LEMONE AND BURKE'S MEDICAL-SURGICAL NURSING: CLINICAL
REASONING IN PATIENT CARE 7TH EDITION BY PAULA GUBRUD,
MARGARET CARNO, GERENE BAULDOFF RN PHD FAAN
7th Edition
,table of contents
unit 1 dimensions of medical-surgical nursing ............................................................................... 4
chapter 1: chapter 1 medical-surgical nursing in the 21st century ............................................ 4
chapter 2: health and illness care of adults ...............................................................................11
unit 2 alterations in patterns of health ........................................................................................ 15
chapter 3: nursing care of the patient with alterations of sleep ............................................... 16
chapter 4: nursing care of patients having surgery .................................................................. 22
chapter 5: palliative and end-of-life care ................................................................................. 27
chapter 6: nursing care of patients with problems of substance abuse .................................... 32
chapter 7: nursing care of patients experiencing disasters ...................................................... 39
unit 3 pathophysiology and patterns of health............................................................................ 45
chapter 8: genetic implications of adult health nursing ........................................................... 45
chapter 9: nursing care of patients in pain ............................................................................... 47
chapter 10: nursing care of patients with altered fluid, electrolyte, and acid–base balance ... 53
chapter 11: nursing care of patients experiencing trauma and shock ...................................... 57
chapter 12: nursing care of patients with infections and inflammation ................................... 66
chapter 13: nursing care of patients with altered immunity ..................................................... 75
chapter 14: nursing care of patients with cancer ..................................................................... 83
chapter 15: assessing the integumentary system ...................................................................... 91
chapter 16: nursing care of patients with integumentary disorders ......................................... 99
chapter 17: nursing care of patients with burns ..................................................................... 105
chapter 18: assessing the endocrine system ...........................................................................112
chapter 20: nursing care of patients with diabetes mellitus ................................................... 121
chapter 21: assessing the gastrointestinal system .................................................................. 127
chapter 22: nursing care of patients with nutritional disorders ............................................. 133
chapter 23: nursing care of patients with upper gastrointestinal disorders ........................... 140
chapter 24: nursing care of patients with bowel disorders ..................................................... 148
chapter 25: nursing care of patients with gallbladder, liver, and pancreatic disorders ......... 157
unit 7 responses to altered urinary elimination ........................................................................ 164
chapter 26: assessing the renal system ................................................................................... 164
chapter 27: nursing care of patients with urinary tract disorders .......................................... 170
, chapter 28: nursing care of patients with kidney disorders .................................................... 175
unit 8 responses to altered cardiovascular function ................................................................. 181
chapter 29: assessing the cardiovascular and lymphatic systems .......................................... 181
chapter 30: nursing care of patients with coronary heart disease ......................................... 189
chapter 31: nursing care of patients with cardiac disorders .................................................. 194
chapter 32: nursing care of patients with vascular and lymphatic disorders ......................... 200
chapter 32: disorders of blood pressure regulation ................................................................ 206
chapter 33: nursing care of patients with hematologic disorders ...........................................211
unit 9 responses to altered respiratory function ....................................................................... 220
chapter 34: assessing the respiratory system ......................................................................... 220
chapter 35: nursing care of patients with upper respiratory disorders .................................. 228
chapter 36: nursing care of patients with ventilation disorders ............................................. 233
chapter 37: nursing care of patients with gas exchange disorders ........................................ 239
unit 10 responses to altered musculoskeletal function ............................................................. 245
chapter 38: assessing the musculoskeletal system .................................................................. 245
chapter 39: nursing care of patients with musculoskeletal trauma ........................................ 253
chapter 40: nursing care of patients with musculoskeletal disorders ..................................... 259
unit 11 responses to altered neurologic function ...................................................................... 265
chapter 41: assessing the nervous system ............................................................................... 265
chapter 42: nursing care of patients with intracranial disorders ........................................... 272
chapter 43: nursing care of patients with spinal cord disorders and cns infections .............. 279
chapter 44: nursing care of patients with neurologic disorders ............................................. 285
unit 12 responses to altered sensory function ........................................................................... 292
chapter 45: assessing the eye and ear .................................................................................... 292
chapter 46: nursing care of patients with eye and ear disorders............................................ 298
unit 13 responses to altered reproductive function ................................................................... 307
chapter 47: assessing the male and female reproductive systems .......................................... 307
chapter 48: nursing care of men with reproductive system and breast disorders................... 316
chapter 49: nursing care of women with reproductive system and breast disorders .............. 321
chapter 50: nursing care of patients with sexually transmitted infections ............................. 326
, unit 1 dimensions of medical-surgical nursing
chapter 1: chapter 1 medical-surgical nursing in the 21st century
1. the nurse is caring for four clients on a medical–surgical unit. which client should the
nurse see initially?
