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Introductory Medical-Surgical Nursing with Bonus CD-ROM,9780781752930
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Introductory Medical-Surgical Nursing with Bonus CD-ROM

by ;
Edition:
8th
ISBN13:

9780781752930

ISBN10:
0781752930
Format:
Hardcover
Pub. Date:
10/8/2003
Publisher(s):
Lippincott Willams & Wilkins
List Price: $63.95
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Summary

The fully updated Eighth Edition of this best-selling, comprehensive introductory text addresses nursing care across the continuum. The revised content prepares you to practice with confidence in any setting -- from the hospital or clinic to the home or long-term care facility! Book jacket.

Author Biography

Barbara K. Timby, RN, BC, BSN, MA: Nursing Professor, Medical-Surgical Nursing, Glen Oaks Community College, Centreville, MI Nancy E. Smith, MS, RN: Chairperson, Department of Nursing, Southern Maine Technical College, South Portland, ME

Table of Contents

1 Nursing Roles and Responsibilities
1(52)
Concepts and Trends in Healthcare
1(8)
Health and Wellness
1(2)
Healthcare
3(6)
Nursing in Various Settings
9(6)
Nursing Care
9(6)
The Nursing Process
15(9)
Steps of the Nursing Process
15(5)
The Nursing Process and Critical Thinking
20(4)
Interviewing and Physical Assessment
24(7)
The Interview Process
24(3)
The Physical Examination
27(4)
Legal and Ethical Issues
31(13)
Legal Issues in Nursing Practice
31(9)
Ethical Issues in Nursing Practice
40(4)
Leadership Roles and Management Functions
44(9)
Leadership and Management
44(3)
The LPN/LVN as Leader/Manager
47(6)
2 Development Across the Life Span
53(34)
Biopsychosocial Aspects of Caring for Young Adults
53(16)
Growth and Development
54(1)
Young Adulthood
55(9)
Nursing Care Plan: The Client Who Has Been Raped
64(1)
Nursing Implications
65(4)
Biopsychosocial Aspects of Caring for Middle-Aged Adults
69(6)
Growth and Development
69(1)
Middle Adulthood
70(3)
Nursing Implications
73(2)
Biopsychosocial Aspects of Caring for Older Adults
75(12)
Growth and Development
75(1)
Older Adulthood
76(6)
Nursing Implications
82(5)
3 Psychosocial Aspects of Nursing
87(20)
Nurse--Client Relationships
87(10)
The Nurse--Client Relationship
87(3)
Communication
90(3)
Client Teaching
93(4)
Caring for Culturally Diverse Clients
97(10)
Cultural Concepts
97(2)
Culturally Influenced Characteristics
99(2)
Biocultural Assessment
101(1)
Cultural Assessment
101(2)
Transcultural Nursing
103(4)
4 Psychobiologic Disorders
107(82)
Interaction of Body and Mind
107(16)
The Brain and Psychobiologic Function
108(1)
Psychobiologic Illness
109(3)
The Brain and Psychosomatic Function
112(1)
Psychosomatic Illnesses
113(2)
Psychobiologic Interventions
115(8)
Caring for Clients With Somatoform Disorders
123(5)
Somatoform Disorders
123(3)
Nursing Process: The Client With a Somatoform Disorder
126(2)
Caring for Clients With Anxiety Disorders
128(10)
Anxiety and Fear
128(2)
Anxiety Disorders
130(5)
Nursing Process: The Client With an Anxiety Disorder
135(3)
Caring for Clients With Mood Disorders
138(16)
Major Depression
138(6)
Nursing Process: The Depressed or Suicidal Client
144(1)
Seasonal Affective Disorder
145(2)
Bipolar Disorder
147(3)
Nursing Care Plan: The Client With Bipolar Disorder/Acute Manic Phase
150(4)
Caring for Clients With Eating Disorders
154(11)
Anorexia Nervosa
155(2)
Nursing Process: The Client With Anorexia Nervosa
