LeMone and Burke's Medical-Surgical Nursing: Clinical Reasoning in Patient Care, 7th edition

Published by Pearson (February 21, 2019) © 2020

  • Paula Gubrud University of Missouri & Columbia (retired)
  • Margaret Carno
  • Gerene Bauldoff Associate Professor of Clinical Nursing, The Ohio State University, Columbus, Ohio

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For courses in medical-surgical nursing.

The novice nurse's guide to whole-patient care

LeMone and Burke's Medical-Surgical Nursing offers nursing students the skills and knowledge needed to provide safe, evidence-based care to patients with common diseases and disorders. The authors contend that care should address the whole person, not just the malfunction of body systems. Rather than memorize medical conditions, readers build the clinical reasoning skills they need to safely perform simple to complex tasks.

The 7th Edition has a new section on transitions of care and a new chapter linking sleep and health. It is now organized with a more consistent chapter structure for easier navigation.

Hallmark features of this title

A focus on nursing care as the essence of education and practice

  • Assessment feature reviews data needed to evaluate a condition and compares normal and abnormal findings.
  • Focus on Cultural Diversity feature provides guidelines for providing culturally sensitive care.

Clinical reasoning skills

  • Moving Evidence into Action boxes and questions focus on incorporating evidence and patient priorities into high-quality care.
  • A narrative case study, nursing care plan and clinical reasoning questions are provided for each of 80 major disorders or types of trauma.
  • End-of-chapter NCLEX-RN® review questions reinforce comprehension of chapter content.

Visualizations of pathophysiology

  • Pathophysiology Illustrated art shows physiological changes resulting from disorders.

New and updated features of this title

New content and improved organization

  • NEW: A new section, Transitions of Care, focuses on the nurse's responsibility for transitioning patient care from either one health care setting to another or to the home.
  • NEW: A new Chapter 3, Nursing Care of the Patient with Alterations of Sleep, describes common sleep disorders. It also demonstrates the link between sleep and health, and shows the bidirectional nature of sleep and health.
  • REVISED: A consistent chapter structure is new to this edition. It has numbered sections, a matching learning outcome for each section, and a new design, all aimed at easing navigation and streamlining skill-building.

Visual representations

  • UPDATED: The artwork has been updated for currency, accuracy, realism and style. Images include detailed illustrations and numerous photos.
  • UPDATED: Multisystem Effects feature includes new and updated illustrations showing how specific disorders affect the body systems.
  • UPDATED: Medication Administration feature identifies drugs appropriate for disorders in the chapter, as well as related nursing and client education responsibilities. Now, the top 200 prescribed drugs are shown in blue type.

Features of MyLab Nursing for the 7th Edition

  • NEW: A new COVID-19 resource, Essentials for Nurses: COVID-19, provides essential information on pathophysiology, as well as transmission, signs and symptoms, triage and testing. It also includes links to reliable sources for easy access to the latest updates.
  • Dynamic Study Modules are adaptive learning modules with remediation. They assess students' performance in real time, while helping them master and retain key concepts.
  • Pearson eText is an easy-to-use digital textbook available within MyLab. It lets students read, highlight and take notes all in one place, even offline.
  • Clinical decision-making case studies hone students' clinical reasoning skills, better preparing them for the situations they'll face in their careers.
  • NCLEX®-style practice questions of various types build student confidence and prepare them for success on the NCLEX-RN® exam.

UNIT 1: DIMENSIONS OF MEDICAL-SURGICAL NURSING

  1. Medical-Surgical Nursing in the 21st Century
  2. Health and Illness in Adults

UNIT 2: ALTERATIONS IN PATTERNS OF HEALTH

  1. Nursing Care of the Patient with Alterations of Sleep
  2. Nursing Care of the Patient Having Surgery
  3. Palliative Care and End of Life
  4. Nursing Care of Patients with Substance Use Disorder
  5. Nursing Care of Patients Experiencing Violent Trauma and Disasters

UNIT 3: PATHOPHYSIOLOGY AND PATTERNS OF HEALTH

  1. Genetic Implications of Nursing Care of Adults
  2. Nursing Care of Patients in Pain
  3. Nursing Care of Patients with Altered Fluid, Electrolyte, and Acid-Base Balance
  4. Nursing Care of Patients Experiencing Trauma and Shock
  5. Nursing Care of Patients with Infections
  6. Nursing Care of Patients with Altered Immunity
  7. Nursing Care of Patients with Cancer

UNIT 4: RESPONSES TO ALTERED INTEGUMENTARY STRUCTURE AND FUNCTION

  1. Assessing the Integumentary System
  2. Nursing Care of Patients with Integumentary Disorders
  3. Nursing Care of Patients with Burns

UNIT 5: RESPONSES TO ALTERED ENDOCRINE FUNCTION

  1. Assessing the Endocrine System
  2. Nursing Care of Patients with Endocrine Disorders
  3. Nursing Care of Patients with Diabetes Mellitus

UNIT 6: RESPONSES TO ALTERED GASTROINTESTINAL FUNCTION

  1. Assessing the Gastrointestinal System
  2. Nursing Care of Patients with Nutritional Disorders
  3. Nursing Care of Patients with Upper Gastrointestinal Disorders
  4. Nursing Care of Patients with Bowel Disorders
  5. Nursing Care of Patients with Gallbladder, Liver, and Pancreatic

UNIT 7: RESPONSES TO ALTERED URINARY ELIMINATION

  1. Assessing the Renal System
  2. Nursing Care of Patients with Urinary Tract Disorders
  3. Nursing Care of Patients with Kidney Disorders

