,Study Guide for Medical-
Surgical Nursing
Concepts for Clinical Judgment
and Collaborative Care
Eleventh Edition
Donna D. Ignatavicius, Cherie R. Rebar,
MS, RN, CNE, CNEcl, ANEF, FAADN PhD, MBA, RN, CNE, CNEcl, COI,
Speaker and Nursing Education FAADN
Consultant; Subject Matter Expert and Nursing
Founder, Boot Camp for Nurse Educators®; Education Consultant
President, DI Associates, Inc. Beavercreek, Ohio;
Littleton, Colorado Professor of Nursing, Galen College
of Nursing
Nicole M. Heimgartner, Louisville, Kentucky
DNP, RN, CNE, CNEcl, COI, FAADN
Subject Matter Expert and Nursing
Education Consultant;
Associate Professor of Nursing,
Galen College of Nursing
Louisville, Kentucky
Study Guide prepared by
Donna D. Ignatavicius, Cherie R. Rebar,
MS, RN, CNE, CNEcl, ANEF, FAADN PhD, MBA, RN, CNE, CNEcl, COI,
FAADN
,Elsevier
3251 Riverport Lane
St. Louis, Missouri 63043
STUDY GUIDE FOR MEDICAL-SURGICAL NURSING: CONCEPTS FOR ISBN: 978-0-323-87832-6
CLINICAL JUDGMENT AND COLLABORATIVE CARE, ELEVENTH EDITION
Copyright © 2024 by Elsevier Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic
or mechanical, including photocopying, recording, or any information storage and retrieval system,
without permission in writing from the publisher, except that, until further notice, instructors requiring
their students to purchase Study Guide for Medical-Surgical Nursing: Concepts for Clinical Judgment
and Collaborative Care by Donna D. Ignatavicius and Cherie R. Rebar, may reproduce the contents or
parts thereof for instructional purposes, provided each copy contains a proper copyright notice as
follows: Copyright © 2024 by Elsevier Inc.
Details on how to seek permission, further information about the Publisher’s permissions policies and our
arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing
Agency, can be found at our website: www.elsevier.com/permissions
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Although for mechanical reasons all pages of this publication are perforated, only those pages imprinted with
an Elsevier Inc. copyright notice are intended for removal.
Notice
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds, or experiments described herein. Because of rapid
advances in the medical sciences, in particular, independent verication of diagnoses and drug dosages
should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors,
or contributors for any injury and/or damage to persons or property as a matter of products liability,
negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas
contained in the material herein.
Previous editions copyrighted 2021, 2018, 2016, 2013, 2010, 2006, 1999, 1995, and 1991.
Executive Content Strategist: Lee Henderson
Senior Content Development Specialist: Rebecca Leenhouts
Publishing Services Manager: Deepthi Unni
Project Manager: Sheik Mohideen K
Design Direction: Gopalakrishnan Venkatraman
Printed in Canada
Last digit is the print number: 9 8 7 6 5 4 3 2 1
, Preface
e Study Guide for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care,
eleventh edition, is a companion publication for Ignatavicius, Rebar, and Heimgartner’s Medical-Surgical
Nursing: Concepts for Clinical Judgment and Collaborative Care, eleventh edition. is Study Guide, written
by Donna Ignatavicius and Cherie Rebar, will help to ensure mastery of the textbook material and help you
learn about collaborative practice in the care of the adult medical-surgical patient.
e eleventh edition has been carefully revised and updated for an increased emphasis on utilization of clinical
judgment skills.
e overall organization of the Study Guide for Medical-Surgical Nursing: Concepts for Clinical Judgment and
Collaborative Care directly corresponds to the unit/chapter name and number in the textbook so that you or
your instructor can readily select the corresponding learning exercises in the Study Guide. Chapters contain:
• Learning Outcomes that mirror those in the textbook
• Preliminary Reading to help you focus on knowledge needed to complete the activities in the
Study Guide
• Chapter Review activities geared to provide review of key information in the textbook; examples
of activities included are matching terms, ll-in-the-blank phrases, “hot spot” identication on
pictures, true and false, and short answer (and others!).
• Learning Assessment NCLEX-RN®–style questions that are designed to encourage prioritizing, use
of clinical judgment, participation in interprofessional collaboration, and application of the steps
of the nursing process. Questions have been created to emphasize the NCLEX-RN ® priorities of
safety, patient-centered care, and evidence-based practice.
Answers and rationales to the Study/Review Questions are provided for each chapter.
e Study Guide for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care is a practical
tool to help you prepare for classroom examinations and standardized tests as well serve as a review for clinical
practice. is improved format will help you review and apply medical-surgical content and help you prepare for
the Next-Generation NCLEX® Examination.
