Systems
Organs and Structures
Functions of the Immune and Lymphatic
Systems
Age in Relation to the Immune and Lymphatic
Systems
Protective Mechanisms of the Immune and
Lymphatic Systems
Inflammatory Response
Immune Response
Immune and Lymphatic System Disorders
Prevention of Immune and Lymphatic System
Problems
Nursing Management
Assessment (Data Collection)
Problem Statements/Nursing Diagnosis
Planning
Implementation
Evaluation
Common Problems Related to the Immune and
Lymphatic Systems
Fever
Nutrition
Immunosuppression
11 Care of Patients With Immune and
Lymphatic Disorders
Immune Function and Dysfunction
Immune Deficiency Conditions
Therapeutic Immunosuppression
Diagnostic Tests and Treatment of Immune
Deficiencies
Nursing Management
Assessment (Data Collection)
Problem Statements/Nursing
Diagnosis and Planning
Implementation
Evaluation
Human Immunodeficiency Virus and Acquired
Immunodeficiency Syndrome
Pathophysiology
Transmission
Exposure Prophylaxis
Prevention Through Education
Signs and Symptoms
Diagnosis
Management of Human Immunodeficiency Virus
Infection
Complications
Nursing Management
Assessment (Data Collection)
Planning
Implementation
Evaluation
Human Immunodeficiency Virus Risk in Patients
Older Than 50 Years
Community Education and Care
Human Immunodeficiency Virus Confidentiality
and Disclosure Issues
Bloodborne Pathogen Exposure and Health Care
Workers
Autoimmune and Autoinflammatory
Disorders
Signs and Symptoms
Diagnosis
Treatment and Nursing Management
Systemic Lupus Erythematosus
Disorders of the Lymphatic System
Lymphoma
Lymphedema
Fibromyalgia
Disorders of Inappropriate Immune
Response
Allergy and Hypersensitivity
Nursing Management
Assessment (Data Collection)
Anaphylactic Reaction and Anaphylactic
Shock
UNIT IV RESPIRATORY SYSTEM
12 The Respiratory System
Overview of Anatomy and Physiology of the
Respiratory System
Functions of the Structures of the Upper
Respiratory System
Functions of the Structures of the Lower
Respiratory System
Control of Respiration
Effect of the Bones of the Thorax and the
Respiratory Muscles on the Respiratory
Process
Factors That Affect the Exchange of Oxygen and
Carbon Dioxide
Effects of Aging on the Respiratory System
Causes of Respiratory Disorders
Respiratory Disorders
Prevention
Diagnostic Tests and Procedures
Nursing Management
Assessment (Data Collection)
Problem Statements/Nursing Diagnosis
Planning
Implementation
Evaluation
Common Respiratory Patient Care Problems
Airway Maintenance
Altered Breathing Patterns
Risk of Infection
Alterations in Nutrition and Hydration
Fatigue
13 Care of Patients With Disorders of the Upper
Respiratory System
Disorders of the Nose and Sinuses
Upper Respiratory Infections and Rhinitis
Sinusitis
Epistaxis
Pharyngitis
Tonsillitis
SARS-CoV-2/COVID-19
Obstruction and Trauma
Airway Obstruction and Respiratory Arrest
Obstructive Sleep Apnea
Nasal Fracture
Cancer of the Larynx
Community Care
Home Care
Extended Care
14 Care of Patients With Disorders of the Lower
Respiratory System
Respiratory Infectious Diseases
Acute Bronchitis
Influenza
Pneumonia
Atelectasis
Fungal Infections
Tuberculosis
Extrapulmonary Tuberculosis
Occupational Lung Disorders
Restrictive Pulmonary Disorders
Interstitial Pulmonary Disease
Pleuritis
Pleural Effusion
Empyema
Obstructive Pulmonary Disorders
Bronchiectasis
Cystic Fibrosis
Chronic Obstructive Pulmonary Disease
Emphysema
Chronic Bronchitis
Asthma
Complications of Chronic Obstructive Pulmonary
Disease
Lung Cancer
Pulmonary Vascular Disorders
Pulmonary Embolism
Pulmonary Hypertension
Lung Transplantation
Chest Injuries
Pneumothorax and Hemothorax
Lung Disorders
Pulmonary Edema
Acute Respiratory Distress Syndrome
Respiratory Failure
Common Therapeutic Measures
Intrathoracic Surgery
Medication Administration
Humidification
Pulmonary Hygiene
Oxygen Therapy
Mechanical Ventilation
Community Care
UNIT V HEMATOLOGIC SYSTEM
15 The Hematologic System
Overview of Anatomy and Physiology of the
Hematologic System
Functions of Blood
Components of Blood
Functions of the Plasma Proteins
Production of Blood Cells
Functions of the Red Blood Cells
Functions of the White Blood Cells
