Springhouse Review for
MEDICAL-SURGICAL
NURSING CERTIFICATION
F O U RT H E D I T I O N
,STAFF The clinical treatments described and recommended in this
publication are based on research and consultation with nursing,
Executive Publisher medical, and legal authorities. To the best of our knowledge, these
procedures reflect currently accepted practice. Nevertheless, they
Judith A. Schilling McCann, RN, MSN
can’t be considered absolute and universal recommendations. For
individual applications, all recommendations must be considered
Editorial Director
in light of the patient’s clinical condition and, before admin-
H. Nancy Holmes istration of new or infrequently used drugs, in light of the latest
package-insert information. The authors and publisher disclaim
Clinical Director any responsibility for any adverse effects resulting from the
Joan M. Robinson, RN, MSN suggested procedures, from any undetected errors, or from the
reader’s misunderstanding of the text.
Art Director
Mary Ludwicki © 2007 by Lippincott Williams & Wilkins. All rights reserved. This
book is protected by copyright. No part of it may be reproduced,
Editorial Project Manager stored in a retrieval system, or transmitted, in any form or by any
means—electronic, mechanical, photocopy, recording, or other-
Jennifer Kowalak
wise—without prior written permission of the publisher, except
for brief quotations embodied in critical articles and reviews and
Clinical Project Manager
testing and evaluation materials provided by publisher to
Carol A. Saunderson, RN, BA, BS instructors whose schools have adopted its accompanying
textbook. Printed in the United States of America. For information,
Editors write Lippincott Williams & Wilkins, 323 Norristown Road, Suite
Naina D. Chohan, Julie Munden 200, Ambler, PA 19002-2756.
Clinical Editors MSNC4010906 – 020307
Pamela Kovach, RN, BSN;
Jennifer Meyering, RN, MSN, CCRN
Library of Congress Cataloging-in-Publication Data
Copy Editor Springhouse review for medical-surgical nursing certification. —
Linda Hager 4th ed.
p. ; cm.
Designer Includes bibliographical references and index.
Linda Jovinelly Franklin 1. Nursing—Examinations, questions, etc. 2. Surgical nursing—
Examinations, questions, etc. I. Lippincott Williams & Wilkins.
Digital Composition Services Springhouse Division. II. Title: Review for medical-surgical
nursing certification.
Diane Paluba (manager), Joyce Rossi Biletz, [DNLM: 1. Nursing--Examination Questions. 2. Nursing—
Donna S. Morris Outlines. 3. Perioperative Nursing—Examination Questions. 4.
Perioperative Nursing—Outlines. WY 18.2 S76955 2007]
Manufacturing RT55.A47 2007
Beth J. Welsh 610.73076--dc22
ISBN13: 978-1-58255-507-2
Editorial Assistants ISBN10: 1-58255-507-9 (alk. paper) 2006019520
Megan L. Aldinger, Karen J. Kirk, Linda K. Ruhf
Design Assistant
Georg W. Purvis IV
Indexer
Ellen Brennan
,Contents
Contributors and consultants v
Foreword vii
Chapter 1 Medical-surgical nursing certification 1
Chapter 2 Foundations of nursing 8
Chapter 3 Legal and ethical aspects of nursing 20
Chapter 4 Principles of medical-surgical nursing 34
Chapter 5 Principles of wound care 47
Chapter 6 Disruptions in homeostasis 59
Chapter 7 Cardiovascular disorders 91
Chapter 8 Hematologic disorders 118
Chapter 9 Respiratory disorders 131
Chapter 10 Neurologic disorders 156
Chapter 11 Musculoskeletal disorders 183
Chapter 12 Gastrointestinal disorders 200
Chapter 13 Skin disorders 221
Chapter 14 Endocrine disorders 231
Chapter 15 Renal and urinary tract disorders 248
Chapter 16 Reproductive system disorders 270
iii
, iv ❍ Table of contents
Chapter 17 Immune system disorders 299
Chapter 18 Eye, ear, and nose disorders 315
Chapter 19 Perioperative nursing 327
NANDA Nursing diagnoses 336
Nursing implications of diagnostic tests 339
Nursing implications in oncology care 351
Nursing implications in clinical pharmacology 359
Posttest 375
Selected references 396
Index 397
