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NCLEX Exam Prep

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  • Copyright 2007
  • Edition: 1st
  • Premium Website
  • ISBN-10: 0-7897-3596-2
  • ISBN-13: 978-0-7897-3596-6

COMPREHENSIVE—Succeed with comprehensive learning and practice tests 

  • Master the NCLEX-RN® and NCLEX-PN® 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 2,000 questions
  • Learn important test-taking strategies to maximize your score and diminish your anxiety

Wilda Rinehart

Diann Sloan

Clara Hurd

Score Higher on the NCLEX® Exams!

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

  • 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 and PN exams.
  • Practice Questions that include detailed explanations of correct and incorrect answers—so you can learn the material from your success and mistakes. 

CD Features Nearly 2,000 Questions!

The CD-ROM–based practice exam includes an interactive Computer Adaptive Test (CAT) engine powered by MeasureUp for a meaningful exam experience with approximately 2,000 questions.

Live and Learn

Educating 100 million people worldwide, Pearson Education is the global leader in integrated education publishing.

Our renowned brands include

Pearson Prentice Hall • Pearson Longman • Pearson Scott Foresman • Pearson Addison Wesley • Pearson NCS

Pearson Education provides quality content, assessment tools, and educational services in all available media, spanning the learning curve from birth through college and beyond.

Rinehart and Associates is a leading provider of classroom training for students studying for the NCLEX® exams.

Wilda Rinehart has RN, BSN, MSN, FNC, and FPNP degrees. Her experience includes staff nurse in surgery, labor, and delivery; public-health nurse; and family-planning nurse practitioner. She also was an instructor of surgical and obstetrical nursing.

Diann Sloan has RN, BSN, MSN, FNC, as well as MS Ed., and PhD in Education degrees. She has worked as a staff nurse in surgical nursing, pediatrics, and neonatal intensive care and as a pediatric nurse clinician. She has also been an instructor of pediatric and psychiatric nursing.

Clara Hurd has RN, BSN, MSN, and GNC degrees. She is currently serving as an associate degree nurse educator at Northeast Mississippi Community College teaching medical-surgical content. She has 31 years of experience and has worked as a staff nurse in medical-surgical nursing and the surgical intensive care unit. Ms. Hurd has taught in associate and baccalaureate nursing programs.


Introduction

Study and Exam Preparation Tips

Part I: Exam Preparation
Chapter 1: Fluid and Electrolyte and Acid/Base Balance

Chapter 2: Care of the Client with Cardiovascular Disorders

Chapter 3: Care of the Client with Endocrine Disorders

Chapter 4: Care of the Client with Respiratory Disorders
Chapter 5: Care of the Client with Genitourinary Disorders

Chapter 6: Care of the Client with Integumentary Disorders

Chapter 7: Care of the Client with Sensory Disorders

Chapter 8: Care of the Client with Gastrointestinal Disorders

Chapter 9: Care of the Client with Hematological Disorders

Chapter 10: Caring for the Client with Disorders of the Neurological System

Chapter 11: Care of the Client with Immunologic Disorders

Chapter 12: Caring for the Client with Neoplastic Disorders

Chapter 13: Caring for the Client with Musculoskeletal and Connective Tissue Disorders

Chapter 14: Care of the Childbearing Client and the Neonatal Client

Chapter 15: Care of the Pediatric Client

Chapter 16: Care of the Client with Psychiatric Disorders

Chapter 17: Emergency Care

Chapter 18: Legal Issues in Nursing Practice

Chapter 19: Cultural Practices Influencing Nursing Care

Cultural Assessment
Part II: Final Review

Practice Exam I

Practice Exam II

Practice Exam III

Practice Exam IV: Management and Alternative Item Exam Questions

Answers to Practice Exam I

Answers to Practice Exam II

Answers to Practice Exam III

Answers to Practice Exam IV: Management and Alternative Item Exam Questions
Part III: Appendixes

