,UNDERSTANDING
Medical Surgical
Nursing
THIRD EDITION
LINDA S. WILLIAMS, MSN, RNBC
Professor of Nursing
Jackson Community College
Jackson, Michigan
PAULA D. HOPPER, MSN, RN
Professor of Nursing
Jackson Community College
Jackson, Michigan
,F. A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com
Copyright © 2007 by F. A. Davis Company
Copyright © 2003, 1999 by F. A. Davis Company. All rights reserved. This product is protected by copyright.
No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means,
electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher.
Printed in the United States of America
Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1
Acquisitions Editors: Lisa B. Deitch/Jonathan Joyce
Director of Content Development: Darlene D. Pedersen
Special Projects Editor: Shirley A. Kuhn
Senior Project Editor: Ilysa H. Richman
Art and Design Manager: Carolyn O’Brien
As new scientific information becomes available through basic and clinical research, recommended treatments
and drug therapies undergo changes. The author(s) and publisher have done everything possible to make
this book accurate, up to date, and in accord with accepted standards at the time of publication. The author(s),
editors, and publisher are not responsible for errors or omissions or for consequences from application of the
book, and make no warranty, expressed or implied, in regard to the contents of the book. Any practice
described in this book should be applied by the reader in accordance with professional standards of care used
in regard to the unique circumstances that may apply in each situation. The reader is advised always to check
product information (package inserts) for changes and new information regarding dose and contraindications
before administering any drug. Caution is especially urged when using new or infrequently ordered drugs.
ISBN 13: 978-0-8036-1491-8
ISBN 10: 0-8036-1491-8
Library of Congress Cataloging-in-Publication Data
Understanding medical-surgical nursing / [edited by] Linda S. Williams, Paula D.
Hopper. — 3rd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 0-8036-1491-8
I. Nursing. 2. Surgical nursing. I. Williams, Linda S. (Linda Sue), 1954-
II. Hopper, Paula D.
[DNLM: 1. Nursing Care. 2. Nursing. WY 100 U548 2007]
RT41.W576 2007
617′.0231—dc22
2006035577
Authorization to photocopy items for internal or personal use, or the internal or personal use of specific
clients, is granted by F. A. Davis Company for users registered with the Copyright Clearance Center (CCC)
Transactional Reporting Service, provided that the fee of $.10 per copy is paid directly to CCC, 222 Rosewood
Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a
separate system of payment has been arranged. The fee code for users of the Transactional Reporting Service
is: 8036-1491 07 / ⫹ $.10.
Disclaimer:
Some images in the original version of this book are not
available for inclusion in the eBook.
, To our students, this is for you. We hope it helps you achieve
your dreams.
Linda and Paula
In memory of my mother who was so proud of the book that
she took it everywhere to show to people. I will miss her joy in
seeing this edition. To my dad who has always been supportive
and kept me company on my breaks from writing during this
revision.
To Garland,
with love, whose support I needed more than ever before
during this past year. Thank you.
To Jami and Anthony, who’s joy in life are their wonderful
children, Dimitri, Alex, and Ayla who also bring me joy.
To my sister Lisa and her family Ken, Michael, and Nathan
for their ongoing support.
To Christine, Anna, and Suzee for encouragement and a
listening ear when it was needed most.
LINDA S. WILLIAMS
To Dave, with love, for his continued love and support.
To Dan and Libby, my two other favorite people in the
world. I am so proud of you both.
And to my Dad, who proudly displays our books even
though he doesn’t have to read them.
PAULA D. HOPPER
Medical Surgical
Nursing
THIRD EDITION
LINDA S. WILLIAMS, MSN, RNBC
Professor of Nursing
Jackson Community College
Jackson, Michigan
PAULA D. HOPPER, MSN, RN
Professor of Nursing
Jackson Community College
Jackson, Michigan
,F. A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com
Copyright © 2007 by F. A. Davis Company
Copyright © 2003, 1999 by F. A. Davis Company. All rights reserved. This product is protected by copyright.
No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means,
electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher.
Printed in the United States of America
Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1
Acquisitions Editors: Lisa B. Deitch/Jonathan Joyce
Director of Content Development: Darlene D. Pedersen
Special Projects Editor: Shirley A. Kuhn
Senior Project Editor: Ilysa H. Richman
Art and Design Manager: Carolyn O’Brien
As new scientific information becomes available through basic and clinical research, recommended treatments
and drug therapies undergo changes. The author(s) and publisher have done everything possible to make
this book accurate, up to date, and in accord with accepted standards at the time of publication. The author(s),
editors, and publisher are not responsible for errors or omissions or for consequences from application of the
book, and make no warranty, expressed or implied, in regard to the contents of the book. Any practice
described in this book should be applied by the reader in accordance with professional standards of care used
in regard to the unique circumstances that may apply in each situation. The reader is advised always to check
product information (package inserts) for changes and new information regarding dose and contraindications
before administering any drug. Caution is especially urged when using new or infrequently ordered drugs.
ISBN 13: 978-0-8036-1491-8
ISBN 10: 0-8036-1491-8
Library of Congress Cataloging-in-Publication Data
Understanding medical-surgical nursing / [edited by] Linda S. Williams, Paula D.
Hopper. — 3rd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 0-8036-1491-8
I. Nursing. 2. Surgical nursing. I. Williams, Linda S. (Linda Sue), 1954-
II. Hopper, Paula D.
[DNLM: 1. Nursing Care. 2. Nursing. WY 100 U548 2007]
RT41.W576 2007
617′.0231—dc22
2006035577
Authorization to photocopy items for internal or personal use, or the internal or personal use of specific
clients, is granted by F. A. Davis Company for users registered with the Copyright Clearance Center (CCC)
Transactional Reporting Service, provided that the fee of $.10 per copy is paid directly to CCC, 222 Rosewood
Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a
separate system of payment has been arranged. The fee code for users of the Transactional Reporting Service
is: 8036-1491 07 / ⫹ $.10.
Disclaimer:
Some images in the original version of this book are not
available for inclusion in the eBook.
, To our students, this is for you. We hope it helps you achieve
your dreams.
Linda and Paula
In memory of my mother who was so proud of the book that
she took it everywhere to show to people. I will miss her joy in
seeing this edition. To my dad who has always been supportive
and kept me company on my breaks from writing during this
revision.
To Garland,
with love, whose support I needed more than ever before
during this past year. Thank you.
To Jami and Anthony, who’s joy in life are their wonderful
children, Dimitri, Alex, and Ayla who also bring me joy.
To my sister Lisa and her family Ken, Michael, and Nathan
for their ongoing support.
To Christine, Anna, and Suzee for encouragement and a
listening ear when it was needed most.
LINDA S. WILLIAMS
To Dave, with love, for his continued love and support.
To Dan and Libby, my two other favorite people in the
world. I am so proud of you both.
And to my Dad, who proudly displays our books even
though he doesn’t have to read them.
PAULA D. HOPPER
