Cover image for NCLEX-PN
Rinehart Gardner, Wilda.
Personal Author:
4th ed.
Publication Information:
[Upper Saddle River, N.J.] : Pearson Education, [2014]

Physical Description:
xxv, 565 pages : illustrations ; 23 cm + 1 CD-ROM (4 3/4 in.).
Preparing for the National Council Exam for Licensed Practical Nurses -- Simplifying pharmacology -- Caring for the client with disorders of the respiratory system -- Caring for the client with disorders of the renal and genitourinary system -- Caring for the client with disorders of the hematopoietic system -- Caring for the client with disorders of fluid and electrolyte balance and acid/base balance -- Caring for the client with burns -- Caring for the client with sensorineural disorders -- Caring for the client with cancer -- Caring for the client with disorders of the gastrointestinal system -- Caring for the client with disorders of the musculoskeletal system -- Caring for the client with disorders of the endocrine system -- Caring for the client with disorders of the cardiovascular system -- Caring for the client with disorders of the neurological system -- Caring for the client with psychiatric disorders -- Caring for the maternal/infant client -- Caring for the pediatric client.
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RT55 .R56 2014 Civil Service and Exam Books Exam Books

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"The book offers a quick 'cram' approach to the NCLEX that is very user-friendly and not time-intensive. The overall approach is very learner-centered and the content is well-paced." nbsp; -Catherinenbsp;Dearman, R.N., Ph.D.


Covers exactly what you need to know to score higher on your NCLEX-PN®nbsp;exam 445 sample test questions help you gain confidence and decide when you're ready to take the actual exam Includesnbsp;the popular Cram Sheetnbsp;tearcardnbsp;to help you remember key concepts and do extra last-minute studying Exam Alerts identify important information foundnbsp;on the exam Simplifies key medicationnbsp;aidenbsp;concepts and techniques for easy learning nbsp;

Covers the critical information you'll need to know to score higher on your NCLEX-PN exam!


Discover how the NCLEX-PN exam works, and how best to prepare for it Understand essential disease processes, treatments, and diagnostic studies Care for clients with respiratory, genitourinary, hematopoietic, gastrointestinal, musculoskeletal, endocrine, cardiovascular, neurological, and many other disorders Serve maternal, infant, and pediatric clients Provide compassionate and effective psychiatric care Consider cultural, religious, and legal concerns associated with client care Review all stages of the nursing process: assessment, diagnosis, planning, implementation, and evaluation Address client needs for a safe, effective-care environment; health promotion and maintenance;nbsp;and psychosocial and physiological integrity nbsp;


The CD features the innovative Pearson IT Certificationnbsp;practice test, giving you an effective tool to assess your readiness for the NCLEX-PN exam.



Pearson IT Certification Practice Test minimum system requirements:


Windows XP (SP3), Windows Vista (SP2), Windows 7, or Windows 8 Professional; Microsoft .NET Framework 4.0 Client; Pentium class 1GHz processor (or equivalent); 512MB RAM; 650MB hard disk space plus 50MB for each downloaded practice exam; access to the Internet to register and download exam databases NCLEX-PN®nbsp;is a registered trademark of the National Council of State Boards of Nursing, Inc. (NCSBN), which does not sponsor or endorse this product. nbsp;

Author Notes

Wilda Rinehart Gardner received an Associate Degree in Nursing from Northeast Mississippi Community College in Booneville, Mississippi. After working as a staff nurse and charge nurse, she became a public health nurse and served in that capacity for a number of years. In 1975, she received her nurse practitioner certification in the area of obstetrics-gynecology from the University of Mississippi Medical Center in Jackson, Mississippi. In 1979, she completed her Bachelor of Science degree in Nursing from Mississippi University for Women. In 1980, she completed her Master of Science degree in Nursing from the same university and accepted a faculty position at Northeast Mississippi Community College, where she taught medical-surgical nursing and maternal-newborn nursing. In 1982, she founded Rinehart and Associates Nursing Consultants. For the past 26 years, she and her associates have worked with nursing graduates and schools of nursing to assist graduates to pass the National Council Licensure Exam for Nursing. She has also worked as a curriculum consultant with faculty to improve test construction. Ms. Rinehart has served as a convention speaker throughout the southeastern United States and as a reviewer of medical-surgical and obstetric texts. She has co-authored materials used in seminars presented by Rinehart and Associates Nursing Review.