Glossary


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Sample Content

Downloadable Sample Chapter

Download the sample chapter

Table of Contents

Introduction

    Organization

    Instructional Features

    Extensive Practice Test Options

    Final Review

        Other Valuable Tools

    About the NCLEX Exam

        Advice for Preparing for the Exam

        Advice for Test Day

        Hints for Using This Book

    Contact the Author

Study and Exam Preparation Tips

    Study Tips

    Exam Prep Tips

        Read the Question Carefully

        Look for Keywords

        Watch for Specific Details

        Eliminate Options That Are Clearly Wrong or Incorrect

        Look for Similar Options

        Look for Opposite Answers

Part I: Exam Preparation

Chapter 1:
Fluid and Electrolyte and Acid/Base Balance

    Total Body Water Calculation

    Management of the Client with Imbalances in Fluid and Electrolytes

        Types of Intravenous Fluids

        How the Body Regulates Electrolytes

        How the Body Regulates pH

    Key Concepts

        Key Terms

        Diagnostic Tests

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

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 2:
Care of the Client with Cardiovascular Disorders

    Hypertension

        Diagnosing the Client With Hypertension

        Managing the Client with Hypertension

    Coronary Artery Disease

        Atherosclerosis and Arteriosclerosis

    Conduction System of the Heart

        Heart Block

    Cardiac Monitoring

        Reading a ECG

    Cardiac Dysrhythmias

        Ventricular Tachycardia

        Ventricular Fibrillation

        Internal Cardiac Defibrillators

        Cardiopulmonary Resuscitation

    Angina Pectoris

    Myocardial Infarction

        Diagnosis of Myocardial Infarction

        Management of a Client with Myocardial Infarction

    Aneurysms

    Inflammatory Diseases of the Heart

        Infective Endocarditis

        Pericarditis

        Peripheral Vascular Disease

    Varicose Veins / Thrombophlebitis

    Raynaud’s Phenomenon

    Buerger’s Disease

    Key Concepts

    Key Terms

    Diagnostics

        Pharmacological Agents Used in the Treatment of Clients with Cardiovascular Disorders

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 3:
Care of the Client with Endocrine Disorders

    Pituitary Gland

        Hypopituitarism

        Hyperpituitarism

        Disorders of the Posterior Pituitary Gland

    Thyroid Disorders

        Hypothyroidism

        Hyperthyroidism

    Parathyroid Disorders

        Hypoparathyroidism

        Hyperparathyroidism

    Diabetes Mellitus

        Hyperglycemia

        Hypoglycemia

        Managing Hyperglycemia and Hypoglycemia

    Adrenal Gland

        Adrenal Gland Disorders

    Key Concepts

        Key Terms

        Diagnostics

        Pharmacological Agents Used to Treat Clients with Endocrine Disorders

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 4:
Care of the Client with Respiratory Disorders

    Noninfectious Disorders of the Lower Respiratory Tract

        Chronic Bronchitis

        Emphysema

        Asthma

        Pleurisy

        Pulmonary Hypertension

        Interstitial Pulmonary Disease

        Sarcoidosis

        Pulmonary Fibrosis

        Occupational Pulmonary Disease

    Infectious Disorders of the Lower Respiratory Tract

        Pneumonia

        Tuberculosis

        Influenza

    Life-Threatening Pulmonary Disorders

        Acute Respiratory Distress Syndrome

        Pulmonary Embolus

        Pneumothorax

        Hemothorax

    Emerging Infections

        SARS

        Legionnaires’ Disease

    Key Concepts

        Key Terms

        Diagnostic Tests

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

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 5:
Care of the Client with Genitourinary Disorders

    Renal Disorders

        Acute Glomerulonephritis

        Chronic Glomerulonephritis

        Nephrotic Syndrome

        Polycystic Kidney Disease

        Hydronephrosis/Hydroureteronephrosis

        Pyelonephritis

    Acute and Chronic Renal Failure

        Chronic Renal Failure

        Peritoneal Dialysis

        Hemodialysis

        Renal Transplantation

    Urinary Disorders

        Cystitis

        Urinary Incontinence

        Urolithiasis

    Genitourinary Disorders

        Prostatitis

        Benign Prostatic Hypertrophy

        Erectile Dysfunction

        Epididymitis

        Priapism

    Key Concepts

        Key Terms

        Diagnostics

        Pharmacologic Agents for the Client with Genitourinary Disorders

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 6:
Care of the Client with Integumentary Disorders

