Product Cover Image

NCLEX-RN Exam Prep, 3rd Edition

By Wilda Rinehart, Diann Sloan, Clara Hurd

Published by Pearson IT Certification

Published Date: Dec 11, 2013

Description

Score Higher on the NCLEX-RN® Exam!

 

We provide you with the proven study tools and expert insight that will help you score higher on your exam

 

www.pearsonITcertification.com

 

  • Study Tips like the advice and instruction that a personal tutor might provide
  • Notes, Tips, and Cautions provide you with hints and strategies that will help you reduce your mistakes on the exam
  • Comprehensive discussion of all subject areas covered on the NCLEX-RN® Exam
  • Practice Questions that include detailed explanations of correct and incorrect answers–so you can learn the material from your success and mistakes

 

COMPREHENSIVE! Succeed with comprehensive learning and practice tests

 

  • Master the NCLEX-RN® exam materials in all tested subject areas
  • Prepare with four comprehensive practice tests
  • Analyze your test readiness and areas for further study with topic-focused chapter tests
  • CD-ROM—based practice exam includes an interactive Computer Adaptive Test (CAT) engine for a meaningful exam experience with approximately 400 questions
  • Learn important test-taking strategies to maximize your score and diminish your anxiety

 

Table of Contents

Introduction . . . . . . . . . . 1

    Organization . . . . . . . . 2

    Instructional Features . . . . . . . . 2

    Extensive Practice Test Options. . . . . . . 3

    Final Review . . . . . . . . . 3

        Other Valuable Tools . . . . . . . 4

    About the NCLEX Exam . . . . . . . 4

        Advice for Preparing for the Exam . . . . . . 6

        Advice for Test Day . . . . . . . 6

        Hints for Using This Book . . . . . . . 7

    Contact the Author . . . . . . . . 8

Study and Exam Preparation Tips . . . . . . . 9

    Study Tips . . . . . . . . . 9

    Exam Prep Tips . . . . . . . . 10

        Read the Question Carefully . . . . . . 11

        Look for Keywords . . . . . . . 11

        Watch for Specific Details . . . . . . . 11

        Eliminate Options That Are Clearly Wrong or Incorrect . . . 11

        Look for Similar Options . . . . . . . 12

        Look for Opposite Answers . . . . . . 13

Part I: Exam Preparation

Chapter 1: Pharmacology . . . . . . . . . 15

    Three Areas of Pharmacology . . . . . . . 15

    How Nurses Work with Pharmacology . . . . . . 16

    Time-released Drugs. . . . . . . . 17

    Administering Medications. . . . . . . 18

        The Seven Rights of Administering Medication . . . . 18

    Understanding and Identifying the Various Drugs . . . . . 19

        Angiotensin-Converting Enzyme Inhibitors . . . . . 19

        Beta Adrenergic Blockers . . . . . . . 20

        Anti-Infectives (Aminoglycosides) . . . . . . 21

        Benzodiazepines (Anticonvulsants/Antianxiety). . . . 23

        Phenothiazines (Antipsychotic/Antiemetic) . . . . . 24

        Glucocorticoids . . . . . . . . 25

        Antivirals . . . . . . . . 27

        Cholesterol-Lowering Agents . . . . . . 28

        Angiotensin Receptor Blockers . . . . . . 29

        Histamine 2 Antagonists . . . . . . . 30

        Proton Pump Inhibitors . . . . . . . 31

        Anticoagulants . . . . . . . . 32

        More Drug Identification Helpers . . . . . . 33

    Herbals . . . . . . . . . 34

    Drug Schedules . . . . . . . . 35

    Pregnancy Categories for Drugs . . . . . . . 35

    Key Concepts . . . . . . . . . 36

        Key Terms . . . . . . . . 36

    Apply Your Knowledge . . . . . . . . 37

        Answer Rationales . . . . . . . 39

Chapter 2: Fluid and Electrolyte and Acid/Base Balance . . . . . . 41

    Total Body Water Calculation . . . . . . . 41

    Management of the Client with Imbalances in Fluid and Electrolytes . . . 43

        Types of Intravenous Fluids . . . . . . 43

        How the Body Regulates Electrolytes. . . . . 44

        How the Body Regulates pH . . . . . . 52

    Key Concepts . . . . . . . . . 60

        Key Terms . . . . . . . . 60

        Diagnostic Tests . . . . . . . . 60

        Pharmacological Agents Used in the Treatment of Clients with Alterations in Fluids and Electrolytes . . . . . . . 60

