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Medical-Surgical Nursing

Medical-Surgical Nursing is a comprehensive and engaging resource for nursing students, equipping them with the essential knowledge and skills required to provide high-quality care. Building on the foundational knowledge and skills acquired in previous nursing courses, this textbook expands students’ learning with concepts in medical-surgical nursing. The offering provides the background to ensure that nursing students are well-versed.

Nursing Medicine

Author: OpenStax
Publisher: LibreTexts
Source: LibreTexts
License: CC BY
Language: EN

Read online Download PDF (open licence)

Contents· 624 sections

01: Professional Medical-Surgical Nursing
1.00: Introduction
1.01: Professional Nursing Practice
1.02: Intercollaborative Care
1.03: Health Policy and Ethical Considerations
1.04: Evidence-Based Practice
1.05: Health-Care Delivery Systems
1.06: Systems-Based Practice
1.07: Technology and Informatics
1.08: Summary
1.09: Key Terms
1.10: Assessments
1.10.00: Review Questions
1.10.01: Check Your Understanding Questions
1.10.02: Reflection Questions
1.10.03: What Should the Nurse Do
1.10.04: Competency-Based Assessments
1.11: References
02: Culturally Competent Care
2.00: Introduction
2.01: Concepts in Culture
2.02: Cultural Assessment
2.03: Health Equity and Disparities
2.04: Summary
2.05: Key Terms
2.06: Assessments
2.6.00: Review Questions
2.6.01: Check Your Understanding Questions
2.6.02: Reflection Questions
2.6.03: What Should the Nurse Do
2.6.04: Competency-Based Assessments
2.07: References
03: Health Promotion and Patient Education
3.00: Introduction
3.01: Health Promotion and Wellness
3.02: Strategies for Improving Healthy Habits
3.03: Challenges Throughout the Lifespan
3.04: Purpose of Health Education and Patient Teaching
3.05: Strategies for Optimal Patient Education
3.06: Summary
3.07: Key Terms
3.08: Assessments
3.8.00: Review Questions
3.8.01: Check Your Understanding Questions
3.8.02: Reflection Questions
3.8.03: What Should the Nurse Do
3.8.04: Competency-Based Assessments
3.09: References
04: Clinical Judgment in the Nursing Process
4.00: Introduction
4.01: Critical Thinking and the Nursing Process
4.02: Clinical Judgment Measurement Model Overview
4.03: Recognizing and Analyzing Cues
4.04: Prioritizing Hypotheses Generating Solutions and Taking Action
4.05: Evaluating Outcomes
4.06: Summary
4.07: Key Terms
4.08: Assessments
4.8.00: Review Questions
4.8.01: Check Your Understanding Questions
4.8.02: Reflection Questions
4.8.03: What Should the Nurse Do
4.8.04: Competency-Based Assessments
4.09: References
05: Ethical Decision Making
5.00: Introduction
5.01: Clinical Judgment and Ethical Dilemmas
5.02: Patient Care and Safety
5.03: Ethical Patient Education
5.04: Ethical Challenges in Scope of Practice
5.05: Summary
5.06: Key Terms
5.07: Assessments
5.7.00: Review Questions
5.7.01: Check Your Understanding Questions
5.7.02: Reflection Questions
5.7.03: What Should the Nurse Do
5.7.04: Competency-Based Assessments
5.08: References
06: Comprehensive Health Assessment and Physical Examination
6.00: Introduction
6.01: Critical Thinking in Assessment
6.02: Effective Communication in the Nurse-Patient Relationship
6.03: Health History
6.04: Bedside Physical Assessment in Medical-Surgical Nursing
6.05: Summary
6.06: Key Terms
6.07: Assessments
6.7.00: Review Questions
6.7.01: Check Your Understanding Questions
6.7.02: Reflection Questions
6.7.03: What Should the Nurse Do
6.7.04: Competency-Based Assessments
6.08: References
07: Pain Assessment and Management
7.00: Introduction
7.01: Concepts and Causes of Pain
7.02: Pain Assessment
7.03: Pharmacological Pain Management
7.04: Nonpharmacological Pain Management
7.05: Substance Use Disorder
7.06: Summary
7.07: Key Terms
7.08: Assessments