    Common Infections of the Integumentary System

        Viral Infections

        Fungal Infections

        Bacterial Infections

    Psoriasis

    Pressure Ulcers

    Burns

        Burn Classifications

        Burn Measurement with TBSA

        Nursing Care for Burn Victims

    Key Concepts

        Key Terms

        Diagnostic Tests

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

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 7:
Care of the Client with Sensory Disorders

    Disorders of the Eyes

        Intraocular Disorders

        Uveitis

        Retinal Disorders

        Refractive Errors

        Traumatic Injuries

        Ocular Melanoma

    Disorders of the Ears

        Otitis Externa

        Otitis Media

        Mastoiditis

        Ménière’s Disease

        Acoustic Neuroma

        Otosclerosis

        Presbycusis

        Ear Trauma

        Assisting Clients with Hearing Loss

    Key Concepts

        Key Terms

        Diagnostic Tests

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

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 8:
Care of the Client with Gastrointestinal Disorders

    Peptic Ulcer Disease

        Types of Ulcers

        Diagnosis of Ulcers

        Treatment of Ulcers

    Inflammatory Bowel Disorders

        Chron’s Disease

        Ulcerative Colitis

        Management of the Client with Inflammatory Bowel Disease

    Diverticular Disease

        Management of the Client with Diverticulitis

    Hemorrhoids

    Appendicitis

    Peritonitis

    Intestinal Obstruction

    Esophageal Disorders

        GERD

        Hiatal Hernia

    Diseases Associated with the Liver

        Hepatitis

        Cirrhosis

    Acute Pancreatitis

        Diagnosis of Pancreatitis

        Treatment of Pancreatitis

    Cholecystitis/Cholelithiasis

        Symptoms of Cholecystitis and Cholethiasis

        Diagnosis of Cholecystitis/Cholethiasis

        Treatment of Cholecystitis

        Treatment of Cholethiasis

    Food-Borne Illnesses

    Key Concepts

        Key Terms

        Diagnostic Tests

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

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 9:
Care of the Client with Hematological Disorders

    Anemia

        Pernicious Anemia

        Aplastic Anemia

        Sickle Cell Anemia

        Iron Deficiency Anemia

    Thalassemia

    Polycythemia Vera

    Hemophilia

    Transfusion Therapy

        Transfusion Reactions

    Key Concepts

        Key Terms

        Diagnostic Tests for Review

        Pharmacological Agents Used in Hematological Disorders

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 10:
Caring for the Client with Disorders of the Neurological System

    Neurological Assessment

        Cranial Nerve Assessment

        Glasgow Coma Scale

        Intracranial Pressure Monitors

    Brain Injuries

        Epidural Hematomas

        Subdural Hematoma

        Intracerebral Hematomas

        Treatment of Hematomas

        Increased Intracranial Pressure

    Brain Tumors

        Treatment of Brain Tumors

    Care of the Client with Intracranial Surgery (Craniotomy)

    Cerebrovascular Accident/Stroke

        Ischemic Stroke

        Hemorrhagic Stroke

    Seizures

        Types of Seizures

        Treatment of Seizure Clients

    Status Epilepticus

    Parkinson’s Disease

    Meningitis

    Autoimmune Neurological Disorders

        Multiple Sclerosis

        Myasthenia Gravis

        Guillain-Barré

    Degenerative Neurological Disorders

    Spinal Cord Injuries

        Treatment of Spinal Cord injuries

        Potential Complications with SCI Clients

    Intervertebral Disk Disease

    Diabetes Insipidus

    Key Concepts

        Key Terms

        Diagnostics

        Pharmacological Agents Used in the Care of Clients with Neurological Disorders

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 11:
Care of the Client with Immunologic Disorders