    Apply Your Knowledge . . . . . . . . 61

        Exam Questions . . . . . . . . 62

        Answers to Exam Questions . . . . . . 64

    Suggested Reading and Resources. . . . . . 65

Chapter 3: Care of the Client with Cardiovascular Disorders . . . . . . 67

    Hypertension . . . . . . . . . 68

        Diagnosing the Client with Hypertension . . . . . 69

        Managing the Client with Hypertension . . . . . 69

    Coronary Artery Disease. . . . . . . 71

        Atherosclerosis and Arteriosclerosis . . . . . . 71

    Conduction System of the Heart. . . . . . . 72

        Heart Block. . . . . . . . 73

    Cardiac Monitoring . . . . . . . . 74

        Reading an Electrocardiogram. . . . . . 76

    Cardiac Dysrhythmias . . . . . . . . 76

        Ventricular Tachycardia. . . . . . . 78

        Ventricular Fibrillation . . . . . . . 79

        Internal Pacemaker/Internal Cardiac Defibrillators . . . . 79

        Cardiopulmonary Resuscitation . . . . . . 80

    Angina Pectoris . . . . . . . . 81

    Myocardial Infarction . . . . . . . . 82

        Diagnosis of Myocardial Infarction . . . . . . 82

        Management of a Client with Myocardial Infarction . . . . 83

    Aneurysms. . . . . . . . . 89

    Inflammatory Diseases of the Heart . . . . . . 90

        Infective Endocarditis . . . . . . . 90

        Pericarditis . . . . . . . . 91

        Peripheral Vascular Disease . . . . . . 91

    Varicose Veins/Thrombophlebitis . . . . . . 92

    Raynaud’s Phenomenon . . . . . . . 93

    Buerger’s Disease . . . . . . . . 93

    Key Concepts . . . . . . . . . 94

    Key Terms. . . . . . . . . 94

    Diagnostics . . . . . . . . . 95

        Pharmacological Agents Used in the Treatment of Clients with Cardiovascular Disorders. . . . . . . . 96

    Apply Your Knowledge . . . . . . . 101

        Exam Questions . . . . . . . . 101

        Answers to Exam Questions . . . . . . 103

    Suggested Reading and Resources. . . . . . 104

Chapter 4: Care of the Client with Endocrine Disorders . . . . . . 105

    Pituitary Gland. . . . . . . . 106

        Hypopituitarism . . . . . . . . 106

        Hyperpituitarism . . . . . . . 106

        Disorders of the Posterior Pituitary Gland . . . . . 107

    Thyroid Disorders . . . . . . . . 108

        Hypothyroidism . . . . . . . . 108

        Hyperthyroidism . . . . . . . 110

    Parathyroid Disorders . . . . . . . . 112

        Hypoparathyroidism . . . . . . . 112

        Hyperparathyroidism. . . . . . . 113

    Diabetes Mellitus . . . . . . . . 114

        Hyperglycemia . . . . . . . . 116

        Hypoglycemia. . . . . . . . 117

        Managing Hyperglycemia and Hypoglycemia. . . . 117

    Adrenal Gland . . . . . . . . 118

        Adrenal Gland Disorders . . . . . . . 119

    Key Concepts . . . . . . . . 123

        Key Terms . . . . . . . . 123

        Diagnostics . . . . . . . . 124

        Pharmacological Agents Used to Treat Clients with Endocrine Disorders. 124

    Apply Your Knowledge . . . . . . . 128

        Exam Questions . . . . . . . . 128

        Answers to Exam Questions . . . . . . 130

    Suggested Reading and Resources. . . . . . 131

Chapter 5: Care of the Client with Respiratory Disorders. . . . . . 133

    Noninfectious Disorders of the Lower Respiratory Tract . . . . 133

        Chronic Bronchitis. . . . . . . 133

        Emphysema. . . . . . . . 134

        Asthma. . . . . . . . . 135

        Pleurisy . . . . . . . . 137

        Pulmonary Hypertension . . . . . . . 138

        Interstitial Pulmonary Disease . . . . . . 139

        Sarcoidosis. . . . . . . . 139

        Pulmonary Fibrosis . . . . . . . 140

        Occupational Pulmonary Disease . . . . . . 140

    Infectious Disorders of the Lower Respiratory Tract. . . . 142

        Pneumonia . . . . . . . . 142

        Tuberculosis . . . . . . . . 145

        Influenza . . . . . . . . 147

    Life-Threatening Pulmonary Disorders. . . . . . 148

        Acute Respiratory Distress Syndrome. . . . . 148

        Pulmonary Embolus . . . . . . . 152

        Pneumothorax . . . . . . . . 154

        Hemothorax . . . . . . . . 155

    Emerging Infections . . . . . . . . 158

        SARS . . . . . . . . . 158

        Legionnaires’ Disease . . . . . . . 159

    Key Concepts . . . . . . . . 161

        Key Terms . . . . . . . . 161

        Diagnostic Tests . . . . . . . . 161

        Pharmacological Agents Used in the Care of the Client with Disorders of the Respiratory System . . . . . . . 162