Dr. Diann Sloan received an Associate Degree in Nursing from Northeast Mississippi Community College, a Bachelor of Science degree in Nursing from the University of Mississippi, and a Master of Science degree in Nursing from Mississippi University for Women. In addition to her nursing degrees, she holds a Master of Science in Counseling Psychology from Georgia State University and a Doctor of Philosophy in Counselor Education, with minors in both Psychology and Educational Psychology, from Mississippi State University. She has completed additional graduate studies in healthcare administration at Western New England College and the University of Mississippi. Dr. Sloan has taught pediatric nursing, psychiatric mental health nursing, and medical-surgical nursing in both associate degree and baccalaureate nursing programs. As a member of Rinehart and Associates Nursing Review, Dr. Sloan has conducted test construction workshops for faculty and nursing review seminars for both registered and practical nurse graduates. She has co-authored materials used in the item-writing workshops for nursing faculty and Rinehart and Associates Nursing Review. She is a member of Sigma Theta Tau nursing honor society.

Clara Hurd received an Associate Degree in Nursing from Northeast Mississippi Community College in Booneville, Mississippi (1975). Her experiences in nursing are clinically based, having served as a staff nurse in medical-surgical nursing. She has worked as an oncology, intensive care, orthopedic, neurological, and pediatric nurse. She received her Bachelor of Science degree in Nursing from the University of North Alabama in Florence, Alabama, and her Master of Science degree in Nursing from the Mississippi University for Women in Columbus, Mississippi. Ms. Hurd is a certified nurse educator. She currently serves as a nurse educator consultant and an independent contractor. Ms. Hurd has taught in both associate degree and baccalaureate degree nursing programs. She was a faculty member of Mississippi University for Women; Austin Peay State University in Clarksville, Tennessee; Tennessee State University in Nashville, Tennessee; and Northeast Mississippi Community College. Ms. Hurd joined Rinehart and Associates in 1993. She has worked with students in preparing for the National Council Licensure Exam and with faculty as a consultant in writing test items. Ms. Hurd has also been a presenter at nursing conventions on various topics, including itemwriting for nursing faculty. Her primary professional goal is to prepare the student and graduatefor excellence in the delivery of healthcare.



