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Clinical Companion to Medical-Surgical Nursing - E-Book

Clinical Companion to Medical-Surgical Nursing - E-Book

Sharon L. Lewis | Linda Bucher | Margaret M. Heitkemper | Shannon Ruff Dirksen

(2014)

Additional Information

Book Details

Abstract

  • Disorders section covers commonly encountered medical-surgical conditions in a consistent, clinically relevant presentation that includes:
    • Definition/Description
    • Pathophysiology
    • Clinical Manifestations
    • Complications
    • Diagnostic Studies
    • Collaborative Care (including Drug Therapy, where relevant)
    • Nursing Management
      • Goals
      • Nursing Diagnoses (using the most current NANDA terminology)
      • Nursing Interventions
      • Patient and Caregiver Teaching
  • Treatments and Procedures section provides need-to-know information on common medical-surgical treatments and procedures.
  • Reference Appendix features key reference information commonly used in nursing practice, including laboratory values, commonly used formulas, and Spanish translations of key phrases.
  • Patient teaching content is highlighted with a special icon, identifying information that patients and caregivers need to know about the care of various conditions.
  • Cross-references to Lewis: Medical-Surgical Nursing, 8th Edition make it easy to locate more in-depth information.

Table of Contents

Section Title Page Action Price
Front cover Cover
Quick reference to common topics IFC
Clinical companion to medical-surgical nursing assessment and management of cilinical problems ninth edition iii
Copyright Page iv
Preface v
Table of contents vii
1 Disorders 1
A 3
Abdominal pain, acute 3
Description 3
Clinical manifestations 3
Diagnostic studies 3
Collaborative care 3
Nursing management 4
Goals 4
Nursing interventions 4
▾ Patient and caregiver teaching 5
Acute coronary syndrome 5
Description 5
Pathophysiology 5
Unstable angina 6
Myocardial infarction 6
Clinical manifestations 7
Unstable angina 7
Myocardial infarction 7
Complications 8
Diagnostic studies 9
ECG 9
Cardiac markers 9
Collaborative care 9
Nursing management 11
Goals 11
Nursing diagnoses 11
Nursing interventions 11
▾ Patient and caregiver teaching 12
Acute respiratory distress syndrome 13
Description 13
Pathophysiology 14
Clinical manifestations 16
Diagnostic studies 16
Nursing and collaborative management 17
Goals 17
Nursing diagnoses 17
Collaborative care 17
O₂ administration. 17
Mechanical ventilation. 17
Positioning. 17
Medical supportive therapy 18
▾ Patient and caregiver teaching 18
Addison’s disease 19
Description 19
Clinical manifestations 19
Diagnostic studies 20
Collaborative care 20
Nursing management 20
Alzheimer’s disease 22
Description 22
Pathophysiology 22
Clinical manifestations 23
Diagnostic studies 26
Collaborative care 26
Nursing management 27
Goals 27
Nursing diagnoses 27
Nursing interventions 27
Amyotrophic lateral sclerosis 29
Anal cancer 29
Anemia 30
Description 30
Diagnostic studies 31
Clinical manifestations 31
Nursing management 35
Goals 35
Nursing diagnoses 35
Nursing interventions 35
Anemia, aplastic 35
Description 35
Pathophysiology 36
Clinical manifestations 36
Diagnostic studies 36
Nursing and collaborative management 37
Anemia, cobalamin (vitamin B₁₂) deficiency 37
Description 37
Pathophysiology 37
Clinical manifestations 38
Diagnostic studies 38
Collaborative care 38
Nursing management 39
Anemia, folic acid deficiency 39
Clinical manifestations 39
Nursing and collaborative management 40
Anemia, iron-deficiency 40
Description 40
Pathophysiology 40
Clinical manifestations 41
Diagnostic studies 41
Collaborative care 41
Nursing management 41
▾ Patient and caregiver teaching 42
Aneurysm, aortic 42
Description 42
Pathophysiology 42
Clinical manifestations 43
Complications 44
Diagnostic studies 44
Collaborative care 44
Nursing management 45
Goals 45
Nursing diagnoses 45
Nursing interventions 45
▾ Patient and caregiver teaching 45
Angina, chronic stable 46
Description 46
Pathophysiology 47
Clinical manifestations 47
Diagnostic studies 48
Collaborative care 48
Drug therapy 48
Cardiac catheterization 49
Nursing management 50
Goals and nursing diagnoses 50
Nursing interventions 50
▾ Patient and caregiver teaching 50
Ankylosing spondylitis 51
Description 51
Pathophysiology 51
Clinical manifestations 51
Diagnostic studies 52
Collaborative care 52
Nursing management 52
Aortic dissection 53
Description 53
Pathophysiology 53
Clinical manifestations and complications 54
Diagnostic studies 55
Collaborative care 55
Nursing management 56
▾ Patient and caregiver teaching 56
Appendicitis 56
Description 56
Pathophysiology 57