    Diagnoses

    HIV Prevention

        Standard Precautions

        Airborne Transmission—Based Precautions (Second Tier of CDC Guidelines for Infection Control)

        Droplet Transmission—Based Precautions (Second Tier of CDC
Guidelines for Infection Control)

        Contact Transmission—Based Precautions (Second Tier of CDC Guidelines for Infection Control)

        Treatments After Occupational Exposure

    Management of the Client with HIV

    Key Concepts

        Key Terms

        Diagnostic Tests

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

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 12:
Caring for the Client with Neoplastic Disorders

    American Cancer Society’s Seven Warning Signs of Cancer

    The Four Major Categories of Cancer

    Risk Factors for Specific Cancers

    Cancer Prevention

    Major Types of Cancer

        Colorectal Cancer

        Lung Cancer

        Prostate Cancer

        Breast Cancer

        Other Major Cancers

    General Interventions for Clients with Cancer

        Radiation

        Chemotherapy

        Total Parenteral Nutrition

    Neoplastic Associated Disorders and Emergencies

    Bone Marrow (Stem Cell) Transplantation

        Types of Transplants

        Nursing Care After Transplantation

    Key Concepts

        Key Terms

        Diagnostic Tests

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

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 13:
Caring for the Client with Musculoskeletal and Connective Tissue Disorders

    Fractures

        Major Fracture Sites

        General Treatment for Fractures

        Common Complications Associated with Fractures

    Osteoporosis

    Osteoarthritis

        Diagnosis of Osteoarthritis

        Treatment of the Client with Osteoarthritis

    Fibromyalgia

    Ankylosing Spondylitis

    Gout

    Rheumatoid Arthritis

    Lupus Erythematosus

    Musculoskeletal Surgical Procedures

        Fractured Hip and Hip Replacement

        Total Knee Replacement

        Amputations

    Key Concepts

    Key Terms

    Diagnostics

    Pharmacologic Agents Used in Musculoskeletal and Connective Tissue Disorders

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 14:
Care of the Childbearing Client and the Neonatal Client

    Prenatal Care

        Signs of Pregnancy

        Prenatal Diet and Weight Maintenance

        Measuring Fetal Heart Tones

        Prelabor Testing

    Intrapartal Care

        Stages of Labor

        Important Terms You Should Know

    Complications Associated with Pregnancy

        Cardiac Disease During Pregnancy

        Diabetes in Pregnancy

        Preeclampsia

        Ectopic Pregnancy

        Hydatidiform Mole

        Incompetent Cervix

        Types of Abortions

        Placenta Previa

        Abruptio Placenta

    Complications Associated with Labor and Delivery

        Post-Term Labor and Birth

        Precipitate Delivery

        Cord Prolapse

        Cesarean Birth

        Assisted Birth

        Fetal Monitoring

    Pharmacologic Management of Labor

    Postpartum Care

    Newborn Care

        Terms Associated with the Normal Newborn

        Rh Incompatibility

    Women’s Health Issues

        Pelvic Inflammatory Disease

        Menopause

        Maternal Infections

        Methods of Contraception

    Key Concepts

        Key Terms

        Diagnostic Tests

        Pharmacological Agents Used in the Care of the Obstetric Client

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Resource List

Chapter 15:
Care of the Pediatric Client

    Growth and Development

        Infant (28 Days to 1 Year)

        Toddler (1—3 Years)

        Preschooler (3—5 Years)

        School Age (6—12 Years)

        Adolescence (12—18 Years)

    Caring for the Child with Respiratory Disorders

        Upper Airway Infections

        Lower Airway Infections

        Long-Term Respiratory Disorders

        Cystic Fibrosis (Mucoviscidosis)

    Caring for the Child with Gastrointestinal Disorders

        Disorders of Motility

        Structural Defects

        Obstructive Disorders

        Inflammatory and Parasitic Disorders

        Malabsorptive/Metabolic Syndromes

        Ingestion of Hazardous Substances

    Caring for the Child with Cardiovascular Disorders

        Congenital Heart Defects

        Acquired Heart Disease

    Caring for the Child with Genitourinary Disorders

        Obstructive Uropathy

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

        Epispadias/Exstrophy of the Bladder

    Caring for the Child with Neoplastic Disorders

        Leukemia

        Wilms’ Tumor (Nephroblastoma)