UNIT 8: RESPONSES TO ALTERED CARDIOVASCULAR FUNCTION

  1. Assessment of the Cardiovascular and Lymphatic Systems
  2. Nursing Care of Patients with Coronary Heart Disease
  3. Nursing Care of Patients with Cardiac Disorders
  4. Nursing Care of Patients with Vascular Disorders
  5. Nursing Care of Patients with Hematologic Disorders

UNIT 9: RESPONSES TO ALTERED RESPIRATORY FUNCTION

  1. Assessing the Respiratory System
  2. Nursing Care of Patients with Upper Respiratory Disorders
  3. Nursing Care of Patients with Ventilation Disorders
  4. Nursing Care of Patients with Gas Exchange Disorders

UNIT 10: RESPONSES TO ALTERED MUSCULOSKELETAL FUNCTION

  1. Assessing the Musculoskeletal System
  2. Nursing Care of Patients with Musculoskeletal Trauma
  3. Nursing Care of Patients with Musculoskeletal Disorders

UNIT 11: RESPONSES TO ALTERED NEUROLOGIC FUNCTION

  1. Assessing the Nervous System
  2. Nursing Care of Patients with Intracranial Disorders
  3. Nursing Care of Patients with Spinal Cord Disorders and CNS Infections
  4. Nursing Care of Patients with Neurologic Disorders

UNIT 12: RESPONSES TO ALTERED SENSORY FUNCTION

  1. Assessing the Eye and Ear
  2. Nursing Care of Patients with Eye or Ear Disorders

UNIT 13: RESPONSES TO ALTERED REPRODUCTIVE FUNCTION

  1. Assessing the Internal and External Reproductive Organs
  2. Nursing Care of Men with Reproductive and Breast Disorders
  3. Nursing Care of Women with Reproductive and Breast Disorders
  4. Nursing Care of Patients with Sexually Transmitted Infections

About our authors

Gerene Bauldoff, RN, PhD, FAAN, is a professor of clinical nursing at The Ohio State University College of Nursing in Columbus, Ohio. She has been a nurse educator for 19 years, teaching medical-surgical nursing, clinical and research methods, and measurement and evidence-based practice courses at the baccalaureate, master's and doctoral levels. Her clinical background includes roles as a home health nurse, lung transplant coordinator and pulmonary rehabilitation coordinator. Dr. Bauldoff is an active member of multiple professional organizations, including the American Academy of Nursing (AAN), Sigma Theta Tau International Honor Society of Nursing, the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), the American Thoracic Society Nursing Assembly, and the American College of Chest Physicians (ACCP). She is a recognized expert in medical-surgical nursing, focusing on the care of the patient with chronic pulmonary disease and serving on committees focused on international standards and patient-centered outcomes in pulmonary rehabilitation. Dr. Bauldoff has been honored with fellowships in AAN and ACCP, and is a master fellow in AACVPR. She has delivered several international keynote addresses and presentations related to evidence-based practice and clinical outcomes. Dr. Bauldoff holds a diploma from the Western Pennsylvania Hospital School of Nursing, in Pittsburgh, Pennsylvania, and a BSN from LaRoche College, also in Pittsburgh. She completed her graduate education at the University of Pittsburgh, earning an MSN in medical-surgical nursing (cardiopulmonary clinical nurse specialist) and a PhD in nursing in 2001, training under Leslie Hoffman, PhD, RN, FAAN.

Paula Gubrud, RN, MS, EdD, FAAN, is Senior Associate Dean for Academic Affairs and an associate professor at Oregon Health and Science University (OHSU) School of Nursing. She has over 25 years of experience as a nurse educator involving multiple levels of programs, from LPN to doctoral education. Dr. Gubrud is a founding leader and co-director of the Oregon Consortium for Nursing Education, an award-winning consortium that includes the five campuses of OHSU and nine community colleges. She also has over 20 years of experience in medical-surgical nursing, critical care, home health and hospice. Dr. Gubrud is frequently invited to speak at national and international nursing education conferences and consults with other states and countries on the development of competency-based curricula and nursing education consortiums promoting academic progression in nursing education. Her research activity is focused on clinical education redesign and the integration of simulation into nursing curriculum. Dr. Gubrud earned a baccalaureate degree in nursing from Walla Walla University (1980), an MS in community-based nursing from OHSU (1993), and an EdD in postsecondary education from Portland State University (2008).

Margaret-Ann Carno, PhD, MBA, MJ, RN, CPNP, D, ABSM, FNAP, FAAN, is a professor of clinical nursing and pediatrics and co-director of baccalaureate programs at the University of Rochester, School of Nursing. Dr. Carno has over 20 years' experience teaching across baccalaureate, master's and doctoral programs in medical-surgical nursing, pediatrics, ethics, health law, sleep across the lifespan and research. She is a fellow of both the AAN and the American Thoracic Society, and a diplomate of the American Board of Sleep Medicine. Dr. Carno earned her baccalaureate in nursing from Syracuse University and then went on to complete an MBA in organization management and an MS in nursing (pediatric critical care), also from Syracuse University. She received her PhD from the University of Pittsburgh under the guidance of Leslie Hoffman, PhD, RN, FAAN. Dr. Carno also holds a master of jurisprudence in health law from the University of Loyola-Chicago and a post-master's certification as a pediatric nurse practitioner from the University of Rochester, School of Nursing.

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