Medical-Surgical Nursing: Concepts For Interprofessional Collaborative Care 10th
Edition By Donna D. Ignatavicius Ms Rn Cne Cnecl Anef Faadn, M. Linda
Workman Phd Rn Faan, Cherie R. Rebar Phd Mba Rn Cne Cnecl Coi Faadn,
Nicole M. Heimgartner Dnp Rn Cne Cnecl Coi Faadn
10th Edition
,table of contents
section i: concepts of medical-surgical nursing .............................................................................. 6
chapter 01: overview of professional nursing concepts for medical-surgical nursing ................ 6
chapter 02: clinical judgment and systems thinking ................................................................. 16
chapter 03: overview of health concepts for medical-surgical nursing .................................... 23
chapter 04: common health problems of older adults ............................................................... 30
chapter 05: assessment and care of patients with pain .............................................................. 42
chapter 06: concepts of genetics and genomics ........................................................................ 58
chapter 07: concepts of rehabilitation for chronic and disabling health problems ................... 67
chapter 08: concepts of care for patients at end of life ............................................................. 77
chapter 09: concepts of care for perioperative patients ............................................................ 88
section ii: concepts of emergency care and disaster preparedness.............................................. 105
chapter 10: concepts of emergency and trauma nursing ......................................................... 105
chapter 11: concepts of care for patients with common environmental emergencies ..............116
chapter 12: concepts of disaster preparedness ........................................................................ 129
section iii: concepts of patients with problems of fluid, electrolyte, and acid- base balance ..... 140
chapter 13: concepts of fluid and electrolyte balance ............................................................. 140
chapter 14: concepts of acid–base balance ............................................................................. 153
chapter 15: concepts of infusion therapy ................................................................................ 165
section iv: interprofessional collaboration for patients with problems of immunity .................. 178
chapter 16: concepts of inflammation and immunity ............................................................. 178
chapter 17: concepts of care for patients with hiv disease ...................................................... 189
chapter 18: concepts of care for patients with hypersensitivity (allergy) and autoimmunity . 203
chapter 19: concepts of cancer development .......................................................................... 210
chapter 20: concepts of care for patients with cancer ............................................................. 216
chapter 21: concepts of care for patients with infection ......................................................... 233
section v: interprofessional collaboration for patients with problems of skin, hair and nails .... 244
chapter 22: assessment of the skin, hair, and nails .................................................................. 245
chapter 23: concepts of care for patients with skin problems ................................................. 252
section vi: interprofessional collaboration for patients with problems of respiratory system .... 267
chapter 24: assessment of the respiratory system ................................................................... 267
, chapter 25: concepts of care for patients requiring oxygen therapy or tracheostomy ............ 278
chapter 26: concepts of care for patients with noninfectious upper respiratory problems ..... 287
chapter 27: concepts of care for patients with noninfectious lower respiratory problems ..... 298
chapter 28: concepts of care for patients with infectious respiratory problems ..................... 317
chapter 29: critical care of patients with respiratory emergencies .......................................... 331
section vii: interprofessional collaboration for patients with problems of the cardiovascular
system ......................................................................................................................................... 347
chapter 30: assessment of the cardiovascular system ............................................................. 347
chapter 31: concepts of care for patients with dysrhythmias .................................................. 360
chapter 32: concepts of care for patients with cardiac problems ............................................ 374
chapter 33: concepts of care for patients with vascular problems .......................................... 391
chapter 34: critical care of patients with shock ........................................................................411
chapter 35: critical care of patients with acute coronary syndromes ...................................... 422
section viii: interprofessional collaboration for patients with problems of the hematologic system
..................................................................................................................................................... 438
chapter 36: assessment of the hematologic system ................................................................. 438
chapter 37: concepts of care for patients with hematologic problems .................................... 444
section ix: interprofessional collaboration for patients with problems of the nervous system ... 461
chapter 38: assessment of the nervous system ........................................................................ 462
chapter 39: concepts of care for patients with problems of the central nervous system: the
brain ........................................................................................................................................ 474
chapter 40: concepts of care for patients with problems of the central nervous system: the