Platelets and Their Function
Interaction of the Lymphatic System With the
Vascular System
Changes of the Hematologic System That Occur
With Aging
Causes of Hematologic Disorders
Prevention of Hematologic Disorders
Diagnostic Tests and Procedures
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Common Problems Related to Disorders of the
Hematologic System
Excessive Bleeding
Excessive Clotting
Fatigue
Anorexia
Pain
Infection
Bone Marrow Failure
16 Care of Patients With Hematologic Disorders
Disorders of the Hematologic System
Anemia
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Aplastic Anemia
Sickle Cell Disease
Polycythemia Vera
Leukemia
Coagulation Disorders
Thrombocytopenia
Multiple Myeloma
Genetic Bleeding Disorders
Disseminated Intravascular Coagulation
Therapies Frequently Used in the Management of
Hematologic Disorders
Transfusions
Leukapheresis
Biologic Response Modifiers: Colony-Stimulating
Factor Therapy
Hematopoietic Cell Transplantation
Oxygen Therapy
Iron Therapy
Vitamin B12 Therapy
Splenectomy
Community Care
UNIT VI CARDIOVASCULAR SYSTEM
17 The Cardiovascular System
Overview of Anatomy and Physiology of
the Cardiovascular System
The Structures of the Heart and Their
Functions
Contraction of the Heart to Pump Blood
The Cardiac Cycle
The Ejection Fraction
Blood Flow Throughout the Body
Blood Pressure
Cardiovascular System Changes Related to
Aging
Cardiovascular Disease
Women and Heart Disease
Causes of Cardiovascular Disorders
Prevention of Cardiovascular Disease
Diagnostic Tests and Procedures
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Implementation
Evaluation
Common Problems of Patients With
Cardiovascular Disorders
Fatigue and Dyspnea
Edema
Pain
Altered Tissue Perfusion
Impaired Tissue Integrity
18 Care of Patients With Hypertension and Peripheral
Vascular Disease
Hypertension
Etiology
Pathophysiology
Signs, Symptoms, and Diagnosis
Treatment
Complications
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Arteriosclerosis and Atherosclerosis
Peripheral Vascular Disease
Peripheral Arterial Disease (Arterial
Insufficiency)
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Aneurysm
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Carotid Artery Disease
Thromboangiitis Obliterans (Buerger Disease)
Nursing Management
Assessment (Data Collection), Problem
Statement/Nursing Diagnosis, Planning, and
Evaluation
Raynaud Disease and Raynaud Phenomenon
Venous Disorders
Superficial Thrombophlebitis
Deep Vein Thrombosis
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis, Planning,
and Implementation
Evaluation
Varicose Veins
Chronic Venous Insufficiency
Venous Stasis Ulcers
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Community Care
19 Care of Patients With Cardiac Disorders
Disorders of the Heart
Heart Failure
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Cardiac Dysrhythmias
Inflammatory and Infectious Diseases of the
Heart
Infective Endocarditis
Pericarditis
Nursing Management for Inflammatory and
Infectious Heart Disease
Cardiomyopathy
Cardiac Valve Disorders
Mitral Regurgitation (Insufficiency)
Mitral Stenosis
Aortic Stenosis
Aortic Regurgitation (Insufficiency)
Treatment of Valve Disorders
Common Therapies and Their Nursing
Implications
Oxygen Therapy
Pharmacologic Agents
Dietary Control
Community Care
20 Care of Patients With Coronary Artery Disease and
Cardiac Surgery
Coronary Artery Disease/Coronary Heart
Disease
Etiology
Pathophysiology
Signs and Symptoms
Diagnosis
Treatment
Nursing Management
Acute Coronary Syndrome and Myocardial
Infarction
Cardiogenic Shock
Surgical and Nonsurgical Treatment
Options
Percutaneous Coronary Intervention
Transmyocardial Laser Revascularization
Cardiac Surgery
Community Care
UNIT VII NEUROLOGIC SYSTEM
21 The Neurologic System
Anatomy and Physiology of the Neurologic
System
Organization of the Nervous System
Nerves and the Conduction of Impulses
Control of the Body
Interaction of the Peripheral Nervous System and
the Central Nervous System
Protection of the Central Nervous System
Blood Flow to the Central Nervous System
Intracranial Pressure (ICP)
