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Lewis's Medical-Surgical Nursing

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Gain the knowledge and skills you need to succeed in medical-surgical nursing with this leading textbook! Lewis's Medical-Surgical Nursing, 12th Edition uses a conversational writing style, a focus on nursing concepts and clinical trends, evidence-based content, and basic pathophysiology review to provide the solid foundation needed in a rapidly changing healthcare environment. Comprehensive chapters cover topics including nursing management and collaboration, health promotion, acute interventions, and ambulatory care. Summary tables and boxes make it easy to find essential information, and a building-block approach makes even the most complex concepts simple to grasp. In addition to three new chapters, this edition includes a stronger focus on the nursing process, clinical judgment, and preparation for the Next-Generation NCLEX® Examination.

  • Content written and reviewed by leading experts in the field ensures that information is comprehensive, current, and clinically accurate.
  • Interprofessional care is addressed in special Interprofessional Care sections and Interprofessional Care tables.
  • Bridge to the NCLEX® Examination review questions reinforce key content and include both standard and alternate item format questions to help you prepare for the NCLEX exam.
  • Coverage of cultural and ethnic health disparities highlights important issues such as risk factors, economic aspects, and access to health care.
  • Coverage of gerontology and chronic illness is addressed in a separate chapter and highlighted in special gerontologic tables.
  • Pathophysiology maps use flowcharts to outline complex concepts related to diseases, making them easier to understand.
  • Focused Assessment boxes provide brief checklists for a practical "assessment on the run" or bedside approach to assessment, and can be used to evaluate the status of previously identified health problems and monitor for signs of new problems.
  • Safety Alert boxes highlight patient safety issues and focus on the National Patient Safety Goals.
  • Nutritional Therapy tables summarize nutritional interventions and strategies for promoting healthy lifestyles.
  • Promoting Population Health boxes summarize health care goals as they relate to specific disorders such as cancer and diabetes, and identify strategies for health promotion.
  • Drug Therapy tables and Drug Alerts highlight important safety considerations for key drugs.
  • Check Your Practice boxes challenge you to think critically, analyze patient assessment data, and implement appropriate interventions.
  • Coverage of genetics includes a separate chapter on genetics, Genetics in Clinical Practice boxes covering disorders and genetic testing, risk alerts, and links to disorders.
  • Focus on patient and caregiver teaching shows how you can help patients and caregivers learn to manage chronic illnesses and conditions.
  • Ethical / Legal Dilemmas boxes introduce key topics such as informed consent, advance directives, and confidentiality.

1. Cover image - p. i 2. Title page - p. ii 3. Disclaimer - p. ii 4. Table of Contents - p. iii 5. Copyright - p. iv 6. About the Authors - p. v 7. Contributors - p. vii 8. Authors of Teaching and Learning Resources - p. xi 9. Preface - p. xv 10. Concept Exemplars - p. xxi 11. Special Features - p. xxiii 12. Reviewers - p. xiii 13. Section 1. Concepts in Nursing Practice - p. xiii 14. 1. Professional Nursing - p. 1 15. 2. Social Determinants of Health - p. 19 16. 3. Health History and Physical Examination - p. 36 17. 4. Patient and Caregiver Teaching - p. 49 18. 5. Chronic Illness and Older Adults - p. 63 19. 6. Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and Gender Diverse Patients - p. 81 20. Section 2. Problems Related to Comfort and Coping - p. 91 21. 