COMPLETE TEST BANK LEWIS'S MEDICAL-
SURGICAL NURSING: ASSESSMENT AND
MANAGEMENT OF CLINICAL PROBLEMS BY
MARIANN M. HARDING PHD RN CNE FAADN,
JEFFREY KWONG DNP MPH AGPCNP-BC
FAANP FAAN, DEBRA HAGLER PHD RN ACNS-
BC CNE CHSE ANEF FAAN, COURTNEY
REINISCH RN DNP FNP-BC (2026)
13TH EDITION
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,Table of Contents
Section 1 concepts in nursing practice ............................................................................................ 4
Chapter 01: professional nursing ................................................................................................ 4
Chapter 02: social determinants of health ................................................................................. 14
Chapter 03: health history and physical examination ............................................................... 22
Chapter 04: patient and caregiver teaching ............................................................................... 29
Chapter 05: chronic illness and older adults ............................................................................. 38
Chapter 06: Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and
Gender Diverse Patients ............................................................................................................ 49
Section 2 Problems Related to Comfort and Coping ............................................................... 56
Chapter 07: stress management ................................................................................................ 56
Chapter 08: sleep and sleep disorders ....................................................................................... 61
Chapter 09: pain ........................................................................................................................ 68
Chapter 10: palliative and end-of-life care ............................................................................... 81
Chapter 11: Substance Use Disorders in Acute Care ................................................................ 90
Section 3 Problems Related to Homeostasis and Protection ................................................. 102
Chapter 12: inflammation and healing .................................................................................... 102
Chapter 13: genetics .................................................................................................................112
Chapter 14: immune responses and transplantation.................................................................116
Chapter 15: infection............................................................................................................... 128
Chapter 16: cancer .................................................................................................................. 143
Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances .................................................... 164
Section 4 Perioperative and Emergency Care ........................................................................ 183
Chapter 18: preoperative care ................................................................................................. 183
Chapter 19: intraoperative care ............................................................................................... 193
Chapter 20: postoperative care................................................................................................ 202
Chapter 21: emergency and disaster nursing .......................................................................... 213
Section 5 Problems Related to Altered Sensory Input ........................................................... 226
Chapter 22: assessment and management: visual problems ................................................... 226
Chapter 23: assessment and management: auditory problems ............................................... 245
, Chapter 24: assessment: integumentary system ...................................................................... 255
Chapter 25: integumentary problems ...................................................................................... 262
Chapter 26: burns .................................................................................................................... 274
Section 6 Problems of Oxygenation: Ventilation .................................................................... 288
Chapter 27: assessment: respiratory system ........................................................................... 288
Chapter 28: supporting ventilation.......................................................................................... 299
Chapter 29: upper respiratory problems ................................................................................. 314
Chapter 30: lower respiratory problems ................................................................................. 324
Chapter 31: Problems of Oxygenation: Ventilation ................................................................ 346
Chapter 32: Acute Respiratory Failure and Acute Respiratory Distress Syndrome ............... 364
Section 7 Problems of Oxygenation: Transport ..................................................................... 377
Chapter 33: assessment: hematologic system ......................................................................... 377
Chapter 34: hematologic problems ......................................................................................... 385
Section 8 Problems of Oxygenation: Perfusion ...................................................................... 406
Chapter 35: assessment: cardiovascular system ..................................................................... 406
Chapter 36: hypertension ........................................................................................................ 422
Chapter 37: coronary artery disease and acute coronary syndrome ....................................... 434
Chapter 38: heart failure ......................................................................................................... 454
Chapter 39: dysrhythmias ....................................................................................................... 467
Chapter 40: inflammatory and structural heart disorders ....................................................... 480
Chapter 41: vascular disorders ................................................................................................ 497
Chapter 42: shock, sepsis, and multiple organ dysfunction syndrome ................................... 514
Section 9 Problems of Ingestion, Digestion, Absorption, and Elimination .......................... 531
Chapter 43: assessment: gastrointestinal system .................................................................... 531
Chapter 44: nutrition problems ............................................................................................... 539