spinal cord ............................................................................................................................... 491
chapter 41: critical care of patients with neurologic emergencies .......................................... 505
section x: interprofessional collaboration for patients with problems of the sensory system .... 522
chapter 42: assessment and care of patients with eye and vision problems............................ 522
chapter 43: assessment and care of patients with ear and hearing problems .......................... 533
section xi: interprofessional collaboration for patients with problems of the musculoskeletal
system ......................................................................................................................................... 543
chapter 44: assessment of the musculoskeletal system ........................................................... 543
chapter 45: concepts of care for patients with musculoskeletal problems .............................. 551
chapter 46: concepts of care for patients with arthritis and total joint arthroplasty ................ 561
, chapter 47: concepts of care for patients with musculoskeletal trauma .................................. 576
section xii: interprofessional collaboration for patients with problems of the gastrointestinal
system ......................................................................................................................................... 592
chapter 48: assessment of the gastrointestinal system ............................................................ 592
chapter 49: concepts of care for patients with oral cavity and esophageal problems ............. 600
chapter 50: concepts of care for of patients with stomach disorders ...................................... 608
chapter 51: concepts of care for patients with noninflammatory intestinal disorders ............ 617
chapter 52: concepts of care for patients with inflammatory intestinal disorders .................. 631
chapter 53: concepts of care for patients with liver problems ................................................ 645
chapter 54: concepts of care for patients with problems of the biliary system and pancreas . 656
chapter 55: concepts of care for patients with malnutrition: undernutrition and obesity ....... 665
section xiii: interprofessional collaboration for patients with problems of the endocrine system
..................................................................................................................................................... 675
chapter 56: assessment of the endocrine system ..................................................................... 675
chapter 57: concepts of care for patients with pituitary and adrenal gland problems............. 683
chapter 58: concepts of care for patients with problems of the thyroid and parathyroid glands
................................................................................................................................................. 691
chapter 59: concepts of care for patients with diabetes mellitus ............................................ 699
section xiv: interprofessional collaboration for patients with problems of the rena/urinary system
..................................................................................................................................................... 721
chapter 60: assessment of the renal/urinary system ................................................................ 722
chapter 61: concepts of care for patients with urinary problems ............................................ 730
chapter 62: concepts of care for patients with kidney disorders ............................................. 743
chapter 63: concepts of care for patients with acute kidney injury and chronic kidney disease
................................................................................................................................................. 752
section xv: interprofessional collaboration for patients with problems of the reproductive system
..................................................................................................................................................... 767
chapter 64: assessment of the reproductive system ................................................................ 767
chapter 65: concepts of care for patients with breast disorders .............................................. 773
chapter 66: concepts of care for patients with gynecologic problems .................................... 782
chapter 67: concepts of care for clients with male reproductive problems............................. 792
chapter 68: concepts of care for transgender patients ............................................................. 800
,chapter 69: concepts of care for patients with sexually transmitted infections ...................... 807
, Section i: concepts of medical-surgical nursing
Chapter 01: overview of professional nursing concepts for medical-
surgical nursing
ignatavicius: medical-surgical nursing, 10th edition
Multiple choice
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor
advises the new nurse that which is the priority when working as a professional nurse?
A. Attending to holistic client needs
B. Ensuring client safety
C. Not making medication errors
D. Providing client-focused care
Correct Answer>b
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Health care errors have been widely reported for 25 years, many of which result in client
injury, death, and increased health care costs. There are several national and international
organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are important for
quality nursing, but they are not as vital as providing safety. Not making medication errors does
provide safety, but is too narrow in scope to be the best answer.
Dif: understanding top: integrated process: nursing process: intervention key: client safety
Msc: client needs category: safe and effective care environment: safety and infection control
2. A nurse is orienting a new client and family to the medical-surgical unit. What
information does the nurse provide to best help the client promote his or her own safety?
