Introductory Medical-surgical Nursing

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  • Edition: 11th
  • Format: Paperback
  • Copyright: 2013-10-23
  • Publisher: LWW
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  • The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.


This 11th Edition of Timby and Smith’s best-selling text equips LPN/LVN students with the practical knowledge and skills necessary to provide safe and effective nursing care to today's medical-surgical clients.  

Acclaimed for its highly visual and easy-to-understand presentation, this edition prepares you to manage client nursing care in today's changing healthcare environments and eases the transition from classroom to clinical practice. 

  • Increase your understanding of the nursing process and its relationship to the client’s needs through new Nursing Concept Map visuals.
  •  See how the NCLEX-PN exam relates to chapter content through new Integrated NCLEX-PN questions that appear in each chapter.
  • See how research relates to practice through Evidence-Based Practice boxes that include a Clinical Question, Evidence, and Nursing Implications. 
  • Fine tune your understanding of diseases, procedures, signs, symptoms, and normal vs. abnormal comparisons through dynamic visuals that replace text explanations when a picture better tells the story.
  • Enhance your understanding of how pathophysiology, signs and symptoms, and nursing care differ for the older population through updated Gerontologic Considerations displays.
  • Master the special considerations you need to remember when caring for clients who are receiving specific drugs through Pharmacologic Considerations displays.
  • Handle the special nutritional needs of clients with certain types of conditions with Nutrition Notes displays.
  • Increase your understanding of important physiological or pathophysiological concepts by viewing  Concepts in Action Animations on thePoint website.
  • Increase your recall and practical assimilation of concepts with each chapter’s Stop, Think, and Respond exercises.
  • Develop a solid understanding of nursing care with more than 30 Nursing Care Plans (with rationales) that address such issues as Alzheimer's disease, cancer, myocardial infarction, stroke, diabetes mellitus, modified radical mastectomy, and chronic renal failure.
  • Prepare for your future career with Nursing Process sections in each clinical chapter that emphasize a nursing process approach to care and provide rationales in italics for all interventions.
  • Learn the major categories of drugs used for common conditions with the book’s Drug Therapy Tables that list examples of generic and trade names, mechanisms of action, common side effects, and nursing considerations.
  • Learn to perform specific nursing skills and manage client care using the  Nursing Guidelines.

Table of Contents

UNIT 1 Nursing Roles and Responsibilities                                                                      1          Concepts and Trends in Healthcare  2          Settings and Models for Nursing Care  3          The Nursing Process  4          Interviewing and Physical Assessment    5          Legal and Ethical Issues  6          Leadership Roles and Management Functions  UNIT 2 Client Care Concerns                                                                                           7          Nurse–Client Relationships           8          Cultural Care Considerations  9          Complementary and Alternative Therapies  10        End-of-Life Care  UNIT 3 Foundations of Medical-Surgical Nursing                                                            11        Pain Management  12        Infection  13        Intravenous Therapy  14        Perioperative Care  15        Disaster Situations  UNIT 4 Caring for Clients with Multisystem Disorders                                                    16        Caring for Clients with Fluid, Electrolyte, and Acid–Base Imbalances  17        Caring for Clients in Shock  18        Caring for Clients with Cancer  UNIT 5 Caring for Clients with Respiratory Disorders                                                    19        Introduction to the Respiratory System  20        Caring for Clients with Upper Respiratory Disorders  21        Caring for Clients with Lower Respiratory Disorders  UNIT 6 Caring for Clients with Cardiovascular Disorders                                               22        Introduction to the Cardiovascular System  23        Caring for Clients with Infectious and Inflammatory Disorders of the Heart and Blood Vessels  24        Caring for Clients with Valvular Disorders of the Heart  25        Caring for Clients with Disorders of Coronary and Peripheral Blood Vessels  26        Caring for Clients with Cardiac Dysrhythmias  27        Caring for Clients with Hypertension  28        Caring for Clients with Heart Failure  29        Caring for Clients Undergoing Cardiovascular Surgery  UNIT 7 Caring for Clients with Hematopoietic and Lymphatic Disorders                       30        Introduction to the Hematopoietic and Lymphatic Systems  31        Caring for Clients with Disorders of the Hematopoietic System  32        Caring for Clients with Disorders of the Lymphatic System  UNIT 8 Caring for Clients with Immune Disorders                                                          33        Introduction to the Immune System  34        Caring for Clients with Immune-Mediated Disorders  35        Caring for Clients with HIV/AIDS UNIT 9 Caring for Clients with Neurologic Disorders                                                        36        Introduction to the Nervous System  37        Caring for Clients with Central and Peripheral Nervous System Disorders  38        Caring for Clients with Cerebrovascular Disorders  39        Caring for Clients with Head and Spinal Cord Trauma  40        Caring for Clients with Neurologic Deficits  UNIT 10 Caring for Clients with Sensory Disorders                                                          41        Introduction to the Sensory System  42        Caring for Clients with Eye Disorders  43        Caring for Clients with Ear Disorders  UNIT 11 Caring for Clients with Gastrointestinal Disorders                                              44        Introduction to the Gastrointestinal System and Accessory Structures  45        Caring for Clients with Disorders of the Upper Gastrointestinal Tract  46        Caring for Clients with Disorders of the Lower Gastrointestinal Tract  47        Caring for Clients with Disorders of the Liver, Gallbladder, or Pancreas  48        Caring for Clients with Ostomies  UNIT 12 Caring for Clients with Endocrine Disorders                                                       49        Introduction to the Endocrine System  50        Caring for Clients with Disorders of the Endocrine System  51        Caring for Clients with Diabetes Mellitus  UNIT 13 Caring for Clients with Breast and Reproductive Disorders                                52        Introduction to the Reproductive System  53        Caring for Clients with Disorders of the Female Reproductive System  54        Caring for Clients with Breast Disorders  55        Caring for Clients with Disorders of the Male Reproductive System  56        Caring for Clients with Sexually Transmitted Infections  UNIT 14 Caring for Clients with Urinary and Renal Disorders                                          57        Introduction to the Urinary System  58        Caring for Clients with Disorders of the Kidneys and Ureters  59        Caring for Clients with Disorders of the Bladder and Urethra    UNIT 15 Caring for Clients with Musculoskeletal Disorders                                              60        Introduction to the Musculoskeletal System  61        Caring for Clients Requiring Orthopedic Treatment  62        Caring for Clients with Traumatic Musculoskeletal Injuries  63        Caring for Clients with Orthopedic and Connective Tissue Disorders    UNIT 16 Caring for Clients with Integumentary Disorders                                                64        Introduction to the Integumentary System  65        Caring for Clients with Skin, Hair, and Nail Disorders  66        Caring for Clients with Burns  UNIT 17 Caring for Clients with Psychobiologic Disorders                                               67        Interaction of Body and Mind  68        Caring for Clients with Anxiety Disorders  69        Caring for Clients with Mood Disorders  70        Caring for Clients with Eating Disorders  71        Caring for Clients with Chemical Dependence  72        Caring for Clients with Dementia and Thought Disorders  APPENDIX A     Nursing Resources  APPENDIX B     Commonly Used Abbreviations and Acronyms  APPENDIX C     Laboratory Values  Glossary  References and Suggested Readings  Index   

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