UNDERSTANDING MEDICAL SURGICAL NURSING
STUDY GUIDE WORKBOOK
5TH EDITION
, Contents
UNIT ONE UNIT FIVE
Understanding Health Care Issues 1 Understanding the Cardiovascular
1 Critical Thinking and the Nursing Process 2 System 77
2 Evidence-Based Practice 5 21 Cardiovascular System Function,
3 Issues in Nursing Practice 8 Assessment, and Therapeutic Measures 78
4 Cultural Influences on Nursing Care 12 22 Nursing Care of Patients With Hypertension 82
5 Complementary and Alternative Modalities 16 23 Nursing Care of Patients With Valvular,
Inflammatory, and Infectious Cardiac or
UNIT TWO Venous Disorders 86
Understanding Health and Illness 19 24 Nursing Care of Patients With Occlusive
Cardiovascular Disorders 92
6 Nursing Care of Patients With Fluid,
25 Nursing Care of Patients With Cardiac
Electrolyte, and Acid-Base Imbalances 20
Dysrhythmias 96
7 Nursing Care of Patients Receiving
26 Nursing Care of Patients With Heart Failure 102
Intravenous Therapy 23
8 Nursing Care of Patients With Infections 26 UNIT SIX
9 Nursing Care of Patients in Shock 30
10 Nursing Care of Patients in Pain 34 Understanding the Hematologic
11 Nursing Care of Patients With Cancer 37 and Lymphatic Systems 107
12 Nursing Care of Patients Having Surgery 40
27 Hematologic and Lymphatic System
13 Nursing Care of Patients With Emergent
Function, Assessment, and Therapeutic
Conditions and Disaster/Bioterrorism
Measures 108
Response 45
28 Nursing Care of Patients With Hematologic
UNIT THREE and Lymphatic Disorders 112
Understanding Life Span Influences on UNIT SEVEN
Health and Illness 49 Understanding the Respiratory System 117
14 Developmental Considerations in the 29 Respiratory System Function, Assessment,
Nursing Care of Adults 50 and Therapeutic Measures 118
15 Nursing Care of Older Adult Patients 53 30 Nursing Care of Patients With Upper
16 Nursing Care of Patients at Home 57 Respiratory Tract Disorders 123
17 Nursing Care of Patients at the End of Life 60 31 Nursing Care of Patients With Lower
Respiratory Tract Disorders 126
UNIT FOUR
Understanding the Immune System 63 UNIT EIGHT
18 Immune System Function, Assessment, Understanding the Gastrointestinal,
and Therapeutic Measures 64 Hepatic, and Pancreatic Systems 131
19 Nursing Care of Patients With Immune
32 Gastrointestinal, Hepatobiliary, and
Disorders 68
Pancreatic Systems Function, Assessment,
20 Nursing Care of Patients With HIV
and Therapeutic Measures 132
Disease and AIDS 74
vii
,viii Contents UNIT THIRTEEN
Understanding the Neurologic System 197
33 Nursing Care of Patients With Upper
Gastrointestinal Disorders 137 47 Neurologic System Function, Assessment,
34 Nursing Care of Patients With Lower and Therapeutic Measures 198
Gastrointestinal Disorders 141 48 Nursing Care of Patients With Central
35 Nursing Care of Patients With Liver, Nervous System Disorders 203
Pancreatic, and Gallbladder Disorders 144 49 Nursing Care of Patients With
Cerebrovascular Disorders 207
UNIT NINE 50 Nursing Care of Patients With Peripheral
Nervous System Disorders 211
Understanding the Urinary System 149
36 Urinary System Function, Assessment, UNIT FOURTEEN
and Therapeutic Measures 150 Understanding the Sensory System 215
37 Nursing Care of Patients With Disorders
of the Urinary System 154 51 Sensory System Function, Assessment, and
Therapeutic Measures: Vision and Hearing 216
UNIT TEN 52 Nursing Care of Patients With Sensory
Disorders: Vision and Hearing 221
Understanding the Endocrine System 159
38 Endocrine System Function and Assessment 160 UNIT FIFTEEN
39 Nursing Care of Patients With Endocrine Understanding the Integumentary
Disorders 163
40 Nursing Care of Patients With Disorders System 225
of the Endocrine Pancreas 167 53 Integumentary System Function, Assessment,
and Therapeutic Measures 226
UNIT ELEVEN 54 Nursing Care of Patients With Skin
Understanding the Genitourinary Disorders 229
55 Nursing Care of Patients With Burns 232
and Reproductive System 171
41 Genitourinary and Reproductive System UNIT SIXTEEN
Function and Assessment 172 Understanding Mental Health Care 235
42 Nursing Care of Women With Reproductive