157(1)
Bulimia Nervosa
158(1)
Nursing Process: The Client With Bulimia Nervosa
159(2)
Binge-Eating Disorder and Compulsive Overeating
161(1)
Nursing Process: The Client Who Compulsively Overeats
162(3)
Caring for Chemically Dependent Clients
165(10)
Substance Abuse and Chemical Dependence
165(2)
Alcohol Dependence
167(3)
Nursing Process: The Client With Alcohol Dependence
170(1)
Nicotine Dependence
171(1)
Cocaine Dependence
172(1)
Opiate Dependence
173(1)
Other Abused Substances
173(2)
Caring for Clients With Dementia and Thought Disorders
175(14)
Delirium and Dementia
175(1)
Alzheimer's Disease
176(3)
Schizophrenia
179(1)
Nursing Care Plan: The Client With Alzheimer's Disease
180(4)
Nursing Process: The Client With Schizophrenia
184(5)
5 Common Medical-Surgical Problems
189(128)
Caring for Clients With Infectious Disorders
189(14)
Microorganisms and Infectious Disorders
189(8)
Nursing Process: The Client With a Potential or Actual Infection
197(2)
Needlestick Injuries
199(4)
Caring for Clients With Cancer
203(19)
Cancer
203(15)
Nursing Care Plan: The Client With Cancer
218(4)
Caring for Clients With Pain
222(15)
Types of Pain
222(2)
Pain Transmission
224(2)
Pain Assessment
226(1)
Pain Management
227(7)
Nursing Care Plan: The Client With Acute Pain
234(3)
Caring for Clients With Fluid, Electrolyte, and Acid-Base Imbalances
237(20)
Fluid and Electrolyte Regulation
238(2)
Fluid and Electrolyte Distribution
240(1)
Fluid Imbalances
241(1)
Nursing Care Plan: The Client With Hypovolemia
242(3)
Nursing Process: The Client With Hypervolemia
245(2)
Electrolyte Imbalances
247(5)
Acid-Base Balance
252(1)
Acid-Base Imbalances
253(4)
Caring for Clients in Shock
257(12)
Shock
257(8)
Nursing Process: The Client in Shock
265(4)
Caring for Clients Requiring Intravenous Therapy
269(15)
Types of Solutions
269(3)
Administering Intravenous Therapy
272(5)
Nursing Process: The Client Requiring Intravenous Therapy
277(2)
Complications of Intravenous Therapy
279(2)
Discontinuing Intravenous Therapy
281(3)
Caring for Perioperative Clients
284(23)
Perioperative Care
284(6)
Nursing Process: Preoperative Care
290(4)
Nursing Process: Nursing Standards for Care of the Postsurgical Client
294(8)
Ambulatory Care
302(2)
Nursing Process: The Client Undergoing Conscious Sedation
304(3)
Caring for Dying Clients
307(10)
The Dying Client
307(2)
Care of the Dying Client
309(1)
Signs of Approaching Death
310(1)
Nursing Management
311(1)
Nursing Care Plan: Care of the Dying Client
312(5)
6 Caring for Clients With Respiratory Disorders
317(70)
Introduction to the Respiratory System
317(14)
Respiratory Anatomy
317(2)
Respiratory Physiology
319(3)
Assessment
322(6)
Nursing Care Plan: The Client Undergoing a Bronchoscopy
328(2)
Nursing Management
330(1)
Caring for Clients With Upper Respiratory Disorders
331(19)
Infectious and Inflammatory Disorders
331(3)
Nursing Process: Tonsillectomy and Adenoidectomy
334(2)
Structural Disorders
336(1)
Trauma and Obstruction of the Upper Airway
337(1)
Nursing Process: Trauma to the Upper Airway
338(2)
Laryngeal Cancer
340(1)
Nursing Process: The Client Undergoing Laryngeal Surgery
341(2)
Treatment Modalities for Airway Obstruction or Airway Maintenance
343(2)
Nursing Care Plan: The Client With a Tracheostomy
345(5)
Caring for Clients With Disorders of the Lower Respiratory Airway
350(37)
Infectious and Inflammatory Disorders
350(7)
Nursing Process: Pulmonary Tuberculosis
357(2)
Obstructive Pulmonary Disease