7. Stress Management - p. 93 22. 8. Sleep and Sleep Disorders - p. 105 23. 9. Pain - p. 119 24. 10. Palliative and End-of-Life Care - p. 146 25. 11. Substance Use Disorders in Acute Care - p. 162 26. Section 3. Problems Related to Homeostasis and Protection - p. 177 27. 12. Inflammation and Healing - p. 179 28. 13. Genetics - p. 199 29. 14. Immune Responses and Transplantation - p. 213 30. 15. Infection - p. 237 31. 16. Cancer - p. 265 32. 17. Fluid, Electrolyte, and Acid-Base Imbalances - p. 302 33. Section 4. Perioperative and Emergency Care - p. 334 34. 18. Preoperative Care - p. 335 35. 19. Intraoperative Care - p. 350 36. 20. Postoperative Care - p. 365 37. 21. Emergency and Disaster Nursing - p. 385 38. Section 5. Problems Related to Altered Sensory Input - p. 405 39. 22. Assessment and Management: Visual Problems - p. 407 40. 23. Assessment and Management: Auditory Problems - p. 436 41. 24. Assessment: Integumentary System - p. 456 42. 25. Integumentary Problems - p. 471 43. 26. Burns - p. 494 44. Section 6. Problems of Oxygenation: Ventilation - p. 514 45. 27. Assessment: Respiratory System - p. 515 46. 28. Supporting Ventilation - p. 539 47. 29. Upper Respiratory Problems - p. 577 48. 30. Lower Respiratory Problems - p. 596 49. 31. Obstructive Pulmonary Diseases - p. 632 50. 32. Acute Respiratory Failure and Acute Respiratory Distress Syndrome - p. 672 51. Section 7. Problems of Oxygenation: Transport - p. 692 52. 33. Assessment: Hematologic System - p. 693 53. 34. Hematologic Problems - p. 715 54. Anemia - p. 716 55. Nursing and Interprofessional Management: Anemia - p. 717 56. Anemia Caused by Decreased RBC Production - p. 718 57. Megaloblastic Anemias - p. 721 58. Anemia Caused by Blood Loss - p. 723 59. Anemia Caused by Increased RBC Destruction - p. 724 60. Other Red Blood Cell Disorders - p. 728 61. Problems of Hemostasis - p. 731 62. Lymphomas - p. 750 63. Section 8. Problems of Oxygenation: Perfusion - p. 766 64. 35. Assessment: Cardiovascular System - p. 767 65. 36. Hypertension - p. 797 66. 37. Coronary Artery Disease and Acute Coronary Syndrome - p. 819 67. Coronary Artery Disease - p. 819 68. Interprofessional and Nursing MANAGEMENT: Coronary Artery Disease - p. 824 69. Chronic Stable Angina - p. 830 70. Interprofessional and Nursing Care: Chronic Stable Angina - p. 832 71. Acute Coronary Syndrome - p. 840 72. Unstable Angina - p. 841 73. St-Elevation and Non–St-Elevation Myocardial Infarction - p. 841 74. Interprofessional Care: Acute Coronary Syndrome - p. 846 75. Nursing Management: Acute Coronary Syndrome - p. 849 76. Sudden Cardiac Death - p. 855 77. 38. Heart Failure - p. 859 78. 39. Dysrhythmias - p. 884 79. 40. Inflammatory and Structural Heart Disorders - p. 909 80. 41. Vascular Disorders - p. 932 81. 42. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome - p. 961 82. Section 9. Problems of Ingestion, Digestion, Absorption, and Elimination - p. 985 83. 43. Assessment: Gastrointestinal System - p. 987 84. 44. Nutrition Problems - p. 1009 85. 45. Obesity - p. 1030 86. 46. Upper Gastrointestinal Problems - p. 1050 87. 47. Lower Gastrointestinal Problems - p. 1088 88. Diarrhea - p. 1089 89. Nursing Management: Acute Infectious Diarrhea - p. 1091 90. Fecal Incontinence - p. 1092 91. Nursing Management: Fecal Incontinence - p. 1093 92. Constipation - p. 1094 93. Nursing Management: Constipation - p. 1096 94. Acute Abdominal Pain and Laparotomy - p. 1097 95. Nursing Management: Acute Abdominal Pain - p. 1098 96. Abdominal Trauma - p. 1100 97. Chronic Abdominal Pain - p. 1101 98. Inflammatory Disorders - p. 1102 99. Malabsorption Syndrome - p. 1126 100. Anorectal Problems - p. 1129 101. 48. Liver, Biliary Tract, and Pancreas Problems - p. 1135 102. Liver Problems - p. 1135 103. Pancreas Problems - p. 1160 104. Biliary Tract Problems - p. 1166 105. Section 10. Problems of Urinary Function - p. 1175 106. 