Praise for NCLEX-PN Exam Cram "The book offers a quick 'cram' approach to the NCLEX that is user friendly and not time intensive. The overall approach is learner-centered and the content is well paced." --Catherine Dearman, RN, PhD Introduction Welcome to the NCLEX-PN®Exam Cram This book will help you prepare to take and pass the Licensure Exam for Practical Nurses. This Introduction discusses the NCLEX®exam in general and how the Exam Cram can help you prepare for the test. It doesn't matter whether this is the first time you're going to take the exam or if you have taken it previously; this book gives you the necessary information and techniques to obtain licensure. Exam Cram books help you understand and appreciate the subjects and materials you need to pass. The books are aimed at test preparation and review. They do not teach you everything you need to know about the subject of nursing. Instead they present materials you are likely to encounter on the exam. Using a simple approach, we help you understand the need-to-know information. First, you learn content as it applies to medical-surgical nursing, psychiatric-mental health nursing, obstetric nursing, and pediatric nursing, with an emphasis on pharmacology, skills, and management of these disorders. In a well-organized format, you learn the pathophysiology of the most common problems affecting clients, the treatment of these disorders, and the nursing care required. The NCLEX-PN®consists of questions from the cognitive levels of knowledge, comprehension, application, and analysis. The majority of questions are written at the application and analysis levels. Questions incorporate the five stages of the nursing process (assessment, diagnosis, planning, implementation, and evaluation) and the four categories of client needs. Client needs are divided into subcategories that define the content within each of the four major categories. These categories and subcategories are A. Safe, effective care environment: Coordinated care: 12%--18% Safety and infection control: 8%--14% B. Health promotion and maintenance: 7%--13% C. Psychosocial integrity: 8%--14% D. Physiological integrity: Basic care and comfort: 11%--17% Pharmacological and parenteral therapy: 9%--15% Reduction of risk: 10%--16% Physiological adaptation: 11%--17% Taking the Computerized Adaptive Test Computer Adaptive Testing offers the candidate several advantages. The graduate can schedule the exam at a time that is convenient for him. The Pearson VUE testing group is responsible for administering the exam. Because you might not be familiar with the Pearson VUE testing centers, we recommend that you arrive at least 30 minutes early to acclimate yourself to the surroundings and learn what you need to do while testing at the center. If you are late, you will not be allowed to test. Bring two forms of identification with you, one of which must be a picture ID. Be sure that your form of identification matches your application. You will be photographed and fingerprinted upon entering the testing site, so don't let this increase your stress. The allotted time is 5 hours. The candidate can receive results within approximately 7 days (in some states even sooner). Remember that the exam is written at approximately the 10th-grade reading level so keep a good dictionary handy during your studies. The Cost of the Exam The candidate wanting to take the licensure exam must fill out two applications, one to the National Council and one to the state in which she wants to be licensed. A separate fee must accompany each application. The fee required by the National Council is $200. State licensing fees vary from state to state. The candidate should contact the state where she wishes to become licensed for a list of fees for that specific state. Licensure applications can be obtained on the National Council's website at . Several states are members of the multistate licensure compact. This means that, if you are issued a multistate license, you pay only one fee. This information can also be obtained by visiting the National Council's website. A list of phone numbers and websites is included on this book's CD, in Appendix C, "Alphabetical Listing of Nursing Boards in the United States and Protectorates." How to Prepare for the Exam Judicious use of this book, either alone or with a review seminar, such as that provided by Rinehart and Associates, will help you to achieve your goal of becoming a practical nurse. As you review for the NCLEX® Exam, we suggest that you find a location where you can concentrate on the material each day. A minimum of 2 hours per day for at least 2 weeks is suggested. We have provided you with exam alerts, tips, notes, and sample questions, both multiple-choice and alternative items. These questions will acquaint you with the type of