359(5)
Nursing Process: Obstructive Pulmonary Disease
364(6)
Occupational Lung Diseases
370(1)
Pulmonary Circulatory Disorders
371(3)
Respiratory Failure
374(2)
Malignant Disorders
376(2)
Trauma
378(2)
Thoracic Surgery
380(3)
Nursing Care Plan: The Client Recovering From Thoracic Surgery
383(4)
7 Caring for Clients With Cardiovascular Disorders
387(126)
Introduction to the Cardiovascular System
387(18)
Anatomy and Physiology
387(7)
Assessment
394(8)
Nursing Process: Diagnostic Procedures of the Cardiovascular System
402(3)
Caring for Clients With Infectious and Inflammatory Disorders of the Heart and Blood Vessels
405(19)
Infectious and Inflammatory Disorders of the Heart
405(9)
Nursing Process: The Client With Pericarditis
414(2)
Inflammatory Disorders of the Peripheral Blood Vessels
416(1)
Nursing Process: The Client With Thrombophlebitis
417(7)
Caring for Clients With Valvular Disorders of the Heart
424(13)
Disorders of the Aortic Valve
424(3)
Nursing Care Plan: The Client With a Valvular Disorder
427(4)
Disorders of the Mitral Valve
431(6)
Caring for Clients With Disorders of Coronary and Peripheral Blood Vessels
437(26)
Arteriosclerosis and Atherosclerosis
437(1)
Occlusive Disorders of Coronary Blood Vessels
438(13)
Occlusive Disorders of Peripheral Blood Vessels
451(1)
Nursing Care Plan: The Client With Acute Myocardial Infarction
452(5)
Disorders of Blood Vessel Walls
457(6)
Caring for Clients With Cardiac Dysrhythmias
463(14)
Cardiac Dysrhythmias
464(10)
Nursing Process: The Client With a Dysrhythmia
474(3)
Caring for Clients With Hypertension
477(9)
Arterial Blood Pressure
477(1)
Hypertensive Disease
478(1)
Nursing Process: The Client With Hypertension
479(7)
Caring for Clients With Heart Failure
486(13)
Heart Failure
486(8)
Nursing Process: The Client With Congestive Heart Failure
494(2)
Pulmonary Edema
496(3)
Caring for Clients Undergoing Cardiovascular Surgery
499(14)
Cardiac Surgical Procedures
499(6)
Central or Peripheral Vascular Surgical Procedures
505(1)
Nursing Process: The Client Undergoing Cardiac or Vascular Surgery
506(7)
8 Caring for Clients With Hematopoietic and Lymphatic Disorders
513(38)
Introduction to the Hematopoietic and Lymphatic Systems
513(9)
Hematopoietic System
513(4)
Lymphatic System
517(1)
Assessment
518(3)
Nursing Management
521(1)
Caring for Clients With Disorders of the Hematopoietic System
522(20)
Anemia
522(1)
Nursing Process: The Client With Hypovolemic Anemia
523(5)
Nursing Process: The Client With Sickle Cell Anemia
528(3)
Erythrocytosis
531(1)
Leukocytosis
532(1)
Nursing Process: The Client With Leukemia
533(2)
Multiple Myeloma
535(1)
Agranulocytosis
536(1)
Pancytopenia
537(1)
Coagulopathies
537(5)
Caring for Clients With Disorders of the Lymphatic System
542(9)
Occlusive, Inflammatory, and Infectious Disorders
543(2)
Lymphomas
545(2)
Nursing Process: The Client With Hodgkin's Disease
547(4)
9 Caring for Clients With Jmmune Disorders
551(42)
Introduction to the Immune System
551(9)
Structures of the Immune System
551(5)
Types of Immunity
556(1)
Assessment
557(1)
Nursing Management
558(2)
Caring for Clients With Immune-Mediated Disorders
560(17)
Allergic Disorders
560(7)
Nursing Process: The Client With an Allergic Disorder
567(1)
Autoimmune Disorders
568(3)
Nursing Process: The Client With an Autoimmune Disorder
571(1)
Chronic Fatigue Syndrome
571(3)
Nursing Care Plan: The Client With Chronic Fatigue Syndrome
574(3)