    Apply Your Knowledge . . . . . . . 165

        Exam Questions . . . . . . . . 166

        Answers to Exam Questions . . . . . . 168

    Suggested Reading and Resources. . . . . . 169

Chapter 6: Care of the Client with Genitourinary Disorders . . . . . . 171

    Renal Disorders . . . . . . . . 172

        Acute Glomerulonephritis . . . . . . 172

        Chronic Glomerulonephritis . . . . . . 173

        Goodpasture’s Syndrome . . . . . . . 174

        Nephrotic Syndrome . . . . . . . 175

        Polycystic Kidney Disease . . . . . . 176

        Hydronephrosis/Hydroureteronephrosis . . . . . 177

        Pyelonephritis. . . . . . . . 178

    Acute and Chronic Renal Failure . . . . . . 179

        Chronic Renal Failure . . . . . . . 180

        Peritoneal Dialysis . . . . . . . 181

        Hemodialysis. . . . . . . . 182

        Continuous Renal Replacement Therapy. . . . . 183

        Renal Transplantation . . . . . . . 184

    Urinary Disorders . . . . . . . . 185

        Cystitis. . . . . . . . . 185

        Urinary Incontinence . . . . . . . 187

        Urolithiasis . . . . . . . . 188

    Genitourinary Disorders. . . . . . . 189

        Prostatitis . . . . . . . . 190

        Benign Prostatic Hypertrophy . . . . . . 190

        Erectile Dysfunction . . . . . . . 191

        Epididymitis . . . . . . . . 193

        Priapism. . . . . . . . 193

    Key Concepts . . . . . . . . 195

        Key Terms . . . . . . . . 195

        Diagnostics . . . . . . . . 195

        Pharmacologic Agents for the Client with Genitourinary Disorders. . 196

    Apply Your Knowledge . . . . . . . 200

        Exam Questions . . . . . . . . 200

        Answers to Exam Questions . . . . . . 202

    Suggested Reading and Resources. . . . . . 203

Chapter 7: Care of the Client with Integumentary Disorders . . . . . . 205

    Common Infections of the Integumentary System . . . . . 205

        Viral Infections . . . . . . . . 205

        Fungal Infections . . . . . . . 207

        Bacterial Infections . . . . . . . 208

    Psoriasis. . . . . . . . . 208

    Pressure Ulcers. . . . . . . . 209

    Burns . . . . . . . . . 212

        Burn Classifications . . . . . . . 213

        Burn Measurement with TBSA . . . . . . 214

        Nursing Care for Burn Victims . . . . . . 215

    Key Concepts . . . . . . . . 223

        Key Terms . . . . . . . . 223

        Diagnostic Tests . . . . . . . . 223

        Pharmacological Agents Used in the Care of the Client with Integumentary Disorders. . . . . . . . 224

    Apply Your Knowledge . . . . . . . 226

        Exam Questions . . . . . . . . 226

        Answers to Exam Questions . . . . . . 228

    Suggested Reading and Resources. . . . . . 229

Chapter 8: Care of the Client with Sensory Disorders. . . . . . 231

    Disorders of the Eyes . . . . . . . . 231

        Intraocular Disorders . . . . . . . 232

        Uveitis . . . . . . . . . 236

        Corneal Dystrophy and Corneal Transplantation . . . . 236

        Retinal Disorders . . . . . . . 236

        Refractive Errors . . . . . . . 239

        Traumatic Injuries . . . . . . . 240

        Ocular Melanoma . . . . . . . 240

    Disorders of the Ears. . . . . . . . 242

        Otitis Externa . . . . . . . . 243

        Otitis Media . . . . . . . . 243

        Mastoiditis. . . . . . . . 244

        Ménière’s Disease. . . . . . . 244

        Acoustic Neuroma . . . . . . . 245

        Otosclerosis. . . . . . . . 245

        Presbycusis . . . . . . . . 246

        Ear Trauma . . . . . . . . 246

        Assisting Clients with Hearing Loss . . . . . 247

    Key Concepts . . . . . . . . 250

        Key Terms . . . . . . . . 250

        Diagnostic Tests . . . . . . . . 251

        Pharmacological Agents Used in the Care of the Client with Disorders of the Eyes and Ears . . . . . . . . 251