        Retinoblastoma

        Neuroblastoma

        Osteosarcoma and Ewing’s Sarcoma

        Rhabdomyosarcoma

        Surviving Childhood Cancer

    Caring for the Child with Cerebral Disorders

        Intracranial Infections (Encephalitis and Bacterial Meningitis)

        Reye’s Syndrome

    Caring for the Child with Integumentary Disorders

        Eczema (Atopic Dermatitis)

        Scabies

        Pediculosis Capitis (Head Lice)

        Lyme Disease

        Rocky Mountain Spotted Fever

    Caring for the Child with Communicable Disease

    Caring for the Child with Musculoskeletal Disorders

        Congenital Clubfoot

        Developmental Hip Dysplasia

        Osteogenesis Imperfecta

        Legg-Calvé-Perthes Disease (Coxa Plana)

        Scoliosis

        Juvenile Rheumatoid Arthritis (Juvenile Idiopathic Arthritis)

    Caring for the Child with Neuromuscular Disorders

        Cerebral Palsy

        Neural Tube Defects

        Spina Bifida

        Muscular Dystrophies

    Caring for the Abused and Neglected Child

    Key Concepts

        Key Terms

        Diagnostics

        Pharmacological Agents Used in the Care of Pediatric Clients

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 16:
Care of the Client with Psychiatric Disorders

    Anxiety-Related Disorders

        Generalized Anxiety Disorder

        Post-Traumatic Stress Disorder

        Dissociative Identity Disorder

        Somatoform Disorder

        Panic Disorder

        Phobic Disorders

        Obsessive-Compulsive Disorder

    Personality Disorders

        Cluster A

        Cluster B

        Cluster C

        Managing Clients with Personality Disorders

    Psychotic Disorders

        Schizophrenia

        Bipolar Disorders

    Substance Abuse

        Alcoholism

        Chemical Dependence

    Psychological Disorders of Childhood and Adolescence

        Conduct Disorder

        Oppositional Defiant Disorder

        Attention Deficit Hyperactive Disorder

        Eating Disorders

    Key Concepts

        Key Terms

        Diagnostics

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

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 17:
Emergency Care

    The ABCDs of Emergency Care

        Airway

        Breathing

        Circulation

        Deficits

        Obtaining Client Information

    Trauma

        Head Injuries

        Chest Injuries

        Abdominal Injuries

        Documenting and Protecting Forensic Evidence

    Poisoning

    Poisonous Stings and Bites

    Bioterrorism

        Chemical and Biological Agents

        Nuclear Warfare

        Triage Categories for Disaster Victims

    Key Concepts

        Key Terms

        Diagnostics

        Pharmacological Agents Commonly Used in ER Treatment

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 18:
Legal Issues in Nursing Practice

    Types of Laws

        Statutory Laws/Regulatory Laws

        Civil Laws

        Criminal Laws

        Common Laws

    Code of Ethical Behavior in Nursing Practice

    Legalities That Affect Nursing Practice

        Negligence

        Malpractice

        Assault

        Tort

        Fraud

        Witnessing Consent for Care

    Managing Client Care

    Key Terms

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Chapter 19:
Cultural Practices Influencing Nursing Care