Caring for Clients With AIDS
577(16)
Human Immunodeficiency Virus
578(1)
Acquired Immunodeficiency Syndrome
579(9)
Nursing Care Plan: The Client With AIDS
588(5)
10 Caring for Clients With Neurologic Disorders
593(96)
Introduction to the Nervous System
593(13)
Anatomy and Physiology
593(4)
Assessment
597(6)
Nursing Process: The Client Undergoing Neurologic Testing
603(3)
Caring for Clients With Central and Peripheral Nervous System Disorders
606(34)
Increased Intracranial Pressure
606(2)
Infectious and Inflammatory Disorders of the Nervous System
608(1)
Nursing Care Plan: The Client With Increased Intracranial Pressure
609(3)
Nursing Process: Care of the Client With a Neurologic Infectious or Inflammatory Disorder
612(5)
Neuromuscular Disorders
617(1)
Nursing Process: The Client With a Neuromuscular Disorder
618(3)
Cranial Nerve Disorders
621(1)
Nursing Process: The Client With Trigeminal Neuralgia
622(1)
Nursing Process: The Client With Bell's Palsy
623(2)
Extrapyramidal Disorders
625(3)
Seizure Disorders
628(1)
Nursing Care Plan: The Client With an Extrapyramidal Disorder
629(5)
Nursing Process: The Client With a Seizure Disorder
634(1)
Brain Tumors
635(2)
Nursing Process: The Client With a Brain Tumor
637(3)
Caring for Clients With Cerebrovascular Disorders
640(19)
Headache
640(4)
Nursing Process: The Client With a Headache
644(1)
Cerebrovascular Disorders
644(7)
Nursing Care Plan: The Client With a Cerebrovascular Accident
651(5)
Nursing Process: The Client With an Aneurysm
656(3)
Caring for Clients With Head and Spinal Cord Trauma
659(19)
Head Injuries
659(4)
Nursing Care Plan: Care of the Client Undergoing Intracranial Surgery
663(6)
Spinal Cord Injuries
669(2)
Nursing Process: Care of the Client With Spinal Trauma
671(2)
Spinal Nerve Root Compression
673(5)
Caring for Clients With Neurologic Deficits
678(11)
Phases of a Neurologic Deficit
678(2)
Psychosocial Issues and Home Management
680(2)
Nursing Process: The Client With a Neurologic Deficit
682(7)
11 Caring for Clients With Sensory Disorders
689(40)
Caring for Clients With Eye Disorders
689(25)
Anatomy and Physiology
689(2)
Assessment
691(4)
Impaired Vision
695(1)
Nursing Process: The Client Who Is Blind
696(3)
Nursing Process: The Client With Eye Trauma
699(2)
Infectious and Inflammatory Eye Disorders
701(3)
Macular Degeneration
704(1)
Glaucoma
704(4)
Cataracts
708(1)
Retinal Detachment
709(1)
Nursing Care Plan: Postoperative Management of the Client Undergoing Eye Surgery
710(2)
Enucleation
712(2)
Caring for Clients With Ear Disorders
714(15)
Anatomy and Physiology
714(1)
Assessment
715(2)
Hearing Impairment
717(3)
Disorders of the External Ear
720(1)
Disorders of the Middle Ear
721(2)
Nursing Process: The Client Recovering From Stapedectomy
723(1)
Disorders of the Inner Ear
724(5)
12 Caring for Clients With Gastrointestinal Disorders
729(114)
Introduction to the Gastrointestinal System and Accessory Structures
729(12)
Anatomy and Physiology
729(3)
Assessment
732(6)
Nursing Process: Diagnostic Testing for a Gastrointestinal Disorder
738(3)
Caring for Clients With Disorders of the Upper Gastrointestinal Tract
741(25)
Disorders That Affect Eating
741(2)
Nursing Process: The Client With Nausea and Vomiting
743(4)
Nursing Process: The Client Receiving Tube Feedings
747(4)
Disorders of the Esophagus
751(4)
Nursing Process: The Client With an Esophageal Disorder
755(2)
Gastric Disorders
757(2)
Nursing Process: The Client With a Gastric Disorder