    Apply Your Knowledge . . . . . . . 253

        Exam Questions . . . . . . . . 253

        Answers to Exam Questions . . . . . . 255

    Suggested Reading and Resources. . . . . . 256

Chapter 9: Care of the Client with Gastrointestinal Disorders . . . . . 257

    Peptic Ulcer Disease . . . . . . . . 258

        Types of Ulcers. . . . . . . . 259

        Diagnosis of Ulcers . . . . . . . 259

        Treatment of Ulcers. . . . . . . 260

    Inflammatory Bowel Disorders . . . . . . . 263

        Crohn’s Disease . . . . . . . . 263

        Ulcerative Colitis . . . . . . . 263

        Management of the Client with Inflammatory Bowel Disease . . . 264

    Diverticular Disease. . . . . . . . 265

        Management of the Client with Diverticulitis . . . . 265

    Hemorrhoids . . . . . . . . 266

    Appendicitis . . . . . . . . . 266

    Peritonitis . . . . . . . . . 268

    Intestinal Obstruction . . . . . . . . 269

    Esophageal Disorders . . . . . . . . 270

        GERD . . . . . . . . . 270

        Hiatal Hernia . . . . . . . . 274

    Diseases Associated with the Liver . . . . . . 275

        Hepatitis . . . . . . . . 275

        Cirrhosis . . . . . . . . 281

    Acute Pancreatitis . . . . . . . . 285

        Diagnosis of Pancreatitis. . . . . . . 286

        Treatment of Pancreatitis . . . . . . . 286

    Cholecystitis/Cholelithiasis . . . . . . . 287

        Symptoms of Cholecystitis and Cholelithiasis . . . . 288

        Diagnosis of Cholecystitis/Cholelithiasis . . . . . 288

        Treatment of Cholecystitis . . . . . . 289

        Treatment of Cholethiasis. . . . . . . 289

    Clostridium Difficile . . . . . . . . 290

    Food-Borne Illnesses. . . . . . . . 291

    Key Concepts . . . . . . . . 294

        Key Terms . . . . . . . . 294

        Diagnostic Tests . . . . . . . . 295

        Pharmacological Agents Used in the Care of the Client with Disorders of the Gastrointestinal System . . . . . . . 295

    Apply Your Knowledge . . . . . . . 297

        Exam Questions . . . . . . . . 298

        Answers to Exam Questions . . . . . . 300

    Suggested Reading and Resources. . . . . . 301

Chapter 10: Care of the Client with Hematological Disorders . . . . . . 303

    Anemia. . . . . . . . . 303

        Pernicious Anemia . . . . . . . 304

        Aplastic Anemia . . . . . . . . 304

        Sickle Cell Anemia. . . . . . . 305

        Iron Deficiency Anemia . . . . . . . 309

    Thalassemia . . . . . . . . . 311

    Polycythemia Vera . . . . . . . . 312

    Hemophilia . . . . . . . . . 313

    Transfusion Therapy . . . . . . . . 315

        Transfusion Reactions . . . . . . . 317

    Key Concepts . . . . . . . . 319

        Key Terms . . . . . . . . 319

        Diagnostic Tests for Review . . . . . . 319

        Pharmacological Agents Used in Hematological Disorders . . . 320

    Apply Your Knowledge . . . . . . . 321

        Exam Questions . . . . . . . . 321

        Answers to Exam Questions . . . . . . 323

    Suggested Reading and Resources. . . . . . 324

Chapter  11:Care of the Client with Disorders of the Neurological System. . . . 325

    Neurological Assessment . . . . . . . 326

        Cranial Nerve Assessment . . . . . . 326

        Glasgow Coma Scale . . . . . . . 327

        Intracranial Pressure Monitors. . . . . . 328

    Brain Injuries . . . . . . . . 329

        Epidural Hematomas. . . . . . . 332

        Subdural Hematoma . . . . . . . 332

        Intracerebral Hematomas . . . . . . . 332

        Treatment of Hematomas . . . . . . . 332

        Increased Intracranial Pressure . . . . . . 332

    Brain Tumors . . . . . . . . 336

        Treatment of Brain Tumors . . . . . . 337

    Care of the Client with Intracranial Surgery (Craniotomy) . . . . 338

    Cerebrovascular Accident/Stroke . . . . . . 342

        Ischemic Stroke . . . . . . . . 342

        Hemorrhagic Stroke . . . . . . . 344

    Seizures . . . . . . . . . 347

        Types of Seizures . . . . . . . 347

        Treatment of Seizure Clients . . . . . . 350

    Parkinson’s Disease . . . . . . . . 350

    Meningitis . . . . . . . . . 352

    Autoimmune Neurological Disorders. . . . . . 354

        Multiple Sclerosis. . . . . . . 354

        Myasthenia Gravis . . . . . . . 355

        Guillain-Barré. . . . . . . . 357

    Degenerative Neurological Disorders . . . . . . 358

    Cranial Nerve Disorders. . . . . . . 359

        Trigeminal Neuralgia . . . . . . . 359

        Bell’s Palsy. . . . . . . . 359

    Spinal Cord Injuries . . . . . . . . 360

        Treatment of Spinal Cord Injuries. . . . . . 361

        Potential Complications with SCI Clients . . . . . 362

    Intervertebral Disk Disease . . . . . . . 363

    Key Concepts . . . . . . . . 366

        Key Terms . . . . . . . . 366

        Diagnostics . . . . . . . . 367

        Pharmacological Agents Used in the Care of Clients with Neurological Disorders. . . . . . . . 368

    Apply Your Knowledge . . . . . . . 373

        Exam Questions . . . . . . . . 373

        Answers to Exam Questions . . . . . . 376

    Suggested Reading and Resources. . . . . . 377

Chapter 12: Care of the Client with Immunologic Disorders . . . . . . 379

    Immunodeficiency Syndrome . . . . . . . 380

    Diagnoses . . . . . . . . . 381

    HIV Prevention . . . . . . . . 383

        Standard Precautions. . . . . . . 383

        Airborne Transmission–Based Precautions (Second Tier of CDC Guidelines for Infection Control) . . . . . . . 384