1. a client admitted with hepatitis a who has had severe diarrhea for the last 24 hours
2. a client admitted with pneumonia who is has small amounts of yellow productive sputum
3. a client admitted with fever of unknown origin (fuo) who has been without fever for the
last 48 hours
4. a client admitted with a wound infection whose wbc is 8,500 mm3
ANSWER>>1.
rationale: the nurse must decide which client should be seen on the initial rounds of the day. the
nurse must remember that the first client to be seen should be the client who needs the attention
of the nurse initially. a client with hepatitis a does experience diarrhea, but diarrhea for the last
24 hours could cause the client to have a problem with dehydration and experience a state of
fluid volume deficit.
2. the nurse is preparing to administer influenza vaccines to a mass drive-through clinic.
which statement by a client would indicate further questioning prior to giving the client the
influenza vaccine?
1. “i am allergic to horse hair.”
2. “i try to get my vaccine every year.”
3. “i am not allergic to anything except eggs.”
4. “my husband had a severe allergic reaction after he received his influenza vaccine.”
ANSWER>>3
REASONING IN PATIENT CARE 7TH EDITION BY PAULA GUBRUD,
MARGARET CARNO, GERENE BAULDOFF RN PHD FAAN
7th Edition
,table of contents
unit 1 dimensions of medical-surgical nursing ............................................................................... 4
chapter 1: chapter 1 medical-surgical nursing in the 21st century ............................................ 4
chapter 2: health and illness care of adults ...............................................................................11
unit 2 alterations in patterns of health ........................................................................................ 15
chapter 3: nursing care of the patient with alterations of sleep ............................................... 16
chapter 4: nursing care of patients having surgery .................................................................. 22
chapter 5: palliative and end-of-life care ................................................................................. 27
chapter 6: nursing care of patients with problems of substance abuse .................................... 32
chapter 7: nursing care of patients experiencing disasters ...................................................... 39
unit 3 pathophysiology and patterns of health............................................................................ 45
chapter 8: genetic implications of adult health nursing ........................................................... 45
chapter 9: nursing care of patients in pain ............................................................................... 47
chapter 10: nursing care of patients with altered fluid, electrolyte, and acid–base balance ... 53
chapter 11: nursing care of patients experiencing trauma and shock ...................................... 57
chapter 12: nursing care of patients with infections and inflammation ................................... 66
chapter 13: nursing care of patients with altered immunity ..................................................... 75
chapter 14: nursing care of patients with cancer ..................................................................... 83
chapter 15: assessing the integumentary system ...................................................................... 91
chapter 16: nursing care of patients with integumentary disorders ......................................... 99
chapter 17: nursing care of patients with burns ..................................................................... 105
chapter 18: assessing the endocrine system ...........................................................................112
chapter 20: nursing care of patients with diabetes mellitus ................................................... 121
chapter 21: assessing the gastrointestinal system .................................................................. 127
chapter 22: nursing care of patients with nutritional disorders ............................................. 133
chapter 23: nursing care of patients with upper gastrointestinal disorders ........................... 140
chapter 24: nursing care of patients with bowel disorders ..................................................... 148
chapter 25: nursing care of patients with gallbladder, liver, and pancreatic disorders ......... 157
unit 7 responses to altered urinary elimination ........................................................................ 164
chapter 26: assessing the renal system ................................................................................... 164
chapter 27: nursing care of patients with urinary tract disorders .......................................... 170