questions you will see during the exam. We have also formulated a mock exam, with those difficult management and delegation questions, which you can score to determine your readiness to test. Pay particular attention to the Exam Alerts and the Cram Sheet. Using these will help you gain and retain knowledge and help reduce your stress as you prepare to test. How to Use This Book Each topical Exam Cram chapter follows a regular structure and includes cues about important or useful information. Here's the structure of a typical chapter: Opening hotlists --Each chapter begins with a list of terms and concepts you must learn and understand before you can know the subject matter. The hotlists are followed by an introductory section to set the stage for the rest of the chapter. Topical coverage --After the opening hotlists, each chapter covers a series of topics related to the chapter's subject title. Even though the book is structured to the exam, these flagged items are often particularly important: Exam Alert --Exam alerts normally stress concepts, terms, or activities that are related to one or more test questions. Anything found in exam alert format is worthy of greater attention on your part. This is what an exam alert looks like: Caution - Exam alerts are provided as a heads up that the content mentioned here might appear on the NCLEX-PN®exam. Notes --Throughout each chapter additional information is provided that, although not directly related to the exam itself, is still useful and will aid your preparation. A sample note is shown here: Note - This is how notes are formatted. Notes direct your attention to important pieces of information that relate to nursing and nursing certification. Tips --A tip might tell you another way of accomplishing something in a more efficient or time-saving manner. An example of a tip is shown here: Tip - This is how tips are formatted. Keep your eyes open for these, and you'll learn some interesting nursing tips! Exam Prep Questions --Although we talk about test questions and topics throughout the book, the section at the end of each chapter presents a series of mock test questions and explanations of both correct and incorrect answers. Practice Exams --This book offers two exams written in the NCLEX®format. These have been provided to help you evaluate your readiness to test. Answers and rationale to these questions have also been provided. We suggest that you score the exam by subtracting the missed items from the total and dividing the total answered correctly by the total number of questions. This will give you the percentage of answers correctly. We suggest that you achieve a score of at least 77% before you schedule your exam. Glossary --At the end of the book is a glossary that defines critical nursing terms we cover in this book. The CD --The CD includes a testing engine with many practice questions that you should use repeatedly to practice your test-taking skills and measure your level of learning. You should be able to correctly answer more than 77% of the questions on the practice tests before trying the real exam. The CD also contains Appendix A, "Things You Forgot"; Appendix B, "Need to Know More?"; and Appendix C, "Alphabetical Listing of Nursing Boards in the United States and Protectorates." Cram Sheet --At the beginning of the book is a tear card we call the Cram Sheet. This is a helpful tool that gives you distilled, compressed facts and is a great tool for last-minute study and review. About the Book The topics in this book have been structured using the systems approach to nursing. We believe that a simple approach to learning the disease process, treatments, and diagnostic studies is best. We review material related to diseases of each body system; the related nursing skills; and the diagnostic tests, nutrition, and pharmacology associated with each. We also consider cultural and religious aspects as they relate to the care of clients with specific illnesses. Aside from being a test preparation book, this book is also useful if you are brushing up on your nursing knowledge. It is an excellent quick reference for the licensed nurse. Contact the Authors The authors of this text are interested in you and want you to pass on the first attempt. If, after reviewing with this text, you would like to contact the authors, you can do so at Rinehart and Associates, PO Box 124, Booneville, MS 38829 or by visiting our website at . You can also contact us by phone at 662-728-4622. (c) Copyright Pearson Education. All rights reserved. Excerpted from NCLEX-PN Exam Cram by Wilda Rinehart, Diann Sloan, Clara Hurd All rights reserved by the original copyright owners. Excerpts are provided for display purposes only and may not be reproduced, reprinted or distributed without the written permission of the publisher.