Special Characteristics of the Nervous System
Aging-Related Changes in the Nervous System
Causative Factors Involved in Neurologic
Disorders
Prevention of Neurologic Disorders
Evaluation of Neurologic Status
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Common Neurologic Patient Care Problems
Altered Breathing Pattern
Altered Mobility
Skin Integrity
Altered Self-Care Ability
Dysphagia
Bowel and Bladder Function
Pain
Confusion
Aphasia
Altered Sexual Function
Psychosocial Concerns
Altered Family Functioning
22 Care of Patients With Head and Spinal
Cord Injuries
Traumatic Brain (Head) Injuries
Etiology
Concussion
Skull Fracture
Bleeding
Signs and Symptoms
Diagnosis
Treatment
Nursing Management
Increased Intracranial Pressure
Etiology and Pathophysiology
Signs, Symptoms, and Diagnosis
Treatment
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis, Planning,
and Implementation
Evaluation
Injuries of the Spine and Spinal Cord
Etiology
Pathophysiology
Signs, Symptoms, and Diagnosis
Treatment
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning, Implementation, and Evaluation
Back Pain and Herniated Disk (Bulged, Slipped,
or Ruptured Disk)
Etiology
Pathophysiology
Signs, Symptoms, and Diagnosis
Nursing Management
23 Care of Patients With Brain Disorders
Seizure Disorders and Epilepsy
Etiology
Pathophysiology
Signs and Symptoms
Diagnosis
Treatment
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis, Planning,
and Implementation
Evaluation
Transient Ischemic Attack
Cerebrovascular Accident (Stroke, Brain Attack)
Etiology
Pathophysiology
Signs and Symptoms
Diagnosis
Treatment
Complications
Nursing Management
Assessment (Data Collection): Acute Phase of
Stroke
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Rehabilitation
Continuum of Care
Brain Tumor
Etiology and Pathophysiology
Signs, Symptoms, and Diagnosis
Treatment
Nursing Management
Assessment (Data Collection) and Problem
Statement/Nursing Diagnosis
Complications
Infectious and Inflammatory Disorders of the
Nervous System
Bacterial Meningitis
Viral Meningitis
Nursing Management
Assessment (Data Collection) and Problem
Statement/Nursing Diagnosis
Planning, Implementation, and Evaluation
Encephalitis
Brain Abscess
Headaches
Migraine Headaches
Cluster Headaches
Tension Headaches
Cranial Nerve Disorders
Trigeminal Neuralgia (Tic Douloureux)
Nursing Management
Assessment (Data Collection) and Problem
Statement/Nursing Diagnosis
Planning, Implementation, and Evaluation
Bell Palsy
24 Care of Patients With Peripheral Nerve and
Degenerative Neurologic Disorders
Parkinson Disease
Etiology
Pathophysiology
Signs and Symptoms
Diagnosis
Treatment
Complications
Nursing Management
Assessment (Data Collection) and Problem
Statement/Nursing Diagnosis
Planning, Implementation, and Evaluation
Multiple Sclerosis
Etiology
Pathophysiology
Signs and Symptoms
Diagnosis
Treatment
Nursing Management
Assessment (Data Collection), Problem Statement/
Nursing Diagnosis, and Planning
Implementation and Evaluation
Alzheimer Disease
Amyotrophic Lateral Sclerosis
Etiology and Pathophysiology
Signs and Symptoms
Diagnosis and Treatment
Nursing Management
Guillain-Barré Syndrome
Etiology and Pathophysiology
Signs and Symptoms
Diagnosis
Treatment
Nursing Management
Assessment (Data Collection), Problem Statement/
Nursing Diagnosis, and Planning
Implementation and Evaluation
Poliomyelitis and Postpolio Syndrome
Huntington Disease
Myasthenia Gravis
Etiology and Pathophysiology
Signs and Symptoms
Diagnosis
Treatment
Nursing Management
Assessment (Data Collection), Problem Statement/
Nursing Diagnosis, and Planning
Implementation and Evaluation
Restless Leg Syndrome
Community Care
UNIT VIII SENSORY SYSTEM
25 The Sensory System: Eye
Anatomy and Physiology of the Eye
Structures of the Eye
Functions of the Eye Structures
Aging-Related Eye Changes
The Eye
Eye Disorders
Basic Eye Care
Prevention of Eye Injury
Prevention of Vision Loss
Diagnostic Tests and Examinations
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Common Disorders of the Eye
Errors of Refraction
Uveitis
Dry Eye
Corneal Disorders
Eye Trauma
Cataract
Glaucoma