Chapter 45: obesity ................................................................................................................. 550
Chapter 46: upper gastrointestinal problems .......................................................................... 560
Chapter 47: lower gastrointestinal problems .......................................................................... 581
Chapter 48: liver, biliary tract, and pancreas problems .......................................................... 606
Section 10 problems of urinary function ................................................................................ 627
Chapter 49: assessment: urinary system ................................................................................. 627
, Chapter 50: renal and urologic problems ................................................................................ 638
Chapter 51: acute kidney injury and chronic kidney disease .................................................. 658
Section 11 problems related to regulatory and reproductive mechanisms .......................... 676
Chapter 52: assessment: endocrine system ............................................................................. 676
Chapter 53: diabetes ................................................................................................................ 686
Chapter 54: endocrine problems ............................................................................................. 709
Chapter 55: assessment: reproductive system......................................................................... 730
Chapter 56: breast problems ................................................................................................... 737
Chapter 57: sexually transmitted infections ............................................................................ 749
Chapter 58: female reproductive problems ............................................................................. 760
Chapter 59: male reproductive problems ................................................................................ 779
Section 12 problems related to movement and coordination ................................................ 796
Chapter 60: assessment: nervous system ................................................................................ 796
Chapter 61: acute intracranial problems ................................................................................. 806
Chapter 62: stroke ................................................................................................................... 826
Chapter 63: chronic neurologic problems ............................................................................... 839
Chapter 64: dementia and delirium ......................................................................................... 856
Chapter 65: spinal cord and peripheral nerve problems ......................................................... 868
Chapter 66: assessment: musculoskeletal system ................................................................... 883
Chapter 67: musculoskeletal trauma and orthopedic surgery ................................................. 891
Chapter 68: musculoskeletal problems ................................................................................... 913
Chapter 69: arthritis and connective tissue diseases ............................................................... 924
SURGICAL NURSING: ASSESSMENT AND
MANAGEMENT OF CLINICAL PROBLEMS BY
MARIANN M. HARDING PHD RN CNE FAADN,
JEFFREY KWONG DNP MPH AGPCNP-BC
FAANP FAAN, DEBRA HAGLER PHD RN ACNS-
BC CNE CHSE ANEF FAAN, COURTNEY
REINISCH RN DNP FNP-BC (2026)
13TH EDITION
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,Table of Contents
Section 1 concepts in nursing practice ............................................................................................ 4
Chapter 01: professional nursing ................................................................................................ 4
Chapter 02: social determinants of health ................................................................................. 14
Chapter 03: health history and physical examination ............................................................... 22
Chapter 04: patient and caregiver teaching ............................................................................... 29
Chapter 05: chronic illness and older adults ............................................................................. 38
Chapter 06: Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and
Gender Diverse Patients ............................................................................................................ 49
Section 2 Problems Related to Comfort and Coping ............................................................... 56
Chapter 07: stress management ................................................................................................ 56
Chapter 08: sleep and sleep disorders ....................................................................................... 61
Chapter 09: pain ........................................................................................................................ 68
Chapter 10: palliative and end-of-life care ............................................................................... 81
Chapter 11: Substance Use Disorders in Acute Care ................................................................ 90
Section 3 Problems Related to Homeostasis and Protection ................................................. 102
Chapter 12: inflammation and healing .................................................................................... 102
Chapter 13: genetics .................................................................................................................112
Chapter 14: immune responses and transplantation.................................................................116
Chapter 15: infection............................................................................................................... 128
Chapter 16: cancer .................................................................................................................. 143
Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances .................................................... 164
Section 4 Perioperative and Emergency Care ........................................................................ 183
Chapter 18: preoperative care ................................................................................................. 183
Chapter 19: intraoperative care ............................................................................................... 193
Chapter 20: postoperative care................................................................................................ 202