        Droplet Transmission–Based Precautions (Second Tier of CDC Guidelines for Infection Control) . . . . . . . 384

        Contact Transmission–Based Precautions (Second Tier of CDC Guidelines for Infection Control) . . . . . . . 385

        Treatments After Occupational Exposure. . . . . 385

    Management of the Client with HIV . . . . . . 385

    Key Concepts . . . . . . . . 389

        Key Terms . . . . . . . . 389

        Diagnostic Tests . . . . . . . . 389

        Pharmacological Agents Used in the Care of the Client with Immunologic Disorders. . . . . . . . 390

    Apply Your Knowledge . . . . . . . 393

        Exam Questions . . . . . . . . 394

        Answers to Exam Questions . . . . . . 396

    Suggested Reading and Resources. . . . . . 397

Chapter 13: Care of the Client with Neoplastic Disorders . . . . . . 399

    American Cancer Society’s Seven Warning Signs of Cancer. . . . 399

    The Four Major Categories of Cancer. . . . . . 400

    Risk Factors for Specific Cancers . . . . . . 400

    Cancer Prevention . . . . . . . . 402

    Major Types of Cancer . . . . . . . 403

        Colorectal Cancer . . . . . . . 403

        Lung Cancer. . . . . . . . 407

        Prostate Cancer . . . . . . . . 409

        Breast Cancer . . . . . . . . 411

        Other Major Cancers. . . . . . . 416

    General Interventions for Clients with Cancer . . . . . 421

        Radiation . . . . . . . . 421

        Chemotherapy . . . . . . . . 423

        Total Parenteral Nutrition . . . . . . 424

    Neoplastic-Associated Disorders and Emergencies . . . . 426

    Bone Marrow and Peripheral Stem Cell Transplantation . . . . 427

        Types of Transplants . . . . . . . 428

        Nursing Care After Transplantation . . . . . 428

    Key Concepts . . . . . . . . 431

        Key Terms . . . . . . . . 431

        Diagnostic Tests . . . . . . . . 432

        Pharmacologic Agents Used in the Care of the Client with Specific Neoplastic Disorders. . . . . . . . 433

    Apply Your Knowledge . . . . . . . 440

        Exam Questions . . . . . . . . 440

        Answers to Exam Questions . . . . . . 443

    Suggested Reading and Resources. . . . . . 445

Chapter 14: Care of the Client with Musculoskeletal and Connective Tissue Disorders . . . 447

    Fractures . . . . . . . . . 448

        Major Fracture Sites . . . . . . . 450

        General Treatment for Fractures. . . . . . 450

        Common Complications Associated with Fractures . . . . 454

    Osteoporosis . . . . . . . . . 457

    Osteoarthritis . . . . . . . . 458

        Diagnosis of Osteoarthritis. . . . . . 459

        Treatment of the Client with Osteoarthritis . . . . . 459

    Fibromyalgia. . . . . . . . . 460

    Ankylosing Spondylitis . . . . . . . 460

    Gout. . . . . . . . . 461

    Rheumatoid Arthritis. . . . . . . . 462

    Lupus Erythematosus . . . . . . . . 464

    Musculoskeletal Surgical Procedures . . . . . . 466

        Fractured Hip and Hip Replacement . . . . . 466

        Total Knee Replacement. . . . . . . 467

        Amputations . . . . . . . . 468

    Key Concepts . . . . . . . . 474

        Key Terms . . . . . . . . 474

        Diagnostics . . . . . . . . 474

        Pharmacologic Agents Used in Musculoskeletal and Connective Tissue Disorders. . . . . . . . 475

    Apply Your Knowledge . . . . . . . 479

        Exam Questions . . . . . . . . 479

        Answers to Exam Questions . . . . . . 481

    Suggested Reading and Resources. . . . . . 482

Chapter 15: Care of the Childbearing Client and the Neonatal Client . . . . . 483

