Medical-Surgical Nursing

Priscilla LeMone, RN, DSN, FAAN Priscilla LeMone  spent most of her career as a nurse educator, teaching ­medical-surgical nursing and pathophysiology at all levels from diploma to doctoral students. She has a diploma in nursing from Deaconess College of Nursing (St. Louis, Missouri), baccalaureate and master’s degrees from Southeast Missouri State University, and a doctorate in nursing from the University of ­Alabama-Birmingham. She is retired as an Associate Professor Emeritus, Sinclair School of Nursing, University of ­Missouri-Columbia; but continues to keep up-to-date in nursing as an author of nursing textbooks. Dr. LeMone had numerous awards for scholarship and teaching during her over 30 years as a nurse educator. She is most honored for receiving the Kemper Fellowship for Teaching Excellence from the University of ­Missouri-Columbia, the Unique Contribution Award from the North American Nursing Diagnosis Association, and for being selected as a Fellow in the American Academy of Nursing. She believes that her education gave her solid and everlasting roots in nursing. Her work with students has given her the wings that allow her love of nursing and teaching to continue through the years. Recently married after 8 years of widowhood, Dr. LeMone lives in Ohio..When she has time, she enjoys traveling, gardening, and reading fiction.   Karen M. Burke, RN, MS Karen Burke has practiced nursing in direct care and as a nurse educator and administrator. She is currently the Education Consultant for the Oregon State Board of Nursing. In this role, she serves as a consultant to new and existing nursing education programs in the state. Her work with the Board also involves evaluating and proposing policies and regulations for nursing practice and education. One of her favorite parts of this position is speaking with nursing students about entering the profession and the scope and standards of nursing practice. Ms. Burke entered nursing with a diploma from Emanuel Hospital School of Nursing in Portland, Oregon, later completing baccalaureate studies at Oregon Health & Science University (OHSU), and a master’s degree at University of Portland. She retired as the Director of Health Occupations at Clatsop Community College in Astoria, Oregon, after helping initiate and develop the nursing program, as well as expand it to a distant site using on-line instruction. She currently is a member of the steering committee for the Oregon Consortium for Nursing Education, a partnership between OHSU and Oregon community colleges to deliver a shared baccalaureate nursing curriculum throughout the rural state. She also is actively involved in the Education Committee of the Oregon Nursing Leadership Council, helping identify strategies to recruit and retain nursing faculty, develop innovative clinical models, and provide policy guidelines for nursing education programs in the state. In addition, Ms. Burke is working with nursing leaders and educators to identify and develop strategic plans to more effectively educate and use practical nurses (LPNs) in Oregon. She is co-author of another text, Medical-Surgical Nursing Care (2rd edition) with Priscilla LeMone, Elaine Mohn-Brown, and Linda Eby. Ms. Burke strongly values the nursing profession and the importance of providing a strong education in the art and science of nursing for all students preparing to enter the profession. Her diverse experience as a nursing student, clinical nurse, and nurse educator and administrator has prepared her to relate to nursing students at all levels and in diverse programs. Ms. Burke divides her time between a house in the country with her husband Steve and spoiled cat, and a small condo in the city. She and Steve love to garden, travel, and spend time with their extended family. Ms. Burke enjoys a passion for quilting, accumulating and gradually completing multiple UFOs (unfinished objects).

PART 1. MEDICAL-SURGICAL NURSING PRACTICE

 

Unit 1. Dimension of Medical-Surgical Nursing



1. Medical-Surgical Nursing

2. Health and Illness in the Adult Client

3. Community-Based and Home Care of the Adult Client

 

Unit 2. Alterations in Patterns of Health

4. Nursing Care of Clients Having Surgery

5. Nursing Care of Clients Experiencing Loss, Grief, and Death

6. Nursing Care of Clients with Problems of Substance Abuse

7. Nursing Care of Clients Experiencing Disasters

 

