Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition by Donna D. Ignatavicius MS RN CNE CNEcl ANEF FAADN (Author), M. Linda Workman PhD RN FAAN (Author), Cherie Rebar PhD MBA RN CNE CNEcl COI FAADN 2024 Updated

Master the essential medical-surgical nursing content you’ll need for success on the Next Generation NCLEX® Exam (NGN) and safe clinical practice! Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 10th Edition uses a conceptual approach to provide adult health knowledge and help you develop the clinical nursing judgment skills that today’s medical-surgical nurses need to deliver safe, effective care. "Iggy" emphasizes three emerging trends in nursing ― interprofessional collaborative care, concept-based learning, and clinical judgment and systems thinking ― trends that will ground you in how to think like a nurse and how to apply your knowledge in the classroom, simulation laboratory, and clinical settings. A perennial bestseller, "Iggy" also features NCLEX Exam-style Challenge and Mastery questions to prepare you for success on the NGN! Consistent use of interprofessional terminology promotes interprofessional collaboration through the use of a common healthcare language, instead of using isolated nursing-specific diagnostic language. UNIQUE! Enhanced conceptual approach to learning integrates nursing concepts and exemplars, providing a foundation in professional nursing concepts and health and illness concepts, and showing their application in each chapter. Unparalleled emphasis on clinical reasoning and clinical judgment helps you develop these vital skills when applying concepts to clinical situations. Emphasis on QSEN and patient safety focuses on safety and evidence-based practice with Nursing Safety Priority boxes, including Drug Alert, Critical Rescue, and Action Alert boxes. Direct, easy-to-read writing style features concise sentences and straightforward vocabulary. Emphasis on health promotion and community-based care reflects the reality that most adult health care takes place in environments outside of high-acuity (hospital) settings. NEW! Strengthened conceptual approach with data-driven Concept and Exemplar selections adds the concepts of pain, inflammation, and infection, and presents Exemplar disorders with a full nursing-process format and extra depth to help prepare you for the Next Generation NCLEX® Exam (NGN). NEW and UNIQUE! Enhanced focus on clinical judgment and systems thinking ensures alignment with the NCSBN Clinical Judgment Model and emphasizes the six cognitive skills you’ll need for effective clinical judgment, for the NGN, and for safe clinical practice. NEW and UNIQUE! Emphasis on NGN preparation includes chapter-opening Learning Outcomes and chapter-ending Get Ready for the NCLEX Examination! sections, plus NCLEX Examination Challenge questions and new chapter-ending Mastery Questions, with an answer key in the back of the book and on the companion Evolve website. UNIQUE! Interprofessional collaborative approach to care views medical and nursing management through the lens of the nursing process and the NCSBN Clinical Judgment Model and aligns with the Interprofessional Education Collaborative (IPEC) Core Competencies for Interprofessional Collaborative Practice. NEW! Emphasis on need-to-know content provides a solid foundation for beginning nurse generalists, including only the most important patient problems for each medical condition, with streamlined chapters and concise coverage of nursing skills for preoperative and postoperative care. NEW! Updated content throughout reflects the latest national and international evidence-based guidelines and protocols. NEW! Improved learning resources on Evolve are thoroughly updated and closely integrated with the textbook. NEW! Interprofessional Collaboration boxes highlight how the nurse collaborates with other members of the healthcare team. NEW! Ethical/Legal Considerations boxes address dilemmas that medical-surgical nurses face related to technological changes and socioeconomic disparities. NEW! Increased emphasis on home care, health promotion, and community-based care reflects the ongoing shift of care from hospitals to the home environment. NEW! Updated illustrations include new anatomy and physiology images, procedure images, and disorder photos. NEW! Updated