    Prenatal Care . . . . . . . . 483

        Signs of Pregnancy. . . . . . . 483

        Prenatal Diet and Weight Maintenance . . . . . 484

        Measuring Fetal Heart Tones. . . . . . 486

        Measuring Fundal Height. . . . . . . 486

        Prelabor Testing . . . . . . . . 486

    Intrapartal Care . . . . . . . . 488

        Stages of Labor. . . . . . . . 489

        Important Terms You Should Know . . . . . 489

    Complications Associated with Pregnancy. . . . . 490

        Cardiac Disease During Pregnancy. . . . . . 490

        Diabetes in Pregnancy. . . . . . . 493

        Preeclampsia . . . . . . . . 494

        Ectopic Pregnancy . . . . . . . 495

        Hydatidiform Mole . . . . . . . 495

        Incompetent Cervix . . . . . . . 496

        Types of Abortions. . . . . . . 496

        Placenta Previa . . . . . . . . 497

        Abruptio Placenta. . . . . . . 497

    Complications Associated with Labor and Delivery . . . . 498

        Fetal Malpresentation . . . . . . . 499

        Post-term Labor and Birth . . . . . . 499

        Precipitate Delivery . . . . . . . 500

        Cord Prolapse. . . . . . . . 500

        Cesarean Birth . . . . . . . . 500

        Assisted Birth . . . . . . . . 501

        Fetal Monitoring . . . . . . . 501

    Pharmacologic Management of Labor . . . . . . 503

    Postpartum Care . . . . . . . . 504

    Newborn Care . . . . . . . . 505

        Terms Associated with the Normal Newborn . . . . 506

        Rh Incompatibility . . . . . . . 507

    Women’s Health Issues . . . . . . . 508

        Pelvic Inflammatory Disease . . . . . . 508

        Menopause . . . . . . . . 508

        Maternal Infections . . . . . . . 508

        Methods of Contraception . . . . . . 511

    Key Concepts . . . . . . . . 514

        Key Terms . . . . . . . . 514

        Diagnostic Tests . . . . . . . . 515

        Pharmacological Agents Used in the Care of the Obstetric Client . . 516

    Apply Your Knowledge . . . . . . . 517

        Exam Questions . . . . . . . . 518

    Answers to Exam Questions . . . . . . 520

    Suggested Reading and Resources. . . . . . 521

Chapter 16: Care of the Pediatric Client . . . . . . . . 523

    Growth and Development . . . . . . . 523

        Infant (28 Days to 1 Year). . . . . . . 523

        Toddler (1–3 Years) . . . . . . . 524

        Preschooler (3–5 Years) . . . . . . . 525

        School Age (6–12 Years) . . . . . . . 527

        Adolescence (12–18 Years) . . . . . . 527

    Caring for the Child with Respiratory Disorders . . . . . 528

        Upper Airway Infections. . . . . . . 529

        Lower Airway Infections. . . . . . . 533

        Long-Term Respiratory Disorders . . . . . . 535

        Cystic Fibrosis (Mucoviscidosis) . . . . . . 536

    Caring for the Child with Gastrointestinal Disorders . . . . 537

        Disorders of Motility. . . . . . . 538

        Structural Defects . . . . . . . 540

        Obstructive Disorders . . . . . . . 542

        Inflammatory and Parasitic Disorders. . . . . 544

        Malabsorptive/Metabolic Syndromes . . . . . 545

        Ingestion of Hazardous Substances . . . . . . 547

    Caring for the Child with Cardiovascular Disorders . . . . 549

        Congenital Heart Defects. . . . . . . 550

        Acquired Heart Disease. . . . . . . 557

    Caring for the Child with Genitourinary Disorders. . . . 560

        Obstructive Uropathy . . . . . . . 561

        External Defects (Hypospadias, Epispadias, Exstrophy of the Bladder). . 561

        Epispadias/Exstrophy of the Bladder . . . . . 562

    Caring for the Child with Neoplastic Disorders. . . . . 563

        Leukemia. . . . . . . . 563

        Wilms’ Tumor (Nephroblastoma) . . . . . . 563

        Retinoblastoma. . . . . . . . 564

        Neuroblastoma . . . . . . . . 564

        Osteosarcoma and Ewing’s Sarcoma . . . . . 564

        Rhabdomyosarcoma. . . . . . . 565

        Surviving Childhood Cancer . . . . . . 565

    Caring for the Child with Cerebral Disorders . . . . . 566

        Intracranial Infections (Encephalitis and Bacterial Meningitis) . . . 566

        Reye’s Syndrome . . . . . . . 567

    Caring for the Child with Integumentary Disorders . . . . 568

        Eczema (Atopic Dermatitis) . . . . . . 568

        Scabies . . . . . . . . . 569

        Pediculosis Capitis (Head Lice) . . . . . . 569

        Lyme Disease . . . . . . . . 570

        Rocky Mountain Spotted Fever . . . . . . 570

    Caring for the Child with Communicable Disease. . . . . 571

    Caring for the Child with Musculoskeletal Disorders . . . . 573

        Congenital Clubfoot . . . . . . . 573

        Developmental Hip Dysplasia . . . . . . 573

        Osteogenesis Imperfecta . . . . . . . 574

        Legg-Calvé-Perthes Disease (Coxa Plana) . . . . . 575

        Scoliosis . . . . . . . . 576

        Juvenile Rheumatoid Arthritis (Juvenile Idiopathic Arthritis) . . . 576

    Caring for the Child with Neuromuscular Disorders . . . . 577

        Cerebral Palsy. . . . . . . . 577

        Neural Tube Defects . . . . . . . 578

        Spina Bifida. . . . . . . . 578

        Muscular Dystrophies . . . . . . . 579

    Caring for the Abused and Neglected Child . . . . . 580

    Key Concepts . . . . . . . . 583

        Key Terms . . . . . . . . 583

        Diagnostics . . . . . . . . 584

        Pharmacological Agents Used in the Care of Pediatric Clients . . . 584

    Apply Your Knowledge . . . . . . . 584

        Exam Questions . . . . . . . . 585

        Answers to Exam Questions . . . . . . 587

    Suggested Reading and Resources. . . . . . 588

Chapter 17: Care of the Client with Psychiatric Disorders . . . . . . 589

    Anxiety-related Disorders. . . . . . . 589

        Generalized Anxiety Disorder . . . . . . 590

        Post-traumatic Stress Disorder . . . . . . 590

        Dissociative Identity Disorder . . . . . . 591

        Somatoform Disorder . . . . . . . 591

        Panic Disorder . . . . . . . . 591

        Phobic Disorders . . . . . . . 592

        Obsessive-compulsive Disorder . . . . . . 592

    Personality Disorders . . . . . . . . 593

        Cluster A . . . . . . . . 593

        Cluster B . . . . . . . . 594

        Cluster C. . . . . . . . 595

        Managing Clients with Personality Disorders . . . . 596

    Psychotic Disorders. . . . . . . . 597

        Schizophrenia . . . . . . . . 597

        Bipolar Disorders . . . . . . . 599

    Substance Abuse. . . . . . . . 602

        Alcoholism . . . . . . . . 602

        Chemical Dependence. . . . . . . 604

    Psychological Disorders of Childhood and Adolescence . . . . 606

        Autistic Disorder . . . . . . . 607

        Conduct Disorder . . . . . . . 607

        Oppositional Defiant Disorder . . . . . . 608

        Attention Deficit Hyperactive Disorder . . . . . 608

        Eating Disorders . . . . . . . 608

    Key Concepts . . . . . . . . 611

        Key Terms . . . . . . . . 611

        Diagnostics . . . . . . . . 612

        Pharmacological Agents Used in the Care of the Client with Psychiatric Disorders. . . . . . . . 612