Unit 3. Pathophysiology and Patterns of Health

8. Genetic Implications of Adult Health 

9. Nursing Care of Clients in Pain

10. Nursing Care of Clients with Alterations in Fluid, Electrolyte, and Acid-Base Balance

11. Nursing Care of Clients Experiencing Trauma and Shock

12. Nursing Care of Clients with Infections

13. Nursing Care of Clients with Altered Immunity

14. Nursing Care of Clients with Cancer

 

PART 2. NUTRITIONAL- METABOLIC PATTERNS

 

Unit 4. Responses to Altered Integumentary Structure and Function

15. Assessing Clients with Integumentary Disorders

16. Nursing Care of Clients with Integumentary Disorders

17. Nursing Care of Clients with Burns

 

Unit 5. Responses to Altered Endocrine Function

18. Assessing Clients with Endocrine Disorders

19. Nursing Care of Clients with Endocrine Disorders

20. Nursing Care of Clients with Diabetes Mellitus

 

Unit 6. Responses to Altered Nutrition

21. Assessing Clients with Nutritional and Gastrointestinal Disorders

22. Nursing Care of Clients with Nutritional Disorders

23. Nursing Care of Clients with Gastric Disorders

24. Nursing Care of Clients with Gallbladder, Liver, and Pancreatic Disorders

 

PART 3. ELIMINATION PATTERNS

 

Unit 7. Responses to Altered Bowel Elimination

25. Assessing Clients with Bowel Elimination Disorders

26. Nursing Care of Clients with Bowel Disorders

 

Unit 8. Responses to Altered Urinary Elimination

27. Assessing Clients with Urinary Elimination Disorders

28. Nursing Care of Clients with Urinary Tract Disorders

29. Nursing Care of Clients with Kidney Disorders

 

PART 4. ACTIVITY-EXERCISE PATTERNS

 

Unit 9. Responses to Altered Cardiac Function

30. Assessing Clients with Cardiac Disorders

31. Nursing Care of Clients with Coronary Heart Disease

32. Nursing Care of Clients with Cardiac Disorders

 

Unit 10. Responses to Altered Peripheral Tissue Perfusion

33. Assessing Clients with Hematologic, Peripheral Vascular, and Lymphatic Disorders

34. Nursing Care of Clients with Hematologic Disorders

35. Nursing Care of Clients with Peripheral Vascular and Lymphatic Disorders

 

Unit 11. Responses to Altered Respiratory Function

36. Assessing Clients with Respiratory Disorders

37. Nursing Care of Clients with Upper Respiratory Disorders

38. Nursing Care of Clients with Ventilation Disorders

39. Nursing Care of Clients with Gas Exchange Disorders

 

Unit 12. Responses to Altered Musculoskeletal Function

40. Assessing Clients with Musculoskeletal Disorders

41. Nursing Care of Clients with Musculoskeletal Trauma

42. Nursing Care of Clients with Musculoskeletal Disorders

 

PART 5. COGNITIVE-PERCEPTUAL PATTERNS

 

Unit 13. Responses to Altered Neurologic Function

43. Assessing Clients with Neurologic Disorders

44. Nursing Care of Clients with Cerebrovascular and Spinal Cord Disorders

45. Nursing Care of Clients with Intracranial Disorders

46. Nursing Care of Clients with Neurologic Disorders

 

Unit 14. Responses to Altered Visual and Auditory Function

47. Assessing Clients with Eye or Ear Disorders

48. Nursing Care of Clients with Eye and Ear Disorders

 

PART 6. SEXUALITY-REPRODUCTIVE PATTERNS

 

Unit 15. Responses to Altered Reproductive Function

49. Assessing Clients with Reproductive and Breast Disorders

50. Nursing Care of Men with Reproductive and Breast Disorders

51. Nursing Care of Women with Reproductive and Breast Disorders

52. Nursing Care of Clients with Sexually Transmitted Infections

 

Appendices

Appendix A: Standard Precautions

Appendix B: NANDA DX

Appendix C: Test Answers