Clinical manifestations and complications 57
Diagnostic studies 57
Collaborative care 57
Nursing management 57
Asthma 58
Description 58
Pathophysiology 58
Clinical manifestations 60
Classification of asthma 61
Complications 61
Diagnostic studies 61
Collaborative care 64
Intermittent and persistent asthma 64
Acute asthma exacerbations 64
Severe and life-threatening asthma exacerbations. 65
Drug Therapy 65
Nursing management 66
Goals 66
Nursing diagnoses 66
Nursing interventions 66
▾ Patient and caregiver teaching 67
B 72
Bell’s palsy 72
Description 72
Pathophysiology 72
Clinical manifestations 72
Collaborative care 73
Nursing management 73
Benign paroxysmal positional vertigo 74
Benign prostatic hyperplasia 74
Description 74
Pathophysiology 74
Clinical manifestations 75
Complications 75
Diagnostic studies 75
Collaborative care 76
Drug therapy 76
Minimally invasive therapy 77
Invasive (surgical) therapy 77
Nursing management 78
Goals 78
Nursing diagnoses 78
Preoperative 78
Postoperative 78
Nursing interventions 78
Preoperative Care 78
Postoperative care. 79
▾ Patient and caregiver teaching 80
Bladder cancer 80
Description 80
Clinical manifestations 81
Diagnostic studies 81
Nursing and collaborative management 81
Bone tumors 82
Description 82
Osteochondroma 83
Osteosarcoma 83
Metastatic bone cancer 84
Nursing management: Bone cancer 84
Brain tumors 85
Description 85
Clinical manifestations 85
Diagnostic studies 86
Collaborative care 86
Nursing management 87
Goals 87
Nursing diagnoses/collaborative problems 87
Nursing interventions 87
Breast cancer 88
Description 88
Pathophysiology 88
Clinical manifestations 91
Diagnostic studies 91
Screening 91
Post-diagnosis 91
Collaborative care 92
Surgical therapy 92
Radiation therapy 93
Chemotherapy 93
Hormonal therapy 93
Biologic and targeted therapy 95
Follow-up and survivorship care 95
Nursing management 96
Goals 96
Nursing diagnoses 96
Nursing interventions 96
▾ Patient and caregiver teaching 98
Bronchiectasis 98
Description 98
Clinical Manifestations 98
Diagnostic studies 99
Collaborative care 99
Nursing management 99
Burns 100
Description 100
Pathophysiology 100
Types of burn injury 101
Classification of burn injury 101
Clinical manifestations 103
Emergent phase 103
Acute phase 103
Rehabilitative phase 104
Diagnostic studies 105
Nursing and collaborative management 105
Emergent phase 105
Acute phase 105
Rehabilitative phase 105
▾ Patient and caregiver teaching 105
C 108
Cardiomyopathy 108
Description 108
Dilated cardiomyopathy 109
Pathophysiology 109
Clinical manifestations 110
Diagnostic studies 110
Nursing and collaborative management 110
Hypertrophic cardiomyopathy 111
Pathophysiology 111
Clinical manifestations 111
Diagnostic studies 111
Nursing and collaborative management 112
Restrictive cardiomyopathy 112
Pathophysiology 112
Clinical manifestations 113
Diagnostic studies 113
Nursing and collaborative management 113
Carpal tunnel syndrome 113
Description 113
Clinical manifestations 114
Nursing and collaborative management 114
Cataract 115
Description 115
Pathophysiology 115
Clinical manifestations 115
Diagnostic studies 115
Collaborative care 115
Nursing management 116
Goals 116
Nursing diagnoses 116
Nursing interventions 116
▾ Patient and caregiver teaching 116
Celiac disease 117
Description 117
Pathophysiology 118
Clinical manifestations 118
Diagnostic studies 118
Nursing and collaborative management 119
▾ Patient and caregiver teaching 119
Cervical cancer 119
Description 119
Pathophysiology 120
Clinical manifestations 120
Diagnostic studies 120
Collaborative care 120
Nursing management: Cervical cancer and other cancers of the female reproductive system 122
Goals 122
Nursing diagnoses 122
Nursing interventions 122
Hysterectomy. 123
Salpingectomy and oophorectomy. 124
Pelvic exenteration. 124
Chlamydial infections 124
Description 124
Pathophysiology 124
Clinical manifestations 125
Men 125
Women 125
Complications 125
Diagnostic studies 125
Collaborative care 125
Nursing management 126
Cholelithiasis/cholecystitis 126
Description 126
Pathophysiology 126
Clinical manifestations 127
Complications 128
Diagnostic studies 128
Collaborative care 128
Nursing management 129
Goals 129
Nursing diagnoses 129
Nursing interventions 129
▾ Patient and caregiver teaching 130
Chronic fatigue syndrome 130
Description 130
Pathophysiology 130
Clinical manifestations 131
Diagnostic studies 132
Nursing and collaborative management 132
Chronic obstructive pulmonary disease 133
Description 133
Etiology 134
Pathophysiology 134
Clinical manifestations 135
Complications 136
Diagnostic studies 137
Collaborative care 137
Surgical therapy 139
Nursing management 139
Goals 139
Nursing diagnoses 139
Nursing interventions 139