Open-Angle Glaucoma
Angle-Closure (Narrow-Angle) Glaucoma
Retinal Detachment
Retinopathy
Macular Degeneration
Nursing Care of Patients Having Eye Surgery
Preoperative Care
Postoperative Care
Community Care
26 The Sensory System: Ear
Anatomy and Physiology of the Ear
Structures of the Ear
Functions of the Ear Structures
Age-Related Changes in the Ear
The Ear
Hearing Loss
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Common Problems of Patients With Ear
Disorders
Hearing Impairment
Rehabilitation for Hearing Loss
Common Disorders of the Ear
External Otitis
Impacted Cerumen and Foreign Bodies
Otitis Media
Labyrinthitis
Ménière Disease (Ménière Syndrome)
Acoustic Neuroma (Vestibular Schwannoma)
Otosclerosis and Hearing Loss
Cochlear Implant
Nursing Care of Patients Having Ear
Surgery
Preoperative Care
Postoperative Care
Community Care
UNIT IX GASTROINTESTINAL SYSTEM
27 The Gastrointestinal System
Anatomy and Physiology of the Gastrointestinal
System
Organs and Structures of the Gastrointestinal
System
Functions of the Gastrointestinal System
Control of the Gastrointestinal System
Effects of Aging on the Gastrointestinal System
Structures and Locations of the Accessory
Organs
Functions of the Gallbladder, Liver, and Pancreas
Effects of Aging on the Accessory Organs of
Digestion
The Gastrointestinal System
Gastrointestinal System Disorders
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Common Problems Related to the Gastrointestinal
System
28 Care of Patients With Disorders of the Upper
Gastrointestinal System
Eating Disorders
Anorexia Nervosa
Bulimia Nervosa
Obesity
Nursing Management of Obesity
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Upper Gastrointestinal Disorders
Stomatitis
Dysphagia
Cancer of the Oral Cavity
Cancer of the Esophagus
Hiatus (Hiatal) Hernia (Diaphragmatic
Hernia)
Gastroesophageal Reflux Disease
Gastroenteritis
Gastritis
Peptic Ulcer
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Gastric Cancer
Common Therapies for Disorders of the
Gastrointestinal System
Gastrointestinal Decompression
Enteral Nutrition
Peripheral Parenteral Nutrition
Total Parenteral Nutrition
29 Care of Patients With Disorders of the Lower
Gastrointestinal System
Disorders of the Abdomen and Bowel
Diarrhea or Constipation
Irritable Bowel Syndrome
Diverticula
Intestinal Obstruction
Abdominal and Inguinal Hernia
Bowel Ischemia
Inflammatory Bowel Disease: Ulcerative Colitis
and Crohn Disease
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation and Evaluation
Appendicitis
Peritonitis
Malabsorption
Cancer of the Colon
Ostomy Surgery and Care
Colostomy
Ileostomy
Preoperative Nursing Care
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Anorectal Disorders
Hemorrhoids
Pilonidal Sinus (Pilonidal Cyst)
Anorectal Abscess and Fistula
Community Care
30 Care of Patients With Disorders of the Gallbladder,
Liver, and Pancreas
Disorders of the Gallbladder
Cholelithiasis and Cholecystitis
Disorders of the Liver
Hepatitis
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation and Evaluation
Cirrhosis
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis, Planning,
Implementation, and Evaluation
Liver Transplantation
Cancer of the Liver
Disorders of the Pancreas
Acute Pancreatitis
Chronic Pancreatitis
Cancer of the Pancreas
Community Care
UNIT X MUSCULOSKELETAL SYSTEM
31 The Musculoskeletal System
Anatomy and Physiology of the Musculoskeletal
System
Structures of the Musculoskeletal System
Functions of the Bones
Functions of the Muscles
Aging-Related Changes in the Musculoskeletal
System
Musculoskeletal Disorders
Causes
Prevention
Nursing Management
Data Collection
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
32 Care of Patients With Musculoskeletal and
Connective Tissue Disorders
Connective Tissue Disorders
Sprain
Strain
Dislocation
Rotator Cuff Tear
Anterior Cruciate Ligament Injury
Meniscal Injury
Achilles Tendon Rupture
Bursitis
Bunion (Hallux Valgus)
Carpal Tunnel Syndrome
Fractures
Nursing Management
Data Collection (Assessment)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Inflammatory Disorders of the Musculoskeletal
System