System Disorders 177 56 Mental Health Function, Assessment,
43 Nursing Care of Male Patients With and Therapeutic Measures 236
Genitourinary Disorders 180 57 Nursing Care of Patients With Mental
44 Nursing Care of Patients With Sexually Health Disorders 239
Transmitted Infections 183
UNIT TWELVE
Understanding the Musculoskeletal
System 187
45 Musculoskeletal Function and Assessment 188
46 Nursing Care of Patients With
Musculoskeletal and Connective Tissue
Disorders 192
, unit ONE
Understanding
Health Care Issues
CHECKLIST FOR LEARNING SUCCESS
Critical Thinking Evidence-Based Practice Issues Cultural Influences Alternative/Complementary
❑ Critical thinking traits ❑ Evidence-based practice ❑ Health care delivery ❑ Cultural diversity ❑ Alternative versus
❑ Knowledge base ❑ Use of evidence-based ❑ Economic issues ❑ Communication complementary therapies
❑ Critical thinking skills practice ❑ Nursing/health team ❑ Space ❑ Allopathic/Western medicine
❑ Problem solving ❑ Identifying evidence ❑ Leadership in nursing ❑ Time orientation ❑ Ayurveda
❑ Role of the LPN/LVN ❑ Evidence-based practice practice ❑ Social organization ❑ Chinese medicine
❑ Nursing process process ❑ Career opportunities ❑ Environmental control ❑ Chiropractic
❑ Data collection ❑ Six steps of evidence- ❑ Ethics and values ❑ Health care providers ❑ Homeopathy
❑ Documentation of data based practice ❑ Ethical obligations and ❑ Biological variations ❑ Naturopathy
❑ Nursing diagnosis ❑ Evidence-based practice, nursing ❑ Death and dying ❑ American Indian medicine
❑ Planning care quality and safety ❑ Nursing code of ethics ❑ Cultural groups ❑ Osteopathy
❑ Prioritizing care ❑ Quality and Safety ❑ Building blocks of ethics ❑ Culturally competent care ❑ Herbal therapy
❑ Identifying interventions Education for Nurses ❑ Ethical theories ❑ Relaxation therapies
❑ Implementation (QSEN) project ❑ Ethical decision making ❑ Massage therapy
❑ Evaluation ❑ Joint Commission’s 2014 ❑ Legal concepts ❑ Aquatherapy
National Patient Safety ❑ HIPAA ❑ Heat and cold
Goals ❑ Nursing liability and the law ❑ Safety/effectiveness
❑ Role of LPN/LVN
STUDY GUIDE WORKBOOK
5TH EDITION
, Contents
UNIT ONE UNIT FIVE
Understanding Health Care Issues 1 Understanding the Cardiovascular
1 Critical Thinking and the Nursing Process 2 System 77
2 Evidence-Based Practice 5 21 Cardiovascular System Function,
3 Issues in Nursing Practice 8 Assessment, and Therapeutic Measures 78
4 Cultural Influences on Nursing Care 12 22 Nursing Care of Patients With Hypertension 82
5 Complementary and Alternative Modalities 16 23 Nursing Care of Patients With Valvular,
Inflammatory, and Infectious Cardiac or
UNIT TWO Venous Disorders 86
Understanding Health and Illness 19 24 Nursing Care of Patients With Occlusive
Cardiovascular Disorders 92
6 Nursing Care of Patients With Fluid,
25 Nursing Care of Patients With Cardiac
Electrolyte, and Acid-Base Imbalances 20
Dysrhythmias 96
7 Nursing Care of Patients Receiving
26 Nursing Care of Patients With Heart Failure 102
Intravenous Therapy 23
8 Nursing Care of Patients With Infections 26 UNIT SIX
9 Nursing Care of Patients in Shock 30
10 Nursing Care of Patients in Pain 34 Understanding the Hematologic
11 Nursing Care of Patients With Cancer 37 and Lymphatic Systems 107
12 Nursing Care of Patients Having Surgery 40
27 Hematologic and Lymphatic System
13 Nursing Care of Patients With Emergent
Function, Assessment, and Therapeutic
Conditions and Disaster/Bioterrorism
Measures 108
Response 45
28 Nursing Care of Patients With Hematologic
UNIT THREE and Lymphatic Disorders 112
Understanding Life Span Influences on UNIT SEVEN
Health and Illness 49 Understanding the Respiratory System 117
14 Developmental Considerations in the 29 Respiratory System Function, Assessment,
Nursing Care of Adults 50 and Therapeutic Measures 118
15 Nursing Care of Older Adult Patients 53 30 Nursing Care of Patients With Upper
16 Nursing Care of Patients at Home 57 Respiratory Tract Disorders 123
17 Nursing Care of Patients at the End of Life 60 31 Nursing Care of Patients With Lower
Respiratory Tract Disorders 126
UNIT FOUR
Understanding the Immune System 63 UNIT EIGHT