drug tables are designed for quick reference and the use of drug trade names is eliminated for better alignment with the NGN. NEW! Coverage of opioid use disorder is updated to reflect the opioid crisis in the U.S. NEW! Content on personal safety and preparedness for mass casualty events has been expanded to equip you for the realities of healthcare today. NEW! Key terms and definitions at the beginning of each chapter give you advance familiarity with essential terminology. NEW! Revised Key Points align closely with Learning Outcomes and each includes a QSEN or Clinical Nursing Concept "tag" to maximize your study efficiency. Table of contents : Title page Table of Contents Priority Concept Exemplars Copyright Contributors Reviewers Preface Dedication About the Authors Acknowledgments Guide to Special Features UNIT I. Concepts for Medical-Surgical Nursing 1. Overview of Professional Nursing Concepts for Medical-Surgical Nursing Quality and Safety Education for Nurses’ Competencies Patient-Centered Care Safety Teamwork and Collaboration Evidence-Based Practice Quality Improvement Informatics Clinical Judgment Ethics Health Care Disparities 2. Clinical Judgment and Systems Thinking Overview Health Care Concepts Individual Patient Care: Critical Thinking, Clinical Reasoning, and Decision Making Individual Patient Care: Clinical Judgment The Health Care System: Environment of Care The Health Care System: Role of the Interprofessional Health care Team The Need for Systems Thinking Moving from Clinical Judgment to Systems Thinking 3. Overview of Health Concepts for Medical-Surgical Nursing Acid-Base Balance Cellular Regulation Clotting Cognition Comfort Elimination Fluid and Electrolyte Balance Gas Exchange Glucose Regulation Immunity Infection Inflammation Mobility Nutrition Pain Perfusion Sensory Perception Sexuality Tissue Integrity 4. Common Health Problems of Older Adults Overview Health Issues for Older Adults in Community-Based Settings Health Issues for Older Adults in Hospitals and Long-Term Care Settings Care Coordination and Transition Management 5. Assessment and Concepts of Care for Patients With Pain Overview of Pain 6. Concepts of Genetics and Genomics Overview Genetic Biology Review Patterns of Inheritance Genetic/Genomic Testing The Role of the Medical-Surgical Nurse in Genetic Counseling Gene Therapy 7. Concepts of Rehabilitation for Chronic and Disabling Health Problems Overview 8. Concepts of Care for Patients at End of Life Overview of Death, Dying, and End of Life Comfort Concept Exemplar: End of Life Ethics and Dying 9. Concepts of Care for Perioperative Patients Surgery Overview Preoperative Phase Postoperative Phase UNIT II. Concepts of Emergency Care and Disaster Preparedness 10. Concepts of Emergency and Trauma Nursing The Emergency Department Environment of Care Staff and Patient Safety Considerations Scope of Emergency Nursing Practice Emergency Nursing Principles Trauma Nursing Principles 11. Concepts of Care for Patients With Common Environmental Emergencies Heat-Related Illnesses Heat Exhaustion Heat Stroke Snakebites and Arthropod Bites and Stings Lightning Injuries Cold-Related Injuries Hypothermia Frostbite Altitude-Related Illnesses Drowning 12. Concepts of Disaster Preparedness Types of Disasters Impact of External Disasters Emergency Preparedness and Response Event Resolution and Debriefing Role of Nursing in Community Emergency Preparedness and Response Psychosocial Response of Survivors to Mass Casualty Events UNIT III. Interprofessional Collaboration for Patients With Problems of Fluid, Electrolyte, and Acid-Base Balance 13. Concepts of Fluid and Electrolyte Balance Anatomy and Physiology Review Fluid and Electrolyte Balance Fluid and Electrolyte Balance Concept Exemplar: Dehydration Fluid Overload Sodium Imbalance: Hyponatremia Sodium Imbalance: Hypernatremia Potassium Imbalance: Hypokalemia Potassium Imbalance: Hyperkalemia Calcium Imbalance: Hypocalcemia Calcium Imbalance: Hypercalcemia Magnesium Imbalance: Hypomagnesemia Magnesium Imbalance: Hypermagnesemia 14. Concepts of Acid-Base Balance Maintaining Acid-Base Balance Acid-Base Chemistry Body Fluid Chemistry Acid-Base Regulatory Actions and Mechanisms Acid-Base Imbalances Acid-Base Balance Concept Exemplar: Acidosis Alkalosis 15. Concepts of Infusion