Lyme Disease
Osteoarthritis
Rheumatoid Arthritis
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation and Evaluation
Gout
Osteoporosis
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation and Evaluation
Paget Disease
Bone Tumors
Amputation
Community Care
UNIT XI URINARY SYSTEM
33 The Urinary System
Anatomy and Physiology of the Urologic
System
Structures of the Urologic System and How They
Interrelate
Functions of the Kidneys
Regulation of Fluid Balance
Functions of the Ureters, Bladder, and
Urethra
Aging-Related Changes
The Urologic System
Disorders of the Urologic System
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Common Urologic Problems
Urinary Incontinence
Urinary Retention
34 Care of Patients With Disorders of the
Urinary System
Inflammatory Disorders of the Urinary
Tract
Cystitis
Urethritis
Pyelonephritis
Acute Glomerulonephritis
Chronic Glomerulonephritis
Nephrotic Syndrome (Nephrosis)
Obstructions of the Urinary Tract
Hydronephrosis
Renal Stenosis
Renal Stones
Urologic System Trauma
Trauma to Kidneys and Ureters
Trauma to the Bladder
Urologic System Cancers
Cancer of the Bladder
Cancer of the Kidney
Renal Failure
Acute Kidney Injury (Acute Renal Failure)
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
Chronic Renal Failure
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
UNIT XII ENDOCRINE SYSTEM
35 The Endocrine System
Anatomy and Physiology of the Endocrine
System
Organs and Structures of the Endocrine
System
Functions of the Endocrine System
Effects of the Pituitary Hormones
Effects of the Thyroid Hormones
Functions of the Parathyroid Glands
Functions of the Adrenal Gland Hormones
Hormonal Function of the Pancreas
Effects of Aging on the Endocrine System
The Endocrine System
Endocrine System Disorders
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
36 Care of Patients With Pituitary, Thyroid,
Disorders of the Pituitary Gland
Pituitary Tumors
Hyperfunction of the Pituitary Gland
Hypofunction of the Pituitary Gland
Diabetes Insipidus
Syndrome of Inappropriate Antidiuretic
Hormone
Disorders of the Thyroid Gland
Goiter
Hyperthyroidism
Thyroidectomy
Hypothyroidism
Myxedema Coma
Thyroiditis
Thyroid Cancer
Disorders of the Parathyroid Glands
Hypoparathyroidism
Hyperparathyroidism
Disorders of the Adrenal Glands
Pheochromocytoma
Adrenocortical Insufficiency (Addison
Disease)
Acute Adrenal Insufficiency or Adrenal Crisis
Excess Adrenocortical Hormone (Cushing
Syndrome)
Community Care
37 Care of Patients With Diabetes and
Hypoglycemia
Diabetes Mellitus and Hypoglycemia
Diabetes Mellitus
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Hypoglycemia (Nondiabetic)
Community Care
UNIT XIII REPRODUCTIVE SYSTEM
38 The Reproductive System
The Female Reproductive System
Anatomy and Physiology of the Female
Reproductive System
Primary External Structures
Primary Internal Structures
Accessory Organs
Phases of the Female Reproductive Cycle During
the Childbearing Years
Sexual Development in the Fetus
Sexual Maturation
Menopause
Women’s Health Care
Normal Menstruation
The Normal Breast
Contraception
Menopause
Health Screening and Assessment
Breast Evaluation
Vulvar Self-Examination
Diagnostic Tests
Nursing Management
Assessment (Data Collection)
Anatomy and Physiology of the Male
Reproductive System
Structures
Functions of the Organs of the Male Reproductive
System
Control of Sperm Production
Age-Related Changes
The Male Reproductive System
Fertility
Contraception
Nursing Management
Assessment (Data Collection)
Diagnostic Tests
Care of Patients Who Identify as LGBTQIA2+
39 Care of Females With Reproductive Disorders
Menstrual Dysfunction
Premenstrual Syndrome and Premenstrual
Dysphoric Disorder
Dysmenorrhea
Sexual Disorders
Infertility
Assisted Reproduction
Nursing Management
Data Collection
Problem Statement/Nursing Diagnosis
Treatment
Menopause
Nursing Management
Data Collection
Implementation
Disorders of the Female Reproductive Tract
Pelvic Relaxation Syndrome (Cystocele, Rectocele,
Enterocele, and Uterine Prolapse)
Polycystic Ovarian Syndrome
Dysfunctional Uterine Bleeding
Abnormal Uterine Bleeding
Leiomyoma
Endometriosis