    Apply Your Knowledge . . . . . . . 617

        Exam Questions . . . . . . . . 618

        Answers to Exam Questions . . . . . . 620

    Suggested Reading and Resources. . . . . . 621

Chapter 18: Emergency Care. . . . . . . . . 623

    The ABCDs of Emergency Care. . . . . . 624

        Airway . . . . . . . . . 624

        Breathing. . . . . . . . 625

        Circulation . . . . . . . . 625

        Deficits . . . . . . . . 626

        Obtaining Client Information . . . . . . 627

    Trauma . . . . . . . . . 627

        Head Injuries . . . . . . . . 627

        Chest Injuries . . . . . . . . 628

        Abdominal Injuries. . . . . . . 628

        Documenting and Protecting Forensic Evidence . . . . 629

    Poisoning . . . . . . . . . 630

    Poisonous Stings and Bites . . . . . . . 631

    Bioterrorism . . . . . . . . . 632

        Chemical and Biological Agents . . . . . . 632

        Nuclear Warfare. . . . . . . . 634

        Triage Categories for Disaster Victims . . . . . 635

    Key Concepts . . . . . . . . 637

        Key Terms . . . . . . . . 637

        Diagnostics . . . . . . . . 637

        Pharmacological Agents Commonly Used in ER Treatment . . . 637

    Apply Your Knowledge . . . . . . . 638

        Exam Questions . . . . . . . . 638

        Answers to Exam Questions . . . . . . 640

    Suggested Reading and Resources. . . . . . 641

Chapter 19: Legal Issues in Nursing Practice . . . . . . . 643

    Types of Laws. . . . . . . . 644

        Statutory Laws/Regulatory Laws. . . . . . 644

        Civil Laws . . . . . . . . 644

        Criminal Laws . . . . . . . . 644

        Common Law. . . . . . . . 644

    Code of Ethical Behavior in Nursing Practice . . . . . 645

    Legal Theories That Affect Nursing Practice . . . . . 646

        Negligence . . . . . . . . 647

        Malpractice . . . . . . . . 647

        Witnessing Consent for Care. . . . . . 647

        Tort . . . . . . . . . 647

        Assault and Battery . . . . . . . 648

        Fraud . . . . . . . . . 648

    Managing Client Care. . . . . . . . 648

    Key Terms. . . . . . . . . 652

    Apply Your Knowledge . . . . . . . 652

        Exam Questions . . . . . . . . 653

        Answers to Exam Questions . . . . . . 655

    Suggested Reading and Resources. . . . . . 656

Chapter 20: Cultural Practices Influencing Nursing Care . . . . . . 657

    Cultural Assessment. . . . . . . . 657

        Understanding Client Beliefs . . . . . . 657

        Working with Clients Who Speak Different Languages . . . 658

    Healthcare of Hispanics/Latinos . . . . . . 659

        Time Considerations . . . . . . . 660

        Use of Nonverbal/Verbal Communication. . . . . 660

        Childbirth and Pain Response . . . . . . 661

    Healthcare of Native Americans and Alaskan Natives . . . . 661

        Time Considerations . . . . . . . 661

        Use of Nonverbal/Verbal Communication. . . . . 662

        Childbirth and Pain Response . . . . . . 662

    Healthcare of Asian-Americans . . . . . . . 662

        Time Considerations . . . . . . . 663

        Use of Nonverbal/Verbal Communication. . . . . 663

        Childbirth and Pain Response . . . . . . 664

    Healthcare of Arab-Americans. . . . . . . 664

        Time Considerations . . . . . . . 665

        Use of Nonverbal/Verbal Communication. . . . . 665

        Childbirth and Pain Response . . . . . . 665

    Nursing Plan Dietary Considerations Across Cultures . . . . 665

    Religious Beliefs and Refusal of Care Considerations . . . . 667

    Key Terms. . . . . . . . . 669

    Apply Your Knowledge . . . . . . . 669

        Exam Questions . . . . . . . . 669

        Answers to Exam Questions . . . . . . 671

    Suggested Reading and Resources. . . . . . 672

Part II: Final Review

Fast Facts The NCLEX RN Exam Prep . . . . . . . . 673

Practice Exam I . . . . . . . . . 681

    Fluid and Electrolytes and Acid/Base Balance. . . . . 682