▾ Patient and caregiver teaching 140
Cirrhosis 144
Description 144
Pathophysiology 144
Clinical manifestations 144
Complications 145
Diagnostic studies 147
Collaborative care 147
Nursing management 148
Goals 148
Nursing diagnoses 148
Nursing interventions 149
▾ Patient and caregiver teaching 150
Colorectal cancer 150
Description 150
Pathophysiology 150
Clinical manifestations and complications 151
Diagnostic studies 152
Collaborative care 152
Surgical therapy 152
Chemotherapy and targeted therapy 153
Radiation therapy 153
Nursing management 153
Goals 153
Nursing diagnoses 153
Nursing interventions 153
Preoperative care. 153
Postoperative care. 154
▾ Patient and caregiver teaching 154
Conjunctivitis 154
Description 154
Constipation 157
Description 157
Clinical manifestations 157
Diagnostic studies 157
Collaborative Care 157
Nursing management 158
Goals 158
Nursing diagnosis 158
Nursing interventions 158
▾ Patient and caregiver teaching 158
Cor pulmonale 159
Description 159
Clinical manifestations 159
Collaborative care 159
Coronary artery disease 160
Description 160
Pathophysiology 160
Clinical manifestations 162
Diagnostic studies 162
Nursing and collaborative management 163
Drug therapy 163
Nursing management 164
Crohn’s disease 165
2 Treatments and Procedures 675
A 677
Amputation 677
Description 677
Nursing management 677
Preoperative care 678
Postoperative care 678
▾ Patient and caregiver teaching 678
Artificial airways: Endotracheal tubes 679
Description 679
B 685
Basic life support for health care providers 685
Description 685
CPR 685
Hands-only CPR 686
Biologic and targeted therapy 689
Description 689
Nursing management 693
C 694
Chemotherapy 694
Description 694
Classification of chemotherapeutic drugs 694
Methods of administration 694
Effects of chemotherapy 694
Nursing management: Chemotherapy and radiation therapy 698
▾ Patient and caregiver teaching 699
Chest tubes and pleural drainage 700
Description 700
Chest tube insertion 700
Pleural drainage 700
Nursing management: Chest drainage 703
Drainage system 703
Patient’s clinical status 704
Chest tube removal 704
D 705
Dialysis 705
Description 705
E 707
Emergency patient: Primary and secondary survey 707
Intervention and evaluation 707
Enteral nutrition 709
Tube feedings and safety 710
Patient Position 710
Aspiration Risk 710
Tube Position 710
M 711
Mechanical ventilation 711
Description 711
Types of mechanical ventilators 711
O 712
Ostomies 712
Description 712
Types of ostomies 712
Nursing management 713
Preoperative care 713
Postoperative care 713
▾ Patient and caregiver teaching 715
Colostomy care 715
Ileostomy care 715
▾ Patient and caregiver teaching 717
Oxygen therapy 717
Description 717
Methods of administration 717
Complications 723
Chronic oxygen therapy at home 723
▾ Patient and caregiver teaching 724
P 725
Pacemakers 725
Description 725
Patient monitoring 726
Nursing management 727
Parenteral nutrition 728
Description 728
Administration of PN 728
Home nutritional support 729
R 730
Radiation therapy 730
Description 730
Nursing management: Chemotherapy and radiation therapy 732
▾ Patient and caregiver teaching 732
T 732
Tracheostomy 732
Description 732
Nursing management 732
▾ Patient and caregiver teaching 734
U 736
Urinary catheterization 736
3 Reference appendix 739
Abbreviations 741
The joint commission official “do not use” list* 747
Blood gases, arterial 748
Laboratory values 749
Blood products* 751
Breath sounds 754
Commonly used formulas 756
Commonly used herbs 757
Characteristics of common dysrhythmias 760
Electrocardiogram (ECG) monitoring 763
Waveform and normal sinus rhythm 763
ECG monitoring: Definition and sources of variation in ECG waveforms and intervals* 764
Glasgow coma scale 766
Heart sounds 767
Auscultatory sites 767
Characteristics of heart sounds 768
Intracranial pressure monitoring 770
Lung volumes and capacities 771
Medication administration 772
Equivalent weights and measures 772
Drug calculations 772
Ratio and proportion 772
IV drip rate 773
Techniques of administration 773
Angles of injection 773
Injection Sites 773
Subcutaneous 773
Intramuscular:Deltoid Muscle 774
Intramuscular: Dorsogluteal Muscle 774
Intramuscular: Vastus Lateralis Muscle 775
Intramuscular: Ventrogluteal Muscle 775
Z-Track Technique 775
Intermittent IV drug administration 776
Peripheral vein intermittent infusion device 776
Central vein intermittent infusion device 776
IV site complications 776
Temperature conversion factors 777
TNM classification system 777
English/spanish common medical terms 778
Urinalysis 781
Index 783
A 783
B 786
C 787
D 789
E 790
F 791
G 791
H 791
I 793
J 793
K 794
L 794
M 794
N 795
O 795
P 796
R 797
S 798
T 799
U 800
V 800
W 800
X 800