49. Assessment: Urinary System - p. 1177 107. 50. Renal and Urologic Problems - p. 1195 108. 51. Acute Kidney Injury and Chronic Kidney Disease - p. 1232 109. Section 11. Problems Related to Regulatory and Reproductive Mechanisms - p. 1264 110. 52. Assessment: Endocrine System - p. 1265 111. 53. Diabetes - p. 1285 112. 54. Endocrine Problems - p. 1322 113. 55. Assessment: Reproductive System - p. 1352 114. 56. Breast Problems - p. 1371 115. 57. Sexually Transmitted Infections - p. 1395 116. 58. Female Reproductive Problems - p. 1412 117. 59. Male Reproductive Problems - p. 1434 118. Section 12. Problems Related to Movement and Coordination - p. 1460 119. 60. Assessment: Nervous System - p. 1461 120. 61. Acute Intracranial Problems - p. 1483 121. 62. Stroke - p. 1515 122. 63. Chronic Neurologic Problems - p. 1538 123. 64. Dementia and Delirium - p. 1573 124. 65. Spinal Cord and Peripheral Nerve Problems - p. 1594 125. 66. Assessment: Musculoskeletal System - p. 1622 126. 67. Musculoskeletal Trauma and Orthopedic Surgery - p. 1638 127. 68. Musculoskeletal Problems - p. 1674 128. 69. Arthritis and Connective Tissue Diseases - p. 1696 129. Appendix. Basic Life Support for Health Care Providers - p. 1732 130. AppendixB. Clinical Problems With Definitions - p. 1735 131. AppendixC. Laboratory Reference Intervals - p. 1737 132. Index - p. I-1 133. Abbreviations - p. 1747

Descripcion
Descripción

Gain the knowledge and skills you need to succeed in medical-surgical nursing with this leading textbook! Lewis's Medical-Surgical Nursing, 12th Edition uses a conversational writing style, a focus on nursing concepts and clinical trends, evidence-based content, and basic pathophysiology review to provide the solid foundation needed in a rapidly changing healthcare environment. Comprehensive chapters cover topics including nursing management and collaboration, health promotion, acute interventions, and ambulatory care. Summary tables and boxes make it easy to find essential information, and a building-block approach makes even the most complex concepts simple to grasp. In addition to three new chapters, this edition includes a stronger focus on the nursing process, clinical judgment, and preparation for the Next-Generation NCLEX® Examination.

  • Content written and reviewed by leading experts in the field ensures that information is comprehensive, current, and clinically accurate.
  • Interprofessional care is addressed in special Interprofessional Care sections and Interprofessional Care tables.
  • Bridge to the NCLEX® Examination review questions reinforce key content and include both standard and alternate item format questions to help you prepare for the NCLEX exam.
  • Coverage of cultural and ethnic health disparities highlights important issues such as risk factors, economic aspects, and access to health care.
  • Coverage of gerontology and chronic illness is addressed in a separate chapter and highlighted in special gerontologic tables.
  • Pathophysiology maps use flowcharts to outline complex concepts related to diseases, making them easier to understand.
  • Focused Assessment boxes provide brief checklists for a practical "assessment on the run" or bedside approach to assessment, and can be used to evaluate the status of previously identified health problems and monitor for signs of new problems.
  • Safety Alert boxes highlight patient safety issues and focus on the National Patient Safety Goals.
  • Nutritional Therapy tables summarize nutritional interventions and strategies for promoting healthy lifestyles.
  • Promoting Population Health boxes summarize health care goals as they relate to specific disorders such as cancer and diabetes, and identify strategies for health promotion.
  • Drug Therapy tables and Drug Alerts highlight important safety considerations for key drugs.