18 Immune System Function, Assessment, Understanding the Gastrointestinal,
and Therapeutic Measures 64 Hepatic, and Pancreatic Systems 131
19 Nursing Care of Patients With Immune
32 Gastrointestinal, Hepatobiliary, and
Disorders 68
Pancreatic Systems Function, Assessment,
20 Nursing Care of Patients With HIV
and Therapeutic Measures 132
Disease and AIDS 74
vii
,viii Contents UNIT THIRTEEN
Understanding the Neurologic System 197
33 Nursing Care of Patients With Upper
Gastrointestinal Disorders 137 47 Neurologic System Function, Assessment,
34 Nursing Care of Patients With Lower and Therapeutic Measures 198
Gastrointestinal Disorders 141 48 Nursing Care of Patients With Central
35 Nursing Care of Patients With Liver, Nervous System Disorders 203
Pancreatic, and Gallbladder Disorders 144 49 Nursing Care of Patients With
Cerebrovascular Disorders 207
UNIT NINE 50 Nursing Care of Patients With Peripheral
Nervous System Disorders 211
Understanding the Urinary System 149
36 Urinary System Function, Assessment, UNIT FOURTEEN
and Therapeutic Measures 150 Understanding the Sensory System 215
37 Nursing Care of Patients With Disorders
of the Urinary System 154 51 Sensory System Function, Assessment, and
Therapeutic Measures: Vision and Hearing 216
UNIT TEN 52 Nursing Care of Patients With Sensory
Disorders: Vision and Hearing 221
Understanding the Endocrine System 159
38 Endocrine System Function and Assessment 160 UNIT FIFTEEN
39 Nursing Care of Patients With Endocrine Understanding the Integumentary
Disorders 163
40 Nursing Care of Patients With Disorders System 225
of the Endocrine Pancreas 167 53 Integumentary System Function, Assessment,
and Therapeutic Measures 226
UNIT ELEVEN 54 Nursing Care of Patients With Skin
Understanding the Genitourinary Disorders 229
55 Nursing Care of Patients With Burns 232
and Reproductive System 171
41 Genitourinary and Reproductive System UNIT SIXTEEN
Function and Assessment 172 Understanding Mental Health Care 235
42 Nursing Care of Women With Reproductive
System Disorders 177 56 Mental Health Function, Assessment,
43 Nursing Care of Male Patients With and Therapeutic Measures 236
Genitourinary Disorders 180 57 Nursing Care of Patients With Mental
44 Nursing Care of Patients With Sexually Health Disorders 239
Transmitted Infections 183
UNIT TWELVE
Understanding the Musculoskeletal
System 187
45 Musculoskeletal Function and Assessment 188
46 Nursing Care of Patients With
Musculoskeletal and Connective Tissue
Disorders 192
, unit ONE
Understanding
Health Care Issues
CHECKLIST FOR LEARNING SUCCESS
Critical Thinking Evidence-Based Practice Issues Cultural Influences Alternative/Complementary
❑ Critical thinking traits ❑ Evidence-based practice ❑ Health care delivery ❑ Cultural diversity ❑ Alternative versus
❑ Knowledge base ❑ Use of evidence-based ❑ Economic issues ❑ Communication complementary therapies
❑ Critical thinking skills practice ❑ Nursing/health team ❑ Space ❑ Allopathic/Western medicine
❑ Problem solving ❑ Identifying evidence ❑ Leadership in nursing ❑ Time orientation ❑ Ayurveda
❑ Role of the LPN/LVN ❑ Evidence-based practice practice ❑ Social organization ❑ Chinese medicine
❑ Nursing process process ❑ Career opportunities ❑ Environmental control ❑ Chiropractic
❑ Data collection ❑ Six steps of evidence- ❑ Ethics and values ❑ Health care providers ❑ Homeopathy
❑ Documentation of data based practice ❑ Ethical obligations and ❑ Biological variations ❑ Naturopathy
❑ Nursing diagnosis ❑ Evidence-based practice, nursing ❑ Death and dying ❑ American Indian medicine
❑ Planning care quality and safety ❑ Nursing code of ethics ❑ Cultural groups ❑ Osteopathy
❑ Prioritizing care ❑ Quality and Safety ❑ Building blocks of ethics ❑ Culturally competent care ❑ Herbal therapy
❑ Identifying interventions Education for Nurses ❑ Ethical theories ❑ Relaxation therapies
❑ Implementation (QSEN) project ❑ Ethical decision making ❑ Massage therapy
❑ Evaluation ❑ Joint Commission’s 2014 ❑ Legal concepts ❑ Aquatherapy
National Patient Safety ❑ HIPAA ❑ Heat and cold
Goals ❑ Nursing liability and the law ❑ Safety/effectiveness
❑ Role of LPN/LVN