A. Encourage the client and family to be active partners.
B. Have the client monitor hand hygiene in caregivers.
C. Offer the family the opportunity to stay with theclient.
D. Tell the client to always wear his or her armband.
Correct Answer>a
Edition By Donna D. Ignatavicius Ms Rn Cne Cnecl Anef Faadn, M. Linda
Workman Phd Rn Faan, Cherie R. Rebar Phd Mba Rn Cne Cnecl Coi Faadn,
Nicole M. Heimgartner Dnp Rn Cne Cnecl Coi Faadn
10th Edition
,table of contents
section i: concepts of medical-surgical nursing .............................................................................. 6
chapter 01: overview of professional nursing concepts for medical-surgical nursing ................ 6
chapter 02: clinical judgment and systems thinking ................................................................. 16
chapter 03: overview of health concepts for medical-surgical nursing .................................... 23
chapter 04: common health problems of older adults ............................................................... 30
chapter 05: assessment and care of patients with pain .............................................................. 42
chapter 06: concepts of genetics and genomics ........................................................................ 58
chapter 07: concepts of rehabilitation for chronic and disabling health problems ................... 67
chapter 08: concepts of care for patients at end of life ............................................................. 77
chapter 09: concepts of care for perioperative patients ............................................................ 88
section ii: concepts of emergency care and disaster preparedness.............................................. 105
chapter 10: concepts of emergency and trauma nursing ......................................................... 105
chapter 11: concepts of care for patients with common environmental emergencies ..............116
chapter 12: concepts of disaster preparedness ........................................................................ 129
section iii: concepts of patients with problems of fluid, electrolyte, and acid- base balance ..... 140
chapter 13: concepts of fluid and electrolyte balance ............................................................. 140
chapter 14: concepts of acid–base balance ............................................................................. 153
chapter 15: concepts of infusion therapy ................................................................................ 165
section iv: interprofessional collaboration for patients with problems of immunity .................. 178
chapter 16: concepts of inflammation and immunity ............................................................. 178
chapter 17: concepts of care for patients with hiv disease ...................................................... 189
chapter 18: concepts of care for patients with hypersensitivity (allergy) and autoimmunity . 203
chapter 19: concepts of cancer development .......................................................................... 210
chapter 20: concepts of care for patients with cancer ............................................................. 216
chapter 21: concepts of care for patients with infection ......................................................... 233
section v: interprofessional collaboration for patients with problems of skin, hair and nails .... 244
chapter 22: assessment of the skin, hair, and nails .................................................................. 245
chapter 23: concepts of care for patients with skin problems ................................................. 252
section vi: interprofessional collaboration for patients with problems of respiratory system .... 267
chapter 24: assessment of the respiratory system ................................................................... 267
, chapter 25: concepts of care for patients requiring oxygen therapy or tracheostomy ............ 278
chapter 26: concepts of care for patients with noninfectious upper respiratory problems ..... 287
chapter 27: concepts of care for patients with noninfectious lower respiratory problems ..... 298
chapter 28: concepts of care for patients with infectious respiratory problems ..................... 317
chapter 29: critical care of patients with respiratory emergencies .......................................... 331
section vii: interprofessional collaboration for patients with problems of the cardiovascular
system ......................................................................................................................................... 347
chapter 30: assessment of the cardiovascular system ............................................................. 347
chapter 31: concepts of care for patients with dysrhythmias .................................................. 360
chapter 32: concepts of care for patients with cardiac problems ............................................ 374
chapter 33: concepts of care for patients with vascular problems .......................................... 391
chapter 34: critical care of patients with shock ........................................................................411
chapter 35: critical care of patients with acute coronary syndromes ...................................... 422
section viii: interprofessional collaboration for patients with problems of the hematologic system
..................................................................................................................................................... 438
chapter 36: assessment of the hematologic system ................................................................. 438
chapter 37: concepts of care for patients with hematologic problems .................................... 444
section ix: interprofessional collaboration for patients with problems of the nervous system ... 461
chapter 38: assessment of the nervous system ........................................................................ 462
chapter 39: concepts of care for patients with problems of the central nervous system: the
brain ........................................................................................................................................ 474
chapter 40: concepts of care for patients with problems of the central nervous system: the