, chapter 28: nursing care of patients with kidney disorders .................................................... 175
unit 8 responses to altered cardiovascular function ................................................................. 181
chapter 29: assessing the cardiovascular and lymphatic systems .......................................... 181
chapter 30: nursing care of patients with coronary heart disease ......................................... 189
chapter 31: nursing care of patients with cardiac disorders .................................................. 194
chapter 32: nursing care of patients with vascular and lymphatic disorders ......................... 200
chapter 32: disorders of blood pressure regulation ................................................................ 206
chapter 33: nursing care of patients with hematologic disorders ...........................................211
unit 9 responses to altered respiratory function ....................................................................... 220
chapter 34: assessing the respiratory system ......................................................................... 220
chapter 35: nursing care of patients with upper respiratory disorders .................................. 228
chapter 36: nursing care of patients with ventilation disorders ............................................. 233
chapter 37: nursing care of patients with gas exchange disorders ........................................ 239
unit 10 responses to altered musculoskeletal function ............................................................. 245
chapter 38: assessing the musculoskeletal system .................................................................. 245
chapter 39: nursing care of patients with musculoskeletal trauma ........................................ 253
chapter 40: nursing care of patients with musculoskeletal disorders ..................................... 259
unit 11 responses to altered neurologic function ...................................................................... 265
chapter 41: assessing the nervous system ............................................................................... 265
chapter 42: nursing care of patients with intracranial disorders ........................................... 272
chapter 43: nursing care of patients with spinal cord disorders and cns infections .............. 279
chapter 44: nursing care of patients with neurologic disorders ............................................. 285
unit 12 responses to altered sensory function ........................................................................... 292
chapter 45: assessing the eye and ear .................................................................................... 292
chapter 46: nursing care of patients with eye and ear disorders............................................ 298
unit 13 responses to altered reproductive function ................................................................... 307
chapter 47: assessing the male and female reproductive systems .......................................... 307
chapter 48: nursing care of men with reproductive system and breast disorders................... 316
chapter 49: nursing care of women with reproductive system and breast disorders .............. 321
chapter 50: nursing care of patients with sexually transmitted infections ............................. 326
, unit 1 dimensions of medical-surgical nursing
chapter 1: chapter 1 medical-surgical nursing in the 21st century
1. the nurse is caring for four clients on a medical–surgical unit. which client should the
nurse see initially?
1. a client admitted with hepatitis a who has had severe diarrhea for the last 24 hours
2. a client admitted with pneumonia who is has small amounts of yellow productive sputum
3. a client admitted with fever of unknown origin (fuo) who has been without fever for the
last 48 hours
4. a client admitted with a wound infection whose wbc is 8,500 mm3
ANSWER>>1.
rationale: the nurse must decide which client should be seen on the initial rounds of the day. the
nurse must remember that the first client to be seen should be the client who needs the attention
of the nurse initially. a client with hepatitis a does experience diarrhea, but diarrhea for the last
24 hours could cause the client to have a problem with dehydration and experience a state of
fluid volume deficit.
2. the nurse is preparing to administer influenza vaccines to a mass drive-through clinic.
which statement by a client would indicate further questioning prior to giving the client the
influenza vaccine?
1. “i am allergic to horse hair.”
2. “i try to get my vaccine every year.”
3. “i am not allergic to anything except eggs.”
4. “my husband had a severe allergic reaction after he received his influenza vaccine.”
ANSWER>>3