759(4)
Nursing Care Plan: The Client Undergoing Gastric Surgery
763(3)
Caring for Clients With Disorders of the Lower Gastrointestinal Tract
766(28)
Altered Bowel Elimination
766(1)
Nursing Process: The Client With Constipation
767(3)
Nursing Process: The Client With Diarrhea
770(2)
Inflammatory Bowel Disease
772(6)
Acute Abdominal Inflammatory Disorders
778(3)
Intestinal Obstruction
781(2)
Diverticular Disorders
783(1)
Abdominal Hernia
784(2)
Cancer of the Colon and Rectum
786(1)
Anorectal Disorders
787(3)
Nursing Care Plan: The Client With an Anorectal Condition
790(4)
Caring for Clients With an Ileostomy or Colostomy
794(13)
Ileostomy
794(2)
Nursing Process: Preoperative Ileostomy Care
796(1)
Nursing Process: The Client Recovering From Ileostomy Surgery
797(3)
Continent Ileostomy (Kock Pouch)
800(1)
Ileoanal Reservoir
801(1)
Colostomy
802(2)
Nursing Process: Care After Colostomy Surgery
804(3)
Caring for Clients With Disorders of the Liver, Gallbladder, or Pancreas
807(36)
Disorders of the Liver
807(7)
Nursing Care Plan: The Client With a Liver Disorder
814(12)
Nursing Process: The Client Having Surgery for a Liver Disorder
826(1)
Disorders of the Gallbladder
827(3)
Disorders of the Pancreas
830(1)
Nursing Care Plan: The Client Having Gallbladder Surgery
831(5)
Nursing Process: The Client With Pancreatitis
836(7)
13 Caring for Clients With Endocrine Problems
843(62)
Introduction to the Endocrine System
843(9)
Anatomy and Physiology
843(5)
Assessment
848(3)
Nursing Management
851(1)
Caring for Clients With Disorders of the Endocrine System
852(28)
Disorders of the Pituitary Gland
852(3)
Disorders of the Thyroid Gland
855(4)
Nursing Care Plan: The Client Undergoing Thyroid Surgery
859(4)
Nursing Process: The Client With Hypothyroidism
863(3)
Disorders of the Parathyroid Glands
866(3)
Disorders of the Adrenal Glands
869(1)
Nursing Process: The Client With Addison's Disease
870(4)
Nursing Process: The Client With Cushing's Syndrome
874(3)
Nursing Process: The Client Undergoing an Adrenalectomy
877(1)
Disorders of the Ovaries and Testes
878(2)
Caring for Clients With Diabetes Mellitus
880(25)
Diabetes Mellitus
880(10)
Nursing Care Plan: The Client With Diabetes Mellitus
890(4)
Acute Complications of Diabetes Mellitus
894(3)
Chronic Complications of Diabetes Mellitus
897(8)
14 Sexual Structures and Reproductive Function
905(92)
Caring for Female Clients With Disorders of Pelvic Reproductive Structures
905(31)
Anatomy and Physiology
906(1)
Assessment
907(4)
Disorders of Menstruation
911(3)
Menopause
914(1)
Infectious and Inflammatory Disorders of the Female Reproductive System
915(3)
Nursing Process: The Client With Pelvic Inflammatory Disease
918(2)
Structural Abnormalities
920(2)
Nursing Process: The Client With a Vaginal Fistula
922(3)
Tumors of the Female Reproductive System
925(3)
Nursing Care Plan: The Client With a Total Abdominal Hysterectomy
928(4)
Nursing Process: The Client With Cancer of the Vulva Undergoing Surgery
932(4)
Caring for Clients With Breast Disorders
936(22)
Anatomy and Physiology
936(1)
Assessment
937(2)
Infectious and Inflammatory Breast Disorders
939(1)
Benign Breast Lesions
940(3)
Malignant Breast Disorders
943(5)
Nursing Care Plan: The Client Undergoing a Modified Radical Mastectomy
948(6)
Cosmetic Breast Procedures
954(4)
Caring for Clients With Disorders of the Male Reproductive System
958(26)
Anatomy and Physiology
958(1)
Assessment
959(2)
Structural Abnormalities