  • Check Your Practice boxes challenge you to think critically, analyze patient assessment data, and implement appropriate interventions.
  • Coverage of genetics includes a separate chapter on genetics, Genetics in Clinical Practice boxes covering disorders and genetic testing, risk alerts, and links to disorders.
  • Focus on patient and caregiver teaching shows how you can help patients and caregivers learn to manage chronic illnesses and conditions.
  • Ethical / Legal Dilemmas boxes introduce key topics such as informed consent, advance directives, and confidentiality.

1. Cover image - p. i 2. Title page - p. ii 3. Disclaimer - p. ii 4. Table of Contents - p. iii 5. Copyright - p. iv 6. About the Authors - p. v 7. Contributors - p. vii 8. Authors of Teaching and Learning Resources - p. xi 9. Preface - p. xv 10. Concept Exemplars - p. xxi 11. Special Features - p. xxiii 12. Reviewers - p. xiii 13. Section 1. Concepts in Nursing Practice - p. xiii 14. 1. Professional Nursing - p. 1 15. 2. Social Determinants of Health - p. 19 16. 3. Health History and Physical Examination - p. 36 17. 4. Patient and Caregiver Teaching - p. 49 18. 5. Chronic Illness and Older Adults - p. 63 19. 6. Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and Gender Diverse Patients - p. 81 20. Section 2. Problems Related to Comfort and Coping - p. 91 21. 7. Stress Management - p. 93 22. 8. Sleep and Sleep Disorders - p. 105 23. 9. Pain - p. 119 24. 10. Palliative and End-of-Life Care - p. 146 25. 11. Substance Use Disorders in Acute Care - p. 162 26. Section 3. Problems Related to Homeostasis and Protection - p. 177 27. 12. Inflammation and Healing - p. 179 28. 13. Genetics - p. 199 29. 14. Immune Responses and Transplantation - p. 213 30. 15. Infection - p. 237 31. 16. Cancer - p. 265 32. 17. Fluid, Electrolyte, and Acid-Base Imbalances - p. 302 33. Section 4. Perioperative and Emergency Care - p. 334 34. 18. Preoperative Care - p. 335 35. 19. Intraoperative Care - p. 350 36. 20. Postoperative Care - p. 365 37. 21. Emergency and Disaster Nursing - p. 385 38. Section 5. Problems Related to Altered Sensory Input - p. 405 39. 22. Assessment and Management: Visual Problems - p. 407 40. 23. Assessment and Management: Auditory Problems - p. 436 41. 24. Assessment: Integumentary System - p. 456 42. 25. Integumentary Problems - p. 471 43. 26. Burns - p. 494 44. Section 6. Problems of Oxygenation: Ventilation - p. 514 45. 27. Assessment: Respiratory System - p. 515 46. 28. Supporting Ventilation - p. 539 47. 29. Upper Respiratory Problems - p. 577 48. 30. Lower Respiratory Problems - p. 596 49. 31. Obstructive Pulmonary Diseases - p. 632 50. 32. Acute Respiratory Failure and Acute Respiratory Distress Syndrome - p. 672 51. Section 7. Problems of Oxygenation: Transport - p. 692 52. 33. Assessment: Hematologic System - p. 693 53. 34. Hematologic Problems - p. 715 54. Anemia - p. 716 55. Nursing and Interprofessional Management: Anemia - p. 717 56. Anemia Caused by Decreased RBC Production - p. 718 57. Megaloblastic Anemias - p. 721 58. Anemia Caused by Blood Loss - p. 723 59. Anemia Caused by Increased RBC Destruction - p. 724 60. Other Red Blood Cell Disorders - p. 728 61. Problems of Hemostasis - p. 731 62. Lymphomas - p. 750 63. Section 8. Problems of Oxygenation: Perfusion - p. 766 64. 