Therapy Overview Peripheral Intravenous Therapy Central Intravenous Therapy Infusion Systems Nursing Care For Patients Receiving Intravenous Therapy Complications of Intravenous Therapy Intravenous Therapy and Care of the Older Adult Subcutaneous Infusion Therapy Intraosseous Infusion Therapy Intra-Arterial Infusion Therapy Intraperitoneal Infusion Therapy Intraspinal Infusion Therapy UNIT IV. Interprofessional Collaboration for Patients With Problems of Immunity 16. Concepts of Inflammation and Immunity Overview General Immunity: Inflammation Adaptive Immunity 17. Concepts of Care for Patients With HIV Disease Immunity Concept Exemplar: HIV Infection And Aids (HIV-III) 18. Concepts of Care for Patients With Hypersensitivity (Allergy) and Autoimmunity Hypersensitivities/Allergies Types of Hypersensitivity Reactions Angioedema Anaphylaxis General Autoimmunity Immunity Concept Exemplar: Systemic Lupus Erythematosus Lyme Disease 19. Concepts of Cancer Development Pathophysiology Review Cancer Development Health Promotion: Cancer Prevention 20. Concepts of Care for Patients With Cancer Impact of Cancer on Physical Function Impaired Immunity and Clotting Altered GI Function Altered Peripheral Nerve Function Motor and Sensory Deficits Altered Respiratory and Cardiac Function Cancer Pain and Quality of Life Cancer Management Surgery Radiation Therapy Cytotoxic Systemic Therapy Oncologic Emergencies Sepsis and Disseminated Intravascular Coagulation Syndrome of Inappropriate Antidiuretic Hormone Spinal Cord Compression Hypercalcemia Superior Vena Cava Syndrome Tumor Lysis Syndrome Survivorship 21. Concepts of Care for Patients With Infection Infection Antimicrobial Resistance Occupational and Environmental Exposure to Sources of Infection Emerging Infectious Diseases and Bioterrorism Problems Resulting from Inadequate Antimicrobial Therapy UNIT V. Interprofessional Collaboration for Patients With Problems of the Skin, Hair, and Nails 22. Assessment of the Skin, Hair, and Nails Anatomy And Physiology Review Assessment: recognize Cues 23. Concepts of Care for Patients With Skin Problems Tissue Integrity Concept Exemplar: Pressure Injury Irritation Skin Disorders Urticaria Inflammatory Skin Disorders Psoriasis Skin Infections Parasitic Disorders Skin Trauma Burns Skin Cancer Life-Threatening Skin Disorders UNIT VI. Interprofessional Collaboration for Patients With Problems of the Respiratory System 24. Assessment of the Respiratory System Anatomy and Physiology Review Health Promotion and Maintenance Assessment: Recognize Cues 25. Concepts of Care for Patients Requiring Oxygen Therapy or Tracheostomy Oxygen Therapy Tracheostomy 26. Concepts of Care for Patients With Noninfectious Upper Respiratory Problems Upper Airway Obstruction Gas Exchange Concept Exemplar: Obstructive Sleep Apnea Epistaxis Fractures of the Nose Facial Trauma Laryngeal Trauma Cancer of the Nose and Sinuses Head and Neck Cancer 27. Concepts of Care for Patients With Noninfectious Lower Respiratory Problems Asthma Gas Exchange Concept Exemplar: Chronic Obstructive Pulmonary Disease Cystic Fibrosis Pulmonary Arterial Hypertension Idiopathic Pulmonary Fibrosis Lung Cancer 28. Concepts of Care for Patients With Infectious Respiratory Problems Seasonal Influenza Pandemic Respiratory Infections Gas Exchange Concept Exemplar: Pneumonia Infection Concept Exemplar: Pulmonary Tuberculosis Rhinosinusitis Peritonsillar Abscess Inhalation Anthrax Endemic/Geographic Respiratory Infection 29. Critical Care of Patients With Respiratory Emergencies Gas Exchange Concept Exemplar: Pulmonary Embolism Acute Respiratory Failure Acute Respiratory Distress Syndrome The Patient Requiring Intubation and Ventilation Chest Trauma Pneumothorax and Hemothorax UNIT VII. Interprofessional Collaboration for Patients With Problems of the Cardiovascular System 30. Assessment of the Cardiovascular System Anatomy and Physiology Review Assessment: Recognize Cues 31. Concepts of Care for Patients With Dysrhythmias Review of Cardiac Conduction System Electrocardiography Common Dysrhythmias Sinus Dysrhythmias Atrial Dysrhythmias Interprofessional Collaborative Care Perfusion Concept Exemplar: Atrial Fibrillation Ventricular Dysrhythmias 32. Concepts of Care for Patients With Cardiac Problems Perfusion Concept Exemplar: Heart Failure