    Care of the Client with Cardiovascular Disorders . . . . . 686

    Care of the Client with Endocrine Disorders . . . . . 693

    Care of the Client with Immunological Disorders . . . . . 700

    Care of the Childbearing Client and the Neonatal Client . . . . 705

Practice Exam II. . . . . . . . . 717

    Care of the Client with Respiratory Disorders . . . . . 718

    Care of the Client with Genitourinary Disorders. . . . . 723

    Care of the Client with Integumentary Disorders . . . . . 728

    Care of the Client with Sensory Disorders . . . . . 731

    Care of the Pediatric Client . . . . . . . 736

    Care of the Client with Psychiatric Disorders. . . . . 744

    Emergency Care. . . . . . . . 749

Practice Exam III . . . . . . . . . 753

    Care of the Client with Musculoskeletal and Connective Tissue Disorders . . 754

    Care of the Client with Gastrointestinal Disorders . . . . 760

    Care of the Client with Neoplastic Disorders . . . . . 767

    Care of the Client with Neurological Disorders. . . . . 777

    Care of the Client with Hematological Disorders . . . . . 786

Practice Exam IV Management and Alternative Item Exam Questions. . . . . 791

    Management Questions . . . . . . . 792

    Alternative Items . . . . . . . . 808

Answers to Practice Exam I . . . . . . . . 819

    Answers at a Glance to Practice Exam I . . . . . . 819

    Answers with Explanations . . . . . . . 821

    Fluid and Electrolytes and Acid/Base Balance . . . . 821

    Care of the Client with Cardiovascular Disorders . . . . 823

    Care of the Client with Endocrine Disorders . . . . 828

    Care of the Client with Immunologic Disorders. . . . 832

    Care of the Childbearing Client and the Neonatal Client. . . 835

Answers to Practice Exam II . . . . . . . . 843

    Answers at a Glance to Practice Exam II . . . . . . 843

    Answers with Explanations . . . . . . . 845

    Care of the Client with Respiratory Disorders . . . . 845

    Care of the Client with Genitourinary Disorders . . . . 848

    Care of the Client with Integumentary Disorders . . . . 851

    Care of the Client with Sensory Disorders . . . . . 853

    Care of the Pediatric Client . . . . . . 855

    Care of the Client with Psychiatric Disorders. . . . 859

    Emergency Care. . . . . . . . 862

Answers to Practice Exam III . . . . . . . . 865

    Answers at a Glance to Practice Exam III . . . . . 865

    Answers with Explanations . . . . . . . 867

    Care of the Client with Musculoskeletal and Connective Tissue Disorders . 867

    Care of the Client with Gastrointestinal Disorders . . . . 870

    Care of the Client with Neoplastic Disorders . . . . 873

    Care of the Client with Neurological Disorders . . . . 878

    Care of the Client with Hematological Disorders . . . . 883

Answers to Practice Exam IV: Management and Alternative Item Exam Questions. . . . . 885

    Answers to Management Questions . . . . . . 885

    Alternative Item Answers . . . . . . . 894

Part III: Appendixes

Appendix A: Things You Forgot . . . . . . . . . 899

Appendix B: Need to Know More?. . . . . . . . 905

Appendix C: Calculations . . . . . . . . . 911

Appendix D: Most Commonly-Prescribed Medications in the United States . . . . 915

TOC, 9780789751065, 11/21/2013

 

Purchase Info

ISBN-10: 0-13-339180-9

ISBN-13: 978-0-13-339180-0

Format: eBook (Watermarked)?

This eBook includes the following formats, accessible from your Account page after purchase:

ePubEPUBThe open industry format known for its reflowable content and usability on supported mobile devices.

MOBIMOBIThe eBook format compatible with the Amazon Kindle and Amazon Kindle applications.

Adobe ReaderPDFThe popular standard, used most often with the free Adobe® Reader® software.

This eBook requires no passwords or activation to read. We customize your eBook by discretely watermarking it with your name, making it uniquely yours.

Includes EPUB, MOBI, and PDF

$39.99 $31.99

Add to Cart