7.8.00: Review Questions
7.8.01: Check Your Understanding Questions
7.8.02: Reflection Questions
7.8.03: What Should the Nurse Do
7.8.04: Competency-Based Assessments
7.09: References
08: Stress and Stress-Related Disorders
8.00: Introduction
8.01: Homeostasis Stress and Adaptation
8.02: Causes and Types of Stress
8.03: Stress and Disease
8.04: Physiological Response
8.05: Psychological Response
8.06: Inflammation- Cellular Response to Stress
8.07: Role of Stress in Family Health
8.08: Pharmacotherapy and Complementary and Alternative Medicine
8.09: Summary
8.10: Key Terms
8.11: Assessments
8.11.00: Review Questions
8.11.01: Check Your Understanding Questions
8.11.02: Reflection Questions
8.11.03: What Should the Nurse Do
8.11.04: Competency-Based Assessments
8.12: References
09: Management of Chronic Illness
9.00: Introduction
9.01: Chronic Disease and Illness (Prevalence and Etiology)
9.02: Comorbid Chronic Diseases
9.03: Chronic Illness and Disability
9.04: Access and Barriers to Health Care
9.05: Prevention of Chronic Disease
9.06: The Chronic Care Model
9.07: Care of the Chronically Ill Patient
9.08: Summary
9.09: Key Terms
9.10: Assessments
9.10.00: Review Questions
9.10.01: Check Your Understanding Questions
9.10.02: Reflection Questions
9.10.03: What Should the Nurse Do
9.10.04: Competency-Based Assessments
9.11: References
10: Fluid Electrolyte and Acid-Base Imbalances
10.00: Introduction
10.01: Maintaining Homeostasis
10.02: Fluid Disturbances and Replacement
10.03: Electrolyte Imbalance
10.04: Acid-Base Imbalance
10.05: Summary
10.06: Key Terms
10.07: Assessments
10.7.00: Review Questions
10.7.01: Check Your Understanding Questions
10.7.02: Reflection Questions
10.7.03: What Should the Nurse Do
10.7.04: Competency-Based Assessments
10.08: References
11: Gas Exchange Airway Management and Respiratory System Disorders
11.00: Introduction
11.01: Concepts of Oxygenation and Perfusion
11.02: Upper and Lower Respiratory Assessment
11.03: Disorders of the Upper Respiratory System- Bronchiectasis
11.04: Disorders of the Lower Respiratory System- Asthma
11.05: Disorders of the Lower Respiratory System- Chronic Obstructive Pulmonary Disease
11.06: Disorders of the Lower Respiratory System- Pneumothorax
11.07: Disorders of the Lower Respiratory System- Pneumonia and Aspiration
11.08: Disorders of the Lower Respiratory System- Tuberculosis
11.09: Disorders of the Lower Respiratory System- Cystic Fibrosis
11.10: Effects of Smoking Vaping and Environmental Triggers of the Respiratory System
11.11: Summary
11.12: Key Terms
11.13: Assessments
11.13.00: Review Questions
11.13.01: Check Your Understanding Questions
11.13.02: Reflection Questions
11.13.03: Critical-Thinking Questions about Case Studies
11.13.04: Competency-Based Assessments
11.14: References
12: Cardiovascular System
12.00: Introduction
12.01: Cardiovascular Overview
12.02: Dysrhythmia
12.03: Heart Failure
12.04: Hypertension
12.05: Myocardial Infarction
12.06: Vascular Disorders
12.07: Peripheral Vascular Disease
12.08: Summary
12.09: Key Terms
12.10: Assessments
12.10.00: Review Questions
12.10.01: Check Your Understanding Questions
12.10.02: Reflection Questions
12.10.03: Critical-Thinking Questions about Case Studies
12.10.04: Competency-Based Assessments
12.11: References
13: Musculoskeletal System
13.00: Introduction
13.01: Osteoporosis and Osteopenia
13.02: Osteoarthritis
13.03: Bone Fractures
13.04: Muscular Dystrophy
13.05: Connective Tissue Disease
13.06: Soft Tissue Injuries
13.07: Summary
13.08: Key Terms
13.09: Assessments
13.9.00: Review Questions
13.9.01: Check Your Understanding Questions
13.9.02: Reflection Questions
13.9.03: What Should the Nurse Do
13.9.04: Competency-Based Assessments
13.10: References
14: Integumentary System
14.00: Introduction
14.01: Integumentary Disorders
14.02: Burns