Valvular Heart Disease Inflammations and Infections Pericarditis Rheumatic Carditis Cardiomyopathy 33. Concepts of Care for Patients With Vascular Problems Perfusion Concept Exemplar: Hypertension Arteriosclerosis and Atherosclerosis Peripheral Arterial Disease Acute Peripheral Arterial Occlusion Aneurysms of the Central Arteries Aneurysms of the Peripheral Arteries Aortic Dissection Peripheral Venous Disease Clotting Concept Exemplar: Venous Thromboembolism Venous Insufficiency Varicose Veins 34. Critical Care of Patients With Shock Overview Perfusion Concept Exemplar: Hypovolemic Shock Infection Concept Exemplar: Sepsis and Septic Shock 35. Critical Care of Patients With Acute Coronary Syndromes Chronic Stable Angina Pectoris Perfusion Concept Exemplar: Acute Coronary Syndrome UNIT VIII. Interprofessional Collaboration for Patients With Problems of the Hematologic System 36. Assessment of the Hematologic System Anatomy and Physiology Review Assessment: recognize cues 37. Concepts of Care for Patients With Hematologic Problems Perfusion Concept Exemplar: Sickle Cell Disease Anemia Polycythemia Vera Immunity Concept Exemplar: Leukemia and Preleukemia Malignant Lymphomas Multiple Myeloma Thrombocytopenic Purpura Transfusion Therapy UNIT IX. Interprofessional Collaboration for Patients With Problems of the Nervous System 38. Assessment of the Nervous System Anatomy and Physiology Review Assessment: Recognize Cues 39. Concepts of Care for Patients With Problems of the Central Nervous System: The Brain Cognition Concept Exemplar: Alzheimer’s Disease Mobility Concept Exemplar: Parkinson Disease Migraine Headache Seizures and Epilepsy Meningitis 40. Concepts of Care for Patients With Problems of the Central Nervous System: The Spinal Cord Immunity Concept Exemplar: Multiple Sclerosis Mobility Concept Exemplar: Spinal Cord Injury Low Back Pain (Lumbosacral Back Pain) Cervical Neck Pain 41. Critical Care of Patients With Neurologic Emergencies Transient Ischemic Attack Perfusion Concept Exemplar: Stroke Cognition Concept Exemplar: Traumatic Brain Injury Brain Tumors UNIT X. Interprofessional Collaboration for Patients With Problems of the Sensory System 42. Assessment and Concepts of Care for Patients With Eye and Vision Problems Anatomy and Physiology Review Assessment: Recognize cues Sensory Perception Concept Exemplar: Cataract Sensory Perception Concept Exemplar: Glaucoma Corneal Disorders Corneal Abrasion, Ulceration, And Infection Keratoconus Retinal Disorders Retinal Holes, Tears, and Detachments Refractive Errors Trauma 43. Assessment and Concepts of Care for Patients With Ear and Hearing Problems Anatomy and Physiology Review Sensory Perception Concept Exemplar: Hearing Loss Otitis Media External Otitis Cerumen or Foreign Bodies Mastoiditis Tinnitus Ménière Disease Acoustic Neuroma UNIT XI. Interprofessional Collaboration for Patients With Problems of the Musculoskeletal System 44. Assessment of the Musculoskeletal System Anatomy and Physiology Review Assessment: recognize cues 45. Concepts of Care for Patients With Musculoskeletal Problems Cellular Regulation Concept Exemplar: Osteoporosis Osteomyelitis Bone Tumors Disorders of the Hand Disorders Of the Foot 46. Concepts of Care for Patients With Arthritis and Total Joint Arthroplasty Mobility Concept Exemplar: Osteoarthritis Immunity Oncept Exemplar: Rheumatoid Arthritis 47. Concepts of Care for Patients With Musculoskeletal Trauma Mobility Concept Exemplar: Fracture Lower Extremity Fractures Fractures of the Chest and Pelvis Compression Fractures of the Spine Perfusion Concept Exemplar: Amputation Carpal Tunnel Syndrome Knee Injuries Rotator Cuff Injuries UNIT XII. Interprofessional Collaboration for Patients With Problems of the Gastrointestinal System 48. Assessment of the Gastrointestinal System Anatomy and Physiology Review Assessment: Recognize Cues 49. Concepts of Care for Patients With Oral Cavity and Esophageal Problems A Healthy Oral Cavity Tissue Integrity Concept Exemplar: Stomatitis Oral Cavity Disorders Erythroplakia Leukoplakia Oral Cancer Sialadenitis Nutrition Concept Exemplar: Gastroesophageal Reflux Disease (Gerd) Hiatal Hernias Esophageal Tumors Esophageal Trauma 50. Concepts of Care for Patients With Stomach Disorders Gastritis Infection Concept Exemplar: Peptic Ulcer Disease (PUD) Gastric Cancer 51. Concepts of Care for Patients With Noninflammatory Intestinal Disorders Elimination Concept Exemplar: Intestinal Obstruction Colorectal Cancer Irritable Bowel Syndrome Herniation Hemorrhoids 52. Concepts of Care for Patients With Inflammatory Intestinal Disorders Infection Concept Exemplar: Peritonitis Appendicitis Gastroenteritis Inflammation Concept Exemplar: Ulcerative Colitis Crohn’s Disease Diverticular Disease Celiac Disease Parasitic Infection 53. Concepts of Care for Patients With Liver Problems Cellular Regulation Concept Exemplar: Cirrhosis Infection Concept Exemplar: Hepatitis Liver Transplantation 54. Concepts of Care for Patients With Problems of the Biliary System and Pancreas Inflammation Concept Exemplar: Cholecystitis Inflammation Concept Exemplar: Acute Pancreatitis Chronic Pancreatitis Pancreatic Cancer 55. Concepts of Care for Patients With Malnutrition: Undernutrition and Obesity Nutrition Standards for Health Promotion and Maintenance Food Sensitivities Nutrition Assessment Nutrition Concept Exemplar: Undernutrition Nutrition Concept Exemplar: Obesity UNIT XIII. Interprofessional Collaboration for Patients With Problems of the Endocrine System 56. Assessment of the Endocrine System Anatomy and Physiology Review Assessment: Recognize Cues 57. Concepts of Care for Patients With Pituitary and Adrenal Gland Problems Disorders of the Pituitary Gland Hyperpituitarism Diabetes Insipidus Syndrome of Inappropriate Antidiuretic Hormone Disorders of the Adrenal Gland Fluid and electrolyte balance concept exemplar: hypercortisolism (cushing disease) Hyperaldosteronism 58. Concepts of Care for Patients With Problems of the Thyroid and Parathyroid Glands Cellular Regulation Concept Exemplar: Hypothyroidism Hyperthyroidism Thyroiditis Thyroid Cancer Hypoparathyroidism Hyperparathyroidism 59. Concepts of Care for Patients With Diabetes Mellitus Glucose Regulation Concept Exemplar: Diabetes Mellitus UNIT XIV. Interprofessional Collaboration for Patients With Problems of the Renal/Urinary System 60. Assessment of the Renal/Urinary System Anatomy and Physiology Review Assessment: Recognize Cues 61. Concepts of Care for Patients With Urinary Problems Elimination Concept Exemplar: Urinary Incontinence Cystitis Urethritis Urolithiasis Urothelial Cancer 62. Concepts of Care for Patients With Kidney Disorders Elimination Concept Exemplar: Pyelonephritis Acute Glomerulonephritis Chronic Glomerulonephritis Nephrotic Syndrome Nephrosclerosis Polycystic Kidney Disease Hydronephrosis and Hydroureter Renovascular Disease Diabetic Nephropathy Renal Cell Carcinoma Kidney Trauma 63. Concepts of Care for Patients With Acute Kidney Injury and Chronic Kidney Disease Acute Kidney Injury Elimination Concept Exemplar: Chronic Kidney Disease UNIT XV. Interprofessional Collaboration for Patients With Problems of the Reproductive System 64. Assessment of the Reproductive System Anatomy and Physiology Review Assessment: Recognize Cues 65. Concepts of Care for Patients With Breast Disorders Benign Breast Disorders Proliferative Breast Lesion With Atypia: Atypical Hyperplasia Proliferative Breast Lesion Without Atypia: Fibroadenoma Nonproliferative Breast Lesions: Fibrocystic Changes (Fccs) And Cysts Large Breasts Small Breasts Breast Inflammation and Infection Cellular Regulation Concept Exemplar: Breast Cancer 66. Concepts of Care for Patients With Gynecologic Problems Sexuality Concept Exemplar: Uterine Leiomyoma Pelvic Organ Prolapse Endometrial Cancer Ovarian Cancer Cervical Cancer Vulvovaginitis Toxic Shock Syndrome 67. Concepts of Care for Patients With Male Reproductive Problems Elimination Concept Exemplar: Benign Prostatic Hyperplasia Cellular Regulation Concept Exemplar: Prostate Cancer Testicular Cancer Erectile Dysfunction Vasectomy Other Conditions Affecting the Male Reproductive System 68. Concepts of Care for Transgender Patients Patient-Centered Terminology Transgender Health Issues 69. Concepts of Care for Patients With Sexually Transmitted Infections Introduction to Sexually Transmitted Infections Genital Herpes Syphilis Condylomata Acuminata (Genital Warts) Chlamydia Infection Gonorrhea Sexuality, Infection, and Pain Concept Exemplar: Pelvic Inflammatory Disease NCLEX® Examination Challenges Answer Key Mastery Questions Answer Key Index