Inflammations of the Lower Genital Tract
Toxic Shock Syndrome
Cancer of the Reproductive Tract
Vulvar Cancer
Cancer of the Cervix
Cancer of the Uterus
Cancer of the Ovary
Disorders of the Breast
Benign Disorders of the Breast
Breast Cancer
Nursing Management
Problem Statements/Nursing Diagnosis
Planning
Implementation
Evaluation
Home Care
Community Care
40 Care of Males With Reproductive Disorders
Disorders of the Male Reproductive
System
Erectile Dysfunction
Ejaculation Disorders
Infertility
Hydrocele
Varicocele
Testicular Torsion
Priapism
Peyronie Disease
Benign Prostatic Hyperplasia
Inflammations and Infections of the Male
Reproductive Tract
Cancer of the Male Reproductive Tract
Community Care
41 Care of Patients With Sexually Transmitted
Infections
Identification, Diagnosis, and Management of
Sexually Transmitted Infections
Lesions of Sexually Transmitted Infections
Reporting Sexually Transmitted Infections
Transmission of Sexually Transmitted
Infections
Common Diagnostic Tests
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Common Infections of the Female Reproductive
Tract
Pelvic Inflammatory Disease
Candidiasis
Bacterial Vaginosis
Risk Factors for Transmission of Sexually
Transmitted Infections
Prevention of Human Papillomavirus
Community Care
UNIT XIV INTEGUMENTARY SYSTEM
42 The Integumentary System
Anatomy and Physiology of the Integumentary
System
Structure of the Skin, Hair, and Nails
Functions of the Skin and Its Structures
Aging-Related Changes in the Skin and Its
Structures
The Integumentary System
Disorders of the Integumentary System
Integrity of Skin
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis and
Planning
Implementation
Evaluation
43 Care of Patients With Integumentary
Disorders and Burns
Inflammatory Infections
Dermatitis
Acne
Psoriasis
Stevens-Johnson Syndrome and Toxic Epidermal
Necrolysis (TEN)
Bacterial Infections
Etiology, Pathophysiology, Signs, and
Symptoms
Diagnosis, Treatment, and Nursing
Management
Viral Infections
Herpes Simplex
Herpes Zoster
Fungal Infections
Tinea Pedis
Parasitic Infections
Pediculosis and Scabies
Noninfectious Disorders of Skin
Skin Cancer
Pressure Injury (Ulcers)
Burns
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
UNIT XV EMERGENCY AND DISASTER
MANAGEMENT
44 Care of Patients in Disasters or
Bioterrorism Attacks
Disaster Preparedness and Response
Hospital Preparedness
Triage
Community Preparedness
Psychological Responses to Disaster
Preparing for Chemical, Nuclear, or Biological
Disasters
Chemical Disaster
Nuclear Disaster
Biologic Disaster
Active Shooter
Debriefing
45 Care of Patients With Emergent Conditions,
Trauma, and Shock
Prevention of Accidents
Home Safety
Highway Safety
Water Safety
First Aid and Good Samaritan Laws
Psychological and Social Emergencies
The Combative Patient
Domestic and Intimate Partner Violence
Emergency Care
Triage: Initial (or Primary) Survey
Airway
Breathing
Control of Bleeding
Neck and Spine Injuries
Chest Trauma
Cardiac Trauma
Abdominal Trauma
Multiple Trauma
Metabolic Emergencies
Insulin Reaction or Severe Hypoglycemia
Other Metabolic Emergencies
Injuries Caused by Extreme Heat and Cold
Heat Illness
Hypothermia
Frostbite
Poisoning
Accidental Poisoning
Inhaled Poisons
Bites and Stings
Human Bites
Animal Bites
Snakebite
Bug Bites and Stings
Electrical Injuries and Burns
Chemical Injury
Choking Emergencies
Cardiopulmonary Resuscitation
Shock
Signs and Symptoms
Hypovolemic Shock
Cardiogenic Shock
Obstructive Shock
Distributive Shock (Maldistribution
of Fluids)
Anaphylactic Shock
Neurogenic Shock
Sepsis, and Septic Shock
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis, Planning,
and Implementation, 1072
Evaluation
UNIT XVI MENTAL HEALTH NURSING OF
THE ADULT
46 Care of Patients With Cognitive
Function Disorders
Cognitive Disorders
Delirium
Substance-Induced Delirium
Dementia
Alzheimer Disease
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation and Evaluation
Community Care
47 Care of Patients With Anxiety, Mood, and Eating
Disorders
Anxiety and Related Disorders
Generalized Anxiety Disorder
Phobias
Obsessive-Compulsive Disorder
Post-Traumatic Stress Disorder