spinal cord ............................................................................................................................... 491
chapter 41: critical care of patients with neurologic emergencies .......................................... 505
section x: interprofessional collaboration for patients with problems of the sensory system .... 522
chapter 42: assessment and care of patients with eye and vision problems............................ 522
chapter 43: assessment and care of patients with ear and hearing problems .......................... 533
section xi: interprofessional collaboration for patients with problems of the musculoskeletal
system ......................................................................................................................................... 543
chapter 44: assessment of the musculoskeletal system ........................................................... 543
chapter 45: concepts of care for patients with musculoskeletal problems .............................. 551
chapter 46: concepts of care for patients with arthritis and total joint arthroplasty ................ 561
, chapter 47: concepts of care for patients with musculoskeletal trauma .................................. 576
section xii: interprofessional collaboration for patients with problems of the gastrointestinal
system ......................................................................................................................................... 592
chapter 48: assessment of the gastrointestinal system ............................................................ 592
chapter 49: concepts of care for patients with oral cavity and esophageal problems ............. 600
chapter 50: concepts of care for of patients with stomach disorders ...................................... 608
chapter 51: concepts of care for patients with noninflammatory intestinal disorders ............ 617
chapter 52: concepts of care for patients with inflammatory intestinal disorders .................. 631
chapter 53: concepts of care for patients with liver problems ................................................ 645
chapter 54: concepts of care for patients with problems of the biliary system and pancreas . 656
chapter 55: concepts of care for patients with malnutrition: undernutrition and obesity ....... 665
section xiii: interprofessional collaboration for patients with problems of the endocrine system
..................................................................................................................................................... 675
chapter 56: assessment of the endocrine system ..................................................................... 675
chapter 57: concepts of care for patients with pituitary and adrenal gland problems............. 683
chapter 58: concepts of care for patients with problems of the thyroid and parathyroid glands
................................................................................................................................................. 691
chapter 59: concepts of care for patients with diabetes mellitus ............................................ 699
section xiv: interprofessional collaboration for patients with problems of the rena/urinary system
..................................................................................................................................................... 721
chapter 60: assessment of the renal/urinary system ................................................................ 722
chapter 61: concepts of care for patients with urinary problems ............................................ 730
chapter 62: concepts of care for patients with kidney disorders ............................................. 743
chapter 63: concepts of care for patients with acute kidney injury and chronic kidney disease
................................................................................................................................................. 752
section xv: interprofessional collaboration for patients with problems of the reproductive system
..................................................................................................................................................... 767
chapter 64: assessment of the reproductive system ................................................................ 767
chapter 65: concepts of care for patients with breast disorders .............................................. 773
chapter 66: concepts of care for patients with gynecologic problems .................................... 782
chapter 67: concepts of care for clients with male reproductive problems............................. 792
chapter 68: concepts of care for transgender patients ............................................................. 800
,chapter 69: concepts of care for patients with sexually transmitted infections ...................... 807
, Section i: concepts of medical-surgical nursing
Chapter 01: overview of professional nursing concepts for medical-
surgical nursing
ignatavicius: medical-surgical nursing, 10th edition
Multiple choice
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor
advises the new nurse that which is the priority when working as a professional nurse?
A. Attending to holistic client needs
B. Ensuring client safety
C. Not making medication errors
D. Providing client-focused care
Correct Answer>b
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Health care errors have been widely reported for 25 years, many of which result in client
injury, death, and increased health care costs. There are several national and international
organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are important for
quality nursing, but they are not as vital as providing safety. Not making medication errors does
provide safety, but is too narrow in scope to be the best answer.
Dif: understanding top: integrated process: nursing process: intervention key: client safety
Msc: client needs category: safe and effective care environment: safety and infection control
2. A nurse is orienting a new client and family to the medical-surgical unit. What
information does the nurse provide to best help the client promote his or her own safety?
A. Encourage the client and family to be active partners.
B. Have the client monitor hand hygiene in caregivers.
C. Offer the family the opportunity to stay with theclient.
D. Tell the client to always wear his or her armband.
Correct Answer>a