Copyright © 2024, Elsevier Inc. All rights reserved. iii
Surgical Nursing
Concepts for Clinical Judgment
and Collaborative Care
Eleventh Edition
Donna D. Ignatavicius, Cherie R. Rebar,
MS, RN, CNE, CNEcl, ANEF, FAADN PhD, MBA, RN, CNE, CNEcl, COI,
Speaker and Nursing Education FAADN
Consultant; Subject Matter Expert and Nursing
Founder, Boot Camp for Nurse Educators®; Education Consultant
President, DI Associates, Inc. Beavercreek, Ohio;
Littleton, Colorado Professor of Nursing, Galen College
of Nursing
Nicole M. Heimgartner, Louisville, Kentucky
DNP, RN, CNE, CNEcl, COI, FAADN
Subject Matter Expert and Nursing
Education Consultant;
Associate Professor of Nursing,
Galen College of Nursing
Louisville, Kentucky
Study Guide prepared by
Donna D. Ignatavicius, Cherie R. Rebar,
MS, RN, CNE, CNEcl, ANEF, FAADN PhD, MBA, RN, CNE, CNEcl, COI,
FAADN
,Elsevier
3251 Riverport Lane
St. Louis, Missouri 63043
STUDY GUIDE FOR MEDICAL-SURGICAL NURSING: CONCEPTS FOR ISBN: 978-0-323-87832-6
CLINICAL JUDGMENT AND COLLABORATIVE CARE, ELEVENTH EDITION
Copyright © 2024 by Elsevier Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic
or mechanical, including photocopying, recording, or any information storage and retrieval system,
without permission in writing from the publisher, except that, until further notice, instructors requiring
their students to purchase Study Guide for Medical-Surgical Nursing: Concepts for Clinical Judgment
and Collaborative Care by Donna D. Ignatavicius and Cherie R. Rebar, may reproduce the contents or
parts thereof for instructional purposes, provided each copy contains a proper copyright notice as
follows: Copyright © 2024 by Elsevier Inc.
Details on how to seek permission, further information about the Publisher’s permissions policies and our
arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing
Agency, can be found at our website: www.elsevier.com/permissions
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Although for mechanical reasons all pages of this publication are perforated, only those pages imprinted with
an Elsevier Inc. copyright notice are intended for removal.
Notice
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds, or experiments described herein. Because of rapid
advances in the medical sciences, in particular, independent verication of diagnoses and drug dosages
should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors,
or contributors for any injury and/or damage to persons or property as a matter of products liability,
negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas
contained in the material herein.
Previous editions copyrighted 2021, 2018, 2016, 2013, 2010, 2006, 1999, 1995, and 1991.
Executive Content Strategist: Lee Henderson
Senior Content Development Specialist: Rebecca Leenhouts
Publishing Services Manager: Deepthi Unni
Project Manager: Sheik Mohideen K
Design Direction: Gopalakrishnan Venkatraman
Printed in Canada
Last digit is the print number: 9 8 7 6 5 4 3 2 1
, Preface
e Study Guide for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care,
eleventh edition, is a companion publication for Ignatavicius, Rebar, and Heimgartner’s Medical-Surgical
Nursing: Concepts for Clinical Judgment and Collaborative Care, eleventh edition. is Study Guide, written
by Donna Ignatavicius and Cherie Rebar, will help to ensure mastery of the textbook material and help you
learn about collaborative practice in the care of the adult medical-surgical patient.
e eleventh edition has been carefully revised and updated for an increased emphasis on utilization of clinical
judgment skills.
e overall organization of the Study Guide for Medical-Surgical Nursing: Concepts for Clinical Judgment and
Collaborative Care directly corresponds to the unit/chapter name and number in the textbook so that you or
your instructor can readily select the corresponding learning exercises in the Study Guide. Chapters contain:
• Learning Outcomes that mirror those in the textbook
• Preliminary Reading to help you focus on knowledge needed to complete the activities in the
Study Guide
• Chapter Review activities geared to provide review of key information in the textbook; examples
of activities included are matching terms, ll-in-the-blank phrases, “hot spot” identication on
pictures, true and false, and short answer (and others!).
• Learning Assessment NCLEX-RN®–style questions that are designed to encourage prioritizing, use
of clinical judgment, participation in interprofessional collaboration, and application of the steps
of the nursing process. Questions have been created to emphasize the NCLEX-RN ® priorities of
safety, patient-centered care, and evidence-based practice.
Answers and rationales to the Study/Review Questions are provided for each chapter.
e Study Guide for Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care is a practical
tool to help you prepare for classroom examinations and standardized tests as well serve as a review for clinical
practice. is improved format will help you review and apply medical-surgical content and help you prepare for
the Next-Generation NCLEX® Examination.
Copyright © 2024, Elsevier Inc. All rights reserved. iii