Diagnosis of Anxiety Disorders
Treatment of Anxiety Disorders
Assessment (Data Collection)
Nursing Management of Anxiety Disorders
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Depressive Disorders
Major Depressive Disorder
Nursing Management of Depressive
Disorders
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Bipolar Disorder
Nursing Management of Bipolar Disorders
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Patients With Suicidal Ideation
Nursing Management of Patients With Suicidal
Ideation
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Eating Disorders
Anorexia Nervosa
Bulimia Nervosa
Treatment of Eating Disorders
Nursing Management of Patients With an Eating
Disorder
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
48 Care of Patients With Substance-Related and
Addictive Disorders
Substance Use Disorder and Alcohol Use
Disorder
Signs and Symptoms
Effects of Substance Use on Family and
Friends
Disorders Associated With Substance-Related and
Addictive Disorders
Alcohol Use Disorder
Alcohol Intoxication and Alcohol
Withdrawal
Use of Other Central Nervous System
Depressants
Opiate Use
Stimulant Use
Nicotine Use
Cannabis Use
Hallucinogen (Psychedelic) and
Inhalant Use
Nursing Management
Assessment for Substance Use Disorder (Data
Collection)
Problem Statement Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
49 Care of Patients With Thought and Personality
Disorders
Overview of Thought Disorders
Schizophrenia
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Overview of Personality Disorders
Borderline Personality Disorder
Nursing Management
Assessment (Data Collection)
Problem Statement/Nursing Diagnosis
Planning
Implementation
Evaluation
Community Care
APPENDIXES
A Most Common Laboratory Test Values
B Standard Precautions
C Standard Steps for All Nursing Procedures
References
Bibliography
Glossary
Index
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Medical-Surgical Nursing
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Build your clinical judgment skills and prepare for the Next-Generation NCLEX-PN<sup>®</sup> (NGN) examination! <b>Medical-Surgical Nursing: Concepts and Practice, Sixth</b> <b>Edition </b>provides a solid foundation in nursing concepts and skills essential to the LPN/LVN role. Complete coverage of common adult medical-surgical conditions includes all body systems and their disorders, addressing patient care in a variety of settings. Special attention is given to care of older adults, those with chronic illnesses, and residents in long-term care settings. Emphasizing evidence-based practice, this text reflects the expanding scope of practice for LPN/LVNs. What’s more, it makes exam prep easier with new NGN case studies and an emphasis on developing critical thinking and clinical judgment. Build your clinical judgment skills and prepare for the Next-Generation NCLEX-PN<sup>®</sup> (NGN) examination! <b>Medical-Surgical Nursing: Concepts and Practice, Sixth</b> <b>Edition </b>provides a solid foundation in nursing concepts and skills essential to the LPN/LVN role. Complete coverage of common adult medical-surgical conditions includes all body systems and their disorders, addressing patient care in a variety of settings. Special attention is given to care of older adults, those with chronic illnesses, and residents in long-term care settings. Emphasizing evidence-based practice, this text reflects the expanding scope of practice for LPN/LVNs. What’s more, it makes exam prep easier with new NGN case studies and an emphasis on developing critical thinking and clinical judgment.
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9780443121029
2025
Professional
By Holly K. Stromberg, RN, BSN, MSN, PHN, Alumnus CCRN
2026
6
Book
216w x 276h (8.50" x 10.875")
Saunders
1272
17 Mar 2025
NOT YET PUBLISHED Expected Release Date:%1
By <STRONG>Holly K. Stromberg</STRONG>, RN, BSN, MSN, PHN, Alumnus CCRN, Professor Emeritus of Nursing, Allan Hancock College, Clinical Educator, Marian Regional Medical Center, Santa Maria, California, USA
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