35. Assessment: Cardiovascular System - p. 767 65. 36. Hypertension - p. 797 66. 37. Coronary Artery Disease and Acute Coronary Syndrome - p. 819 67. Coronary Artery Disease - p. 819 68. Interprofessional and Nursing MANAGEMENT: Coronary Artery Disease - p. 824 69. Chronic Stable Angina - p. 830 70. Interprofessional and Nursing Care: Chronic Stable Angina - p. 832 71. Acute Coronary Syndrome - p. 840 72. Unstable Angina - p. 841 73. St-Elevation and Non–St-Elevation Myocardial Infarction - p. 841 74. Interprofessional Care: Acute Coronary Syndrome - p. 846 75. Nursing Management: Acute Coronary Syndrome - p. 849 76. Sudden Cardiac Death - p. 855 77. 38. Heart Failure - p. 859 78. 39. Dysrhythmias - p. 884 79. 40. Inflammatory and Structural Heart Disorders - p. 909 80. 41. Vascular Disorders - p. 932 81. 42. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome - p. 961 82. Section 9. Problems of Ingestion, Digestion, Absorption, and Elimination - p. 985 83. 43. Assessment: Gastrointestinal System - p. 987 84. 44. Nutrition Problems - p. 1009 85. 45. Obesity - p. 1030 86. 46. Upper Gastrointestinal Problems - p. 1050 87. 47. Lower Gastrointestinal Problems - p. 1088 88. Diarrhea - p. 1089 89. Nursing Management: Acute Infectious Diarrhea - p. 1091 90. Fecal Incontinence - p. 1092 91. Nursing Management: Fecal Incontinence - p. 1093 92. Constipation - p. 1094 93. Nursing Management: Constipation - p. 1096 94. Acute Abdominal Pain and Laparotomy - p. 1097 95. Nursing Management: Acute Abdominal Pain - p. 1098 96. Abdominal Trauma - p. 1100 97. Chronic Abdominal Pain - p. 1101 98. Inflammatory Disorders - p. 1102 99. Malabsorption Syndrome - p. 1126 100. Anorectal Problems - p. 1129 101. 48. Liver, Biliary Tract, and Pancreas Problems - p. 1135 102. Liver Problems - p. 1135 103. Pancreas Problems - p. 1160 104. Biliary Tract Problems - p. 1166 105. Section 10. Problems of Urinary Function - p. 1175 106. 49. Assessment: Urinary System - p. 1177 107. 50. Renal and Urologic Problems - p. 1195 108. 51. Acute Kidney Injury and Chronic Kidney Disease - p. 1232 109. Section 11. Problems Related to Regulatory and Reproductive Mechanisms - p. 1264 110. 52. Assessment: Endocrine System - p. 1265 111. 53. Diabetes - p. 1285 112. 54. Endocrine Problems - p. 1322 113. 55. Assessment: Reproductive System - p. 1352 114. 56. Breast Problems - p. 1371 115. 57. Sexually Transmitted Infections - p. 1395 116. 58. Female Reproductive Problems - p. 1412 117. 59. Male Reproductive Problems - p. 1434 118. Section 12. Problems Related to Movement and Coordination - p. 1460 119. 60. Assessment: Nervous System - p. 1461 120. 61. Acute Intracranial Problems - p. 1483 121. 62. Stroke - p. 1515 122. 63. Chronic Neurologic Problems - p. 1538 123. 64. Dementia and Delirium - p. 1573 124. 65. Spinal Cord and Peripheral Nerve Problems - p. 1594 125. 66. Assessment: Musculoskeletal System - p. 1622 126. 67. Musculoskeletal Trauma and Orthopedic Surgery - p. 1638 127. 68. Musculoskeletal Problems - p. 1674 128. 69. Arthritis and Connective Tissue Diseases - p. 1696 129. Appendix. Basic Life Support for Health Care Providers - p. 1732 130. AppendixB. Clinical Problems With Definitions - p. 1735 131. AppendixC. Laboratory Reference Intervals - p. 1737 132. Index - p. I-1 133. Abbreviations - p. 1747

Indice
Autores
Muestra
Ficha Técnica