14.03: Dermatologic Conditions
14.04: Summary
14.05: Key Terms
14.06: Assessments
14.6.00: Review Questions
14.6.01: Check Your Understanding Questions
14.6.02: Reflection Questions
14.6.03: What Should the Nurse Do
14.6.04: Competency-Based Assessments
14.07: References
15: Cerebrovascular System
15.00: Introduction
15.01: The Cerebrovascular System and Cerebral Vascular Accidents
15.02: Ischemic Stroke
15.03: Hemorrhagic Stroke
15.04: Summary
15.05: Key Terms
15.06: Assessments
15.6.00: Review Questions
15.6.01: Check Your Understanding Questions
15.6.02: Reflection Questions
15.6.03: Competency-Based Assessments
15.07: References
16: Hematopoietic Disorders and Regulation
16.00: Introduction
16.01: Anemias
16.02: Hereditary Disorders
16.03: Polycythemia
16.04: Thrombocytopenia
16.05: Neutropenia
16.06: Thrombotic Disorder
16.07: Blood Products and Transfusion Principles
16.08: Summary
16.09: Key Terms
16.10: Assessments
16.10.00: Review Questions
16.10.01: Check Your Understanding Questions
16.10.02: Reflection Questions
16.10.03: What Should the Nurse Do
16.10.04: Competency-Based Assessments
16.11: References
17: Nervous System and Chronic Diseases of the Nervous System
17.00: Introduction
17.01: Intracranial Pressure Changes
17.02: Acute Disorders of the Nervous System
17.03: Chronic Disorders of the Nervous System
17.04: Major Neurocognitive Disorder and Neurodegenerative Diseases
17.05: Seizures
17.06: Polyneuropathy
17.07: Chronic Pain Disorders
17.08: Spinal Disorders
17.09: Neurological Injuries
17.10: Summary
17.11: Key Terms
17.12: Assessments
17.12.00: Review Questions
17.12.01: Check Your Understanding Questions
17.12.02: Reflection Questions
17.12.03: What Should the Nurse Do
17.12.04: Competency-Based Assessments
17.13: References
18: Sensory Organs
18.00: Introduction
18.01: Disorders of the Eye
18.02: Disorders of the Ear
18.03: Summary
18.04: Key Terms
18.05: Assessments
18.5.00: Review Questions
18.5.01: Check Your Understanding Questions
18.5.02: Reflection Questions
18.5.03: What Should the Nurse Do
18.5.04: Competency-Based Assessments
18.06: References
19: Gastrointestinal System and Disorders
19.00: Introduction
19.01: Nutritional Disorders
19.02: Disorders of the Oral Cavity
19.03: Parenteral and Enteral Nutrition
19.04: Disorders of the Upper GI System
19.05: Disorders of the Lower GI System
19.06: Hepatic and Biliary Disorders
19.07: Ostomy Care
19.08: Summary
19.09: Key Terms
19.10: Assessments
19.10.00: Review Questions
19.10.01: Check Your Understanding Questions
19.10.02: Reflection Questions
19.10.03: What Should the Nurse Do
19.10.04: Competency-Based Assessments
19.11: References
20: Genitourinary and Reproductive Systems
20.00: Introduction
20.01: Brief Review of Genitourinary and Reproductive Anatomy and Physiology
20.02: Sexually Transmitted Infections
20.03: Male-Specific Disorders of the Reproductive Tract
20.04: Disorders of the Prostate
20.05: Female-Specific Disorders of the Reproductive Tract
20.06: Disorders of the Breast
20.07: Renal Function and Chronic Kidney Disease
20.08: Summary
20.09: Key Terms
20.10: Assessments
20.10.00: Review Questions
20.10.01: Check Your Understanding Questions
20.10.02: Reflection Questions
20.10.03: What Should the Nurse Do
20.10.04: Competency-Based Assessments
20.11: References
21: Endocrine System and Endocrine System Disorders
21.00: Introduction
21.01: Review of Endocrine Anatomy and Physiology
21.02: Diabetes Mellitus
21.03: Thyroid and Parathyroid Disorders
21.04: Pituitary Disorders
21.05: Adrenal Disorders
21.06: Summary
21.07: Key Terms
21.08: Assessments
21.8.00: Review Questions
21.8.01: Check Your Understanding Questions
21.8.02: Reflection Questions
21.8.03: What Should the Nurse Do
21.8.04: Competency-Based Assessments
21.09: References
22: Infection and Infectious Diseases
22.00: Introduction