Chapter 21: emergency and disaster nursing .......................................................................... 213
Section 5 Problems Related to Altered Sensory Input ........................................................... 226
Chapter 22: assessment and management: visual problems ................................................... 226
Chapter 23: assessment and management: auditory problems ............................................... 245
, Chapter 24: assessment: integumentary system ...................................................................... 255
Chapter 25: integumentary problems ...................................................................................... 262
Chapter 26: burns .................................................................................................................... 274
Section 6 Problems of Oxygenation: Ventilation .................................................................... 288
Chapter 27: assessment: respiratory system ........................................................................... 288
Chapter 28: supporting ventilation.......................................................................................... 299
Chapter 29: upper respiratory problems ................................................................................. 314
Chapter 30: lower respiratory problems ................................................................................. 324
Chapter 31: Problems of Oxygenation: Ventilation ................................................................ 346
Chapter 32: Acute Respiratory Failure and Acute Respiratory Distress Syndrome ............... 364
Section 7 Problems of Oxygenation: Transport ..................................................................... 377
Chapter 33: assessment: hematologic system ......................................................................... 377
Chapter 34: hematologic problems ......................................................................................... 385
Section 8 Problems of Oxygenation: Perfusion ...................................................................... 406
Chapter 35: assessment: cardiovascular system ..................................................................... 406
Chapter 36: hypertension ........................................................................................................ 422
Chapter 37: coronary artery disease and acute coronary syndrome ....................................... 434
Chapter 38: heart failure ......................................................................................................... 454
Chapter 39: dysrhythmias ....................................................................................................... 467
Chapter 40: inflammatory and structural heart disorders ....................................................... 480
Chapter 41: vascular disorders ................................................................................................ 497
Chapter 42: shock, sepsis, and multiple organ dysfunction syndrome ................................... 514
Section 9 Problems of Ingestion, Digestion, Absorption, and Elimination .......................... 531
Chapter 43: assessment: gastrointestinal system .................................................................... 531
Chapter 44: nutrition problems ............................................................................................... 539
Chapter 45: obesity ................................................................................................................. 550
Chapter 46: upper gastrointestinal problems .......................................................................... 560
Chapter 47: lower gastrointestinal problems .......................................................................... 581
Chapter 48: liver, biliary tract, and pancreas problems .......................................................... 606
Section 10 problems of urinary function ................................................................................ 627
Chapter 49: assessment: urinary system ................................................................................. 627
, Chapter 50: renal and urologic problems ................................................................................ 638
Chapter 51: acute kidney injury and chronic kidney disease .................................................. 658
Section 11 problems related to regulatory and reproductive mechanisms .......................... 676
Chapter 52: assessment: endocrine system ............................................................................. 676
Chapter 53: diabetes ................................................................................................................ 686
Chapter 54: endocrine problems ............................................................................................. 709
Chapter 55: assessment: reproductive system......................................................................... 730
Chapter 56: breast problems ................................................................................................... 737
Chapter 57: sexually transmitted infections ............................................................................ 749
Chapter 58: female reproductive problems ............................................................................. 760
Chapter 59: male reproductive problems ................................................................................ 779
Section 12 problems related to movement and coordination ................................................ 796
Chapter 60: assessment: nervous system ................................................................................ 796
Chapter 61: acute intracranial problems ................................................................................. 806
Chapter 62: stroke ................................................................................................................... 826
Chapter 63: chronic neurologic problems ............................................................................... 839
Chapter 64: dementia and delirium ......................................................................................... 856
Chapter 65: spinal cord and peripheral nerve problems ......................................................... 868
Chapter 66: assessment: musculoskeletal system ................................................................... 883
Chapter 67: musculoskeletal trauma and orthopedic surgery ................................................. 891
Chapter 68: musculoskeletal problems ................................................................................... 913
Chapter 69: arthritis and connective tissue diseases ............................................................... 924
