Medical Surgical Nursing Care

Karen M. Burke / Priscilla LeMone / Elaine Mohn-Brown / Linda Eby  
Total pages
November 2013
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Medical Surgical Nursing Care
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Medical Surgical Nursing Care 3e has an even stronger focus on the professional Practical nursing program and is a key component in the LPN/LVN series at Pearson. It has a clear and readable writing style, it provides a strong foundation for understanding common disorders that affect adults. Opening units of the book focus on concepts, issues, and foundational knowledge. The units that follow focus on common diseases and disorders organized by body system. Each unit begins with review of the system’s structure and function, nursing assessment, and commonly used diagnostic tests for disorders of that system.

To facilitate learning, disorder-specific content follows a consistent pattern, beginning with discussion about the disorder, its risk factors, causes, effects on the body, manifestations, and possible complications. Because nurses are integral members of the healthcare team, interdisciplinary care sections include nursing implications for medications, nutritional therapies, surgery and other treatments, including complementary therapies.

Each disorder concludes with nursing care, including priorities of care, health promotion, assessment, nursing care measures, and a section addressing continuity of care to home or the community.

This text provides more depth in common disease processes, their treatment, and related nursing care. Although organized by body systems for clarity, the book retains a nursing focus throughout. Rationales are provided for nursing interventions to help the student understand the “why,” not just the “what.”


  • Culturally sensitive care is presented in opening chapters and significant new content is reinforced throughout the book to provide culturally sensitive care for all clients.
  • Better focus on the role of the practical/vocational nurse in the 21st century.
  • I nstitute of Medicine (IOM) competencies for all health care providers are included.
  • A model nurse practice act is included, and discussion about current legal and ethical issues facing nurses is included.
  • Settings of care have been revised to focus on the settings where practical/vocational nurses are commonly employed.
  • Client-centered care means that the nurse attends to the uniqueness of the individual, planning and adapting care to the needs of that person. Care is planned with respect for the client’s culture and values.
  • New emphasis on practicing prioritizing care.
  • New health promotion activities section

New to this Edition

Opening chapters have been completely revised to focus on the role of the practical/vocational nurse in the 21st century.

Significant new content has been added about providing culturally sensitive care.

Settings of care have been revised to focus on the settings where practical/vocational nurses are commonly employed.

End-of-unit features have been totally revised from 2E, provide opportunities for the student to practice thinking critically about given client situations and to practice prioritizing care.

A new subsection on health promotion activities is included in nursing care sections.

Table of Contents

Unit I Introduction to Medical-Surgical Nursing

1  Nursing in the 21st Century

2  Health, Illness, and Settings of Care

3  Cultural and Developmental Considerations for Adults

4  The Older Adult Client in Health and Illness

5  Guidelines for Client Assessment

6  Essential Nursing Pharmacology


Unit II  Foundations of Medical Surgical Nursing

7  Caring for Clients with Altered Fluid, Electrolyte, or Acid-Base Balance

8  Caring for Clients in Pain

9  Caring for Clients with Inflammation and Infection

10  Caring for Client having Surgery

11  Caring for Clients with Altered Immunity

12  Caring for Clients with Cancer

13  Loss, Grief, and End-of-Life Care

14  Caring for Clients Experiencing Shock, Trauma, or Disasters


Unit III Cardiovascular System Disorders

15  The Cardiovascular System and Assessment

16  Caring for Clients with Coronary Heart Disease and Dysrhythmias

17  Caring for Clients with Cardiac Disorders

18  Caring for Clients with Peripheral Vascular Disorders


Unit IV Hematologic and Lymphatic Systems Disorders

19  The Hematologic and Lymphatic Systems and Assessment

20  Caring for Clients with Hematologic and Lymphatic Disorders


Unit V Respiratory System Disorders

21  The Respiratory System and Assessment

22  Caring for Clients with Upper Respiratory Disorders

23  Caring for Clients with Lower Respiratory Disorders


Unit VI Gastrointestinal System Disorders

24  The Gastrointestinal System and Assessment

25  Caring for Clients with Nutritional and Upper Gastrointestinal Disorders

26  Caring for Clients with Bowel Disorders

27  Caring for Clients with Gallbladder, Liver, and Pancreatic Disorders


Unit VII Urinary System Disorders

28  The Urinary System and Assessment

29   Caring for Clients with Urinary Tract and Kidney Disorders


Unit VIII Reproductive Systems Disorders

30  The Reproductive System and Assessment

31  Caring for Male Clients with Reproductive System Disorders

32  Caring for Female Clients with Reproductive System Disorders

33  Caring for Clients with Sexually Transmitted Infections


Unit IX Endocrine Disorders

34  The Endocrine System and Assessment

35  Caring for Clients with Endocrine Disorders

36  Caring for Clients with Diabetes Mellitus


Unit X Neurologic Disorders

37  The Nervous System and Assessment

38  Caring for Clients with Intracranial Disorders

39  Caring for Clients with Degenerative Neurologic and Spinal Cord Disorders

40  Caring for Clients with Eye and Ear Disorders


Unit XI Musculoskeletal Disorders

41  The Musculoskeletal System and Assessment

42  Caring for Clients with Musculoskeletal Trauma

43  Caring for Clients with Musculoskeletal Disorders


Unit XII Integumentary System Disorders

44  The Integumentary System and Assessment

45  Caring for Clients with Skin Disorders

46  Caring for Clients with Burns


Unit XIII Mental Health Disorders

47  Mental Health and Assessment

48  Caring for Clients with Cognitive Disorders (New)

49  Caring for Clients with Psychotic Disorders

50  Caring for Clients with Mood D