22.01: Infectious Process
22.02: Viral and Fungal Infections
22.03: Antibiotic Resistance
22.04: Preventing Secondary Infections
22.05: Summary
22.06: Key Terms
22.07: Assessments
22.7.00: Review Questions
22.7.01: Check Your Understanding Questions
22.7.02: Reflection Questions
22.7.03: What Should the Nurse Do
22.7.04: Competency-Based Assessments
22.08: References
23: Shock and Sepsis
23.00: Introduction
23.01: Shock Overview
23.02: Hypovolemic Shock
23.03: Septic Shock
23.04: Neurogenic Shock
23.05: Summary
23.06: Key Terms
23.07: Assessments
23.7.00: Review Questions
23.7.01: Check Your Understanding Questions
23.7.02: Reflection Questions
23.7.03: What Should the Nurse Do
23.7.04: Competency-Based Assessments
23.08: References
24: Management of Patients with Allergic Disorders
24.00: Introduction
24.01: Allergic Response
24.02: Allergic Rhinitis
24.03: Types of Dermatitis
24.04: Urticaria and Angioneurotic Edema
24.05: Allergy to Food
24.06: Allergy to Latex
24.07: Anaphylaxis
24.08: Summary
24.09: Key Terms
24.10: Assessments
24.10.00: Review Questions
24.10.01: Check Your Understanding Questions
24.10.02: Reflection Questions
24.10.03: What Should the Nurse Do
24.10.04: Competency-Based Assessments
24.11: References
25: Preoperative Care
25.00: Introduction
25.01: Preadmission Assessment and Education
25.02: Preoperative Nursing Priorities
25.03: Preoperative Nursing Care Plan
25.04: Special Preoperative Considerations
25.05: Summary
25.06: Key Terms
25.07: Assessments
25.7.00: Review Questions
25.7.01: Check Your Understanding Questions
25.7.02: Reflection Questions
25.7.03: Critical-Thinking Questions about Case Studies
25.7.04: Competency-Based Assessments
25.08: References
26: Intraoperative Care
26.00: Introduction
26.01: Overview of the Surgical Experience
26.02: Intraoperative Considerations
26.03: Intraoperative Nursing Management
26.04: Summary
26.05: Key Terms
26.06: Assessments
26.6.00: Review Questions
26.6.01: Check Your Understanding Questions
26.6.02: Reflection Questions
26.6.03: Critical-Thinking Questions about Case Studies
26.6.04: Competency-Based Assessments
26.07: References
27: Postoperative Care
27.00: Introduction
27.01: Postanesthesia Recovery and Care
27.02: Postoperative Pain Management
27.03: Hospitalized Postoperative Patient
27.04: Postoperative Nursing Care Plan
27.05: Summary
27.06: Key Terms
27.07: Assessments
27.7.00: Review Questions
27.7.01: Check Your Understanding Questions
27.7.02: Reflection Questions
27.7.03: Critical-Thinking Questions about Case Studies
27.7.04: Competency-Based Assessments
27.08: References
28: Inflammation and Healing
28.00: Introduction
28.01: Cellular Response and Adaptation in Wound Healing
28.02: Wound Healing Process
28.03: Pressure Injury
28.04: Debridement
28.05: Wound Care and Dressing
28.06: Medical Management
28.07: Nursing Management and Care Plan
28.08: Summary
28.09: Key Terms
28.10: Assessments
28.10.00: Review Questions
28.10.01: Check Your Understanding Questions
28.10.02: Reflection Questions
28.10.03: What Should the Nurse Do
28.10.04: Competency-Based Assessments
28.11: References
29: Immunological Function
29.00: Introduction
29.01: Immune Response
29.02: Autoimmunity
29.03: Immunodeficiency
29.04: Summary
29.05: Key Terms
29.06: Assessments
29.6.00: Review Questions
29.6.01: Check Your Understanding Questions
29.6.02: Reflection Questions
29.6.03: What Should the Nurse Do
29.6.04: Competency-Based Assessments
29.07: References
30: Genetics
30.00: Introduction
30.01: Genetic Disorders
30.02: Patterns of Inheritance and Mutations
30.03: Testing and Detection
30.04: Summary
30.05: Key Terms
30.06: Assessments
30.6.00: Review Questions
30.6.01: Check Your Understanding Questions
30.6.02: Reflection Questions
30.6.03: What Should the Nurse Do
30.6.04: Competency-Based Assessments