    Cultural Assessment

        Understanding Client Beliefs

        Working with Clients Who Speak Different Languages

    Healthcare of Hispanics/Latinos

        Time Considerations

        Use of Nonverbal/Verbal Communication

        Childbirth and Pain Response

    Healthcare of Native Americans and Alaskan Natives

        Time Considerations

        Use of Nonverbal/Verbal Communication

        Childbirth and Pain Response

    Healthcare of Asian-Americans

        Time Considerations

        Use of Nonverbal/Verbal Communication

        Childbirth and Pain Response

    Healthcare of Arab-Americans

        Time Considerations

        Use of Nonverbal/Verbal Communication

        Childbirth and Pain Response

    Nursing Plan Dietary Considerations Across Cultures

    Religious Beliefs and Refusal of Care Considerations

    Key Terms

    Apply Your Knowledge

        Exam Questions

        Answers to Exam Questions

    Suggested Reading and Resources

Part II: Final Review

Fast Facts

    The NCLEX® Exam Prep

Practice Exam I

    Fluid and Electrolytes and Acid/Base Balance

    Care of the Client with Cardiovascular Disorders

    Care of the Client with Endocrine Disorders

    Care of the Client with Immunological Disorders

    Care of the Childbearing Client and the Neonatal Client

Practice Exam II

    Care of the Client with Respiratory Disorders

    Care of the Client with Genitourinary Disorders

    Care of the Client with Integumentary Disorders

    Care of the Client with Sensory Disorders

    Care of the Pediatric Client

    Care of the Client with Psychiatric Disorders

    Emergency Care

Practice Exam III

    Care of the Client with Musculoskeletal and Connective Tissue Disorders

    Care of the Client with Gastrointestinal Disorders

    Care of the Client with Neoplastic Disorders

    Care of the Client with Neurological Disorders

    Care of the Client with Hematological Disorders

Practice Exam IV: Management and Alternative Item Exam Questions

    Management Questions

    Alternative Items

Answers to Practice Exam I

    Answers at a Glance to Practice Exam I

    Answers with Explanations

        Fluid and Electrolytes and Acid/Base Balance

        Care of the Client with Cardiovascular Disorders

        Care of the Client with Endocrine Disorders

        Care of the Client with Immunologic Disorders

        Care of the Childbearing Client and the Neonatal Client

Answers to Practice Exam II

    Answers at a Glance to Practice Exam II

    Answers with Explanations

        Care of the Client with Respiratory Disorders

        Care of the Client with Genitourinary Disorders

        Care of the Client with Integumentary Disorders

        Care of the Client with Sensory Disorders

        Care of the Pediatric Client

        Care of the Client with Psychiatric Disorders

        Emergency Care

Answers to Practice Exam III

    Answers at a Glance to Practice Exam III

    Answers with Explanations

        Care of the Client with Musculoskeletal and Connective Tissue Disorders

        Care of the Client with Gastrointestinal Disorders

        Care of the Client with Neoplastic Disorders

        Care of the Client with Neurological Disorders

        Care of the Client with Hematological Disorders

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

    Answers to Management Questions

    Alternative Item Answers

Part III: Appendixes

Appendix A: Things You Forgot

Appendix B: Need to Know More?

Appendix C: Calculations

Appendix D: Most-Prescribed Medications in the United States

Appendix E: Alphabetical Listing of Nursing Boards in the United States and Protectorates