961(2)
Infectious and Inflammatory Conditions
963(2)
Erection Disorders
965(1)
Benign Prostatic Hyperplasia
966(1)
Nursing Care Plan: Postoperative Management of the Client With a Penile Implant
967(4)
Malignancies of the Male Reproductive System
971(1)
Nursing Care Plan: The Client Undergoing a Prostatectomy
972(7)
Nursing Process: The Client With Prostatic Cancer
979(3)
Elective Sterilization
982(2)
Caring for Clients With Sexually Transmitted Diseases
984(13)
Epidemiology
985(1)
Common Sexually Transmitted Diseases
985(2)
Nursing Care Plan: The Client with an STD
987(7)
Other Sexually Transmitted Diseases
994(3)
15 Caring for Clients With Urinary and Renal Disorders
997(64)
Introduction to the Urinary Tract
997(12)
Anatomy and Physiology
997(2)
Assessment
999(7)
Nursing Process: The Client Undergoing Diagnostic Testing for a Renal or Urologic Disorder
1006(3)
Caring for Clients With Disorders of the Kidneys and Ureters
1009(30)
Infectious and Inflammatory Disorders of the Kidney
1009(5)
Nursing Process: The Client With Chronic Glomerulonephritis
1014(1)
Congenital Kidney Disorders: Polycystic Disease
1015(1)
Obstructive Disorders
1016(5)
Nursing Process: The Client With Renal Calculi
1021(2)
Tumors of the Kidney
1023(1)
Nursing Process: The Client Recovering From a Nephrectomy
1024(1)
Renal Failure
1025(4)
Dialysis
1029(1)
Nursing Care Plan: The Client With Chronic Renal Failure
1030(9)
Caring for Clients With Disorders of the Bladder and Urethra
1039(22)
Voiding Dysfunction
1039(6)
Infectious and Inflammatory Disorders
1045(3)
Nursing Process: The Client With an Infection of the Bladder or Urethra
1048(1)
Obstructive Disorders
1049(2)
Malignant Tumors of the Bladder
1051(5)
Nursing Process: Psychosocial Care of the Client Undergoing Urinary Diversion
1056(2)
Trauma
1058(3)
16 Caring for Clients With Musculoskeletal Disorders
1061(58)
Introduction to the Musculoskeletal System
1061(9)
Anatomy and Physiology
1061(2)
Assessment
1063(4)
Nursing Management
1067(1)
Nursing Process: The Client With a Musculoskeletal Injury
1067(3)
Caring for Clients With Orthopedic and Connective Tissue Disorders
1070(49)
Traumatic Injuries
1070(8)
Nursing Process: The Client With a Fracture
1078(7)
Inflammatory and Infectious Disorders
1085(15)
Nursing Process: The Client With Systemic Lupus Erythematosus
1100(2)
Structural Disorders
1102(2)
Disorders of the Feet
1104(1)
Nursing Care Plan: The Client Undergoing Orthopedic Surgery
1105(3)
Disorders of the Upper Extremity
1108(1)
Bone Tumors
1109(1)
Orthopedic Surgery
1110(1)
Amputation
1111(3)
Nursing Process: Caring for the Client After a Limb Amputation
1114(5)
17 Caring for Clients With Integumentary Disorders
1119(42)
Introduction to the Integumentary System
1119(10)
Anatomy and Physiology
1119(3)
Assessment
1122(4)
Medical and Surgical Treatment of Skin Disorders
1126(3)
Caring for Clients With Skin, Hair, and Nail Disorders
1129(18)
Skin Disorders
1129(4)
Nursing Process: The Client With Psoriasis
1133(5)
Scalp and Hair Disorders
1138(5)
Nail Disorders
1143(4)
Caring for Clients With Burns
1147(14)
Burn Injuries
1147(8)
Nursing Care Plan: The Client With Burns
1155(6)
Appendix A Answers to Stop, Think, and Respond Boxes 1161(12)
Appendix B Nursing Resources 1173(14)
Appendix C Commonly Used Abbreviations and Acronyms 1187(4)
Appendix D Laboratory Values 1191(4)
Glossary 1195(32)
Index 1227


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