30.07: References
31: Cancer
31.00: Introduction
31.01: Oncological Disorders
31.02: Detection and Prevention of Cancer
31.03: Care of the Patient with Cancer
31.04: Survivorship
31.05: Summary
31.06: Key Terms
31.07: Assessments
31.7.00: Review Questions
31.7.01: Check Your Understanding Questions
31.7.02: Reflection Questions
31.7.03: What Should the Nurse Do
31.7.04: Competency-Based Assessments
31.08: References
32: Palliative Care
32.00: Introduction
32.01: Palliation
32.02: End-of-Life Care
32.03: Assessment
32.04: Psychosocial Support
32.05: Special Considerations
32.06: Summary
32.07: Key Terms
32.08: Assessments
32.8.00: Review Questions
32.8.01: Check Your Understanding Questions
32.8.02: Reflection Questions
32.8.03: What Should the Nurse Do
32.8.04: Competency-Based Assessments
32.09: References
33: Emergency Care
33.00: Introduction
33.01: Triage and Assessment
33.02: Types of Emergency Care
33.03: Managing Risk Exposure
33.04: Forensic Nursing
33.05: Transferring from the Emergency Department
33.06: Summary
33.07: Key Terms
33.08: Assessments
33.8.00: Review Questions
33.8.01: Check Your Understanding Questions
33.8.02: Reflection Questions
33.8.03: What Should the Nurse Do
33.8.04: Competency-Based Assessments
33.09: References
34: Disaster and Recovery
34.00: Introduction
34.01: Environmental Disasters
34.02: Biological and Technological Disasters
34.03: Epidemics and Pandemics
34.04: Community Response to Disaster
34.05: Hospital Preparedness for Disasters
34.06: Summary
34.07: Key Terms
34.08: Assessments
34.8.00: Review Questions
34.8.01: Check Your Understanding Questions
34.8.02: Reflection Questions
34.8.03: What Should the Nurse Do
34.8.04: Competency-Based Assessments
34.09: References
35: Nursing Care of the Critically Ill Patient
35.00: Introduction
35.01: Assessment and Management of the Critically Ill Patient
35.02: Cardiovascular Concerns
35.03: Respiratory Concerns
35.04: Neurological Concerns
35.05: Gastrointestinal Concerns
35.06: Renal Concerns
35.07: Integumentary Concerns
35.08: Musculoskeletal Concerns
35.09: Summary
35.10: Key Terms
35.11: Assessments
35.11.00: Review Questions
35.11.01: Check Your Understanding Questions
35.11.02: Reflection Questions
35.11.03: What Should the Nurse Do
35.11.04: Competency-Based Assessments
35.12: References
36: Home Health Nursing and Rehabilitation
36.00: Introduction
36.01: Home Health Care
36.02: Rehabilitative Care
36.03: Additional Care Settings in the Community
36.04: Transition and Continuity of Care
36.05: Summary
36.06: Key Terms
36.07: Assessments
36.7.00: Review Questions
36.7.01: Check Your Understanding Questions
36.7.02: Reflection Questions
36.7.03: What Should the Nurse Do
36.08: References
37: Trends in Health-Care Technology
37.00: Introduction
37.01: Telemedicine and Artificial Intelligence
37.02: Health Informatics
37.03: Influences on Delivery of Health Care
37.04: Summary
37.05: Key Terms
37.06: Assessments
37.6.00: Review Questions
37.6.01: Check Your Understanding Questions
37.6.02: Reflection Questions
37.6.03: What Should the Nurse Do
37.6.04: Competency-Based Assessments
37.07: References
38: Unfolding Case Study and NCLEX Preparation
38.00: Introduction
38.01: Unfolding Case Study Dissection
38.02: NCLEX Preparation
38.03: Summary
38.04: Assessments
38.4.00: Review Questions
38.4.01: Check Your Understanding Questions
38.4.02: Reflection Questions
38.4.03: Competency-Based Assessments
39: Appendix
39.00: Appendix A- Diagnostic Studies and Interpretation
39.01: Appendix B- Major Fluid and Electrolyte Imbalances
40: Answer Key
40.00: Chapter 6
40.01: Chapter 7
40.02: Chapter 8
40.03: Chapter 11
40.04: Chapter 12
40.05: Chapter 13
40.06: Chapter 19
40.07: Chapter 20
40.08: Chapter 23
40.09: Chapter 25
40.10: Chapter 26
40.11: Chapter 27
40.12: Chapter 33
40.13: Chapter 35