Appendix F: What’s on the CD-ROM

Glossary

0789735962, TOC, 3/1/2007

Index

Download the Index

Introduction

Download the Introduction

Updates

Errata

PrintNumber ErrorLocation Error Correction DateAdded
2nd p. 53 The client should be taught to remain as still as possible during ECG assessment and should be positioned in a semireclined position. For continuous ECG monitoring, the use of limb leads is not recommended because limb movement causes an inaccurate reading. Continuous ECG readings are most commonly done using the MCL (modified chest lead) system, which incorporates only three leads. The negative electrode is placed just below the left mid-clavicle area and the positive electrode is placed in the V? position. The V1 position is located at the fourth intercostals position at the sternal border. V2 is placed at the fourth intercostals space at the left sternal border. V3 is located midway between V2 and V4. V5 is located at the fifth intercostals space at the anterior axillary line. V6 is located at the fifth intercostals space at the midaxillary line. The ground electrode can be placed anywhere but is usually placed under the right clavicle. For accuracy of chest lead placement, the client’s chest hair should be clipped with scissors rather than shaved because shaving can abrade the skin.
The client should be taught to remain as still as possible during ECG assessment and should be positioned in a semireclined position. For continuous ECG monitoring, the use of limb leads is not recommended because limb movement causes an inaccurate reading. Continuous ECG readings are most commonly done using the MCL (modified chest lead) system, which incorporates only three leads. The negative electrode is placed just below the left mid-clavicle area and the positive electrode is placed in the V2 position. The V1 position is located at the fourth intercostals position at the sternal border. V2 is placed at the fourth intercostals space at the left sternal border. V3 is located midway between V2 and V4. V5 is located at the fifth intercostals space at the anterior axillary line. V6 is located at the fifth intercostals space at the midaxillary line. The ground electrode can be placed anywhere but is usually placed under the right clavicle. For accuracy of chest lead placement, the client’s chest hair should be clipped with scissors rather than shaved because shaving can abrade the skin.
9/14/2007
2nd p. 60 If Coumadin (sodium warfarin) is ordered, the nurse should check or prothrombin time (PT). The control level for a prothrombin time is 10–12 seconds. The therapeutic level for Coumadin should be from one and a half to two times the control. The antidote for Coumadin is vitamin K. The international normalizing ratio (INR) is done for oral anticoagulants. The therapeutic range is 2–3. If the level exceeds 7, watch for spontaneous bleeding.
If Coumadin (sodium warfarin) is ordered, the nurse should check the prothrombin time (PT). The control level for a prothrombin time is 10–12 seconds. The therapeutic level for Coumadin should be from one and a half to two times the control. The antidote for Coumadin is vitamin K. The international normalizing ratio (INR) is usually done for oral anticoagulants. The therapeutic range is 2–3. If the level exceeds 7, watch for spontaneous bleeding.
9/14/2007
2nd p. 60 An exercise electrocardiography test, also known as the stress test or exercise tolerance test, helps to determine the function of the heart during exercise. The client is instructed to eat a light meal and refrain from smoking or consuming caffeine the morning of the test. Prior to the test, the cardiologist assesses the heart using an ECG tracing and blood pressure monitor. The client then walks on the treadmill or bicycle at a steadily progressing rate of speed of 1 to 10 miles per hour and can also be adjusted from flat to inclined. She is asked to report any shortness of breath or chest pain. Abnormalities can then be assessed. The client continues the test until:
An exercise electrocardiography test, also known as the stress test or exercise tolerance test, helps to determine the function of the heart during exercise. The client is instructed to eat a light meal and refrain from smoking or consuming caffeine the morning of the test. Prior to the test, the cardiologist assesses the heart using an ECG tracing and blood pressure monitor. The client then walks on the treadmill or bicycles at a steadily progressing rate of speed of 1 to 10 miles per hour and can also be adjusted from flat to inclined. She is asked to report any shortness of breath or chest pain. Abnormalities can then be assessed. The client continues the test until:
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2nd p. 79 4. The client being treated with lisinopril (Zestril) develops a hacking cough. The nurse should tell the client to:
A. Take the medication at night to control the problem.
B. Take cough medication to control the problem
C. Stop the medication
D. Report the problem to the doctor
4. The client being treated with lisinopril (Zestril) develops a hacking cough. The nurse should tell the client to:
A. Take half the dose to control the problem.
B. Take cough medication to control the problem
C. Stop the medication
D. Report the problem to the doctor
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2nd p. 81 4. Answer D is correct. A hacking cough is a common side effect and should be reported to the doctor. The client should not be told to half the dose since this can result in an elevated blood pressure, so answer A is incorrect. Answer B is incorrect because taking a cough medication will mask the symptom of the allergy. Answer C is incorrect because although the client stops taking the medication, this answer states that the client can report the finding to the doctor at the time of the scheduled visit. He should report this finding immediately.
4. Answer D is correct. A hacking cough is a common side effect and should be reported to the doctor. The client should not be told to half the dose since this can result in an elevated blood pressure, so answer A is incorrect. Answer B is incorrect because taking a cough medication will mask the symptom of a possible allergic reaction. Answer C is incorrect because although the client stops taking the medication, this answer states that the client can report the finding to the doctor at the time of the scheduled visit. He should report this finding immediately.
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