Table of Contents

Introductionp. xxi
Welcome to the NCLEX-PN® Exam Cramp. xxi
Taking the Computerized Adaptive Testp. xxii
The Cost of the Examp. xxii
How to Prepare for the Examp. xxiii
How to Use This Bookp. xxiii
Self-Assessmentp. 1
Testing Your Exam Readinessp. 2
Chapter 1 Preparing for the National Council Exam for Licensed Practical Nursesp. 3
Preparing for the Examp. 4
The Computer Adaptive Testp. 4
Testing Strategiesp. 5
Reading the Question Carefullyp. 6
Look for Keywordsp. 6
Watch for Specific Detailsp. 6
Exam Prep Questionsp. 9
Answer Rationalesp. 11
Chapter 2 Simplifying Pharmacologyp. 13
Pharmacologyp. 14
Three Areas of Pharmacologyp. 14
How Nurses Work with Pharmacologyp. 15
Time-Released Drugsp. 16
Administering Medicationsp. 17
Understanding and Identifying the Various Drugsp. 18
Angiotensin-Converting Enzyme Inhibitorsp. 18
Beta Adrenergic Blockersp. 19
Anti-Infectives (Aminoglycosides)p. 20
Benzodiazepines (Anticonvulsants/Antianxiety)p. 22
Phenothiazines (Antipsychotic/Antiemetic)p. 24
Glucocorticoidsp. 25
Antiviralsp. 26
Cholesterol-Lowering Agentsp. 28
Angiotensin Receptor Blockersp. 29
Histamine 2 Antagonistsp. 30
Proton Pump Inhibitorsp. 31
Anticoagulantsp. 32
More Drug Identification Helpersp. 33
Herbalsp. 34
Drug Schedulesp. 35
Pregnancy Categories for Drugsp. 35
Exam Prep Questionsp. 36
Answer Rationalesp. 38
Chapter 3 Caring for the Client with Disorders of the Respiratory Systemp. 41
Chronic Obstructive Pulmonary Diseasep. 42
Chronic Bronchitisp. 42
Emphysemap. 42
Asthmap. 43
Acute Respiratory Infectionsp. 44
Pneumoniap. 44
Pleurisyp. 45
Tuberculosisp. 46
Influenzap. 46
Acute Respiratoryp. 47
Acute Respiratory Distress Syndromep. 47
Pulmonary Embolusp. 48
Emerging Infectionsp. 50
Severe Acute Respiratory Syndromep. 50
Legionnaire's Diseasep. 51
Diagnostic Tests for Reviewp. 51
Pharmacology Categories for Reviewp. 52
Exam Prep Questionsp. 53
Answer Rationalesp. 55
Suggested Reading and Resourcesp. 56
Chapter 4 Caring for the Client with Disorders of the Renal and Genitourinary Systemp. 57
Acute Glomerulonephritisp. 58
Chronic Glomerulonephritisp. 59
End Stage Renal Diseasep. 60
Peritoneal Dialysisp. 60
Hemodialysisp. 60
Renal Transplantationp. 61
Nephrotic Syndromep. 61
Urinary Calculip. 62
Urinary Tract Infectionsp. 63
Genitourinary Disordersp. 63
Prostatitisp. 63
Benign Prostatic Hyperplasiap. 64
Bladder Cancerp. 66
Diagnostic Tests for Reviewp. 67
Pharmacology Categories for Reviewp. 67
Exam Prep Questionsp. 68
Answer Rationalesp. 70
Suggested Reading and Resourcesp. 71
Chapter 5 Caring for the Client with Disorders of the Hematopoietic Systemp. 73
Anemiap. 74
Pernicious Anemiap. 74
Aplastic Anemiap. 75
Sickle Cell Anemiap. 76
Iron Deficiency Anemiap. 77
Cooley's Anemia (Thalassemia Major)p. 77
Hemophiliap. 77
Polycythemia Verap. 78
Diagnostic Tests for Reviewp. 79
Pharmacology for Reviewp. 79
Exam Prep Questionsp. 80
Answer Rationalesp. 82
Suggested Reading and Resourcesp. 83
Chapter 6 Caring for the Client with Disorders of Fluid and Electrolyte Balance and Acid/Base Balancep. 85
Basic Knowledge of Fluid and Electrolyte Balancep. 86
Regulation of pH and Its Effect on Fluid and Electrolytesp. 87
How the Body Regulates pHp. 87
Metabolic Acidosisp. 87
Causes of Metabolic Acidosisp. 87
Symptoms of Metabolic Acidosisp. 88
Care of the Client with Metabolic Acidosisp. 88
Respiratory Acidosisp. 89
Causes of Respiratory Acidosisp. 89
Symptoms of Respiratory Acidosisp. 90
Caring for the Client with Respiratory Acidosisp. 90
Metabolic Alkalosisp. 91
Causes of Metabolic Alkalosisp. 91
Symptoms of Metabolic Alkalosisp. 91
Caring for the Client with Metabolic Alkalosisp. 92
Respiratory Alkalosisp. 92
Symptoms of Respiratory Alkalosisp. 92
Care of the Client with Respiratory Alkalosisp. 93
Normal Electrolyte Valuesp. 93
Changes Associated with Agingp. 94
Exam Prep Questionsp. 96
Answer Rationalesp. 98
Suggested Reading and Resourcesp. 99
Chapter 7 Caring for the Client with Burnsp. 101
Burn Classificationsp. 102
Burn Measurement with TBSAp. 104
Nursing Care for Burn Victimsp. 105
The Emergent Phasep. 106
The Intermediate Phasep. 110
Dressings for Burnsp. 111
The Rehabilitative Phasep. 112
Diagnostic Tests for Reviewp. 112
Pharmacology Categories for Reviewp. 112
Exam Prep Questionsp. 114
Answer Rationalesp. 116
Suggested Reading and Resourcesp. 117
Chapter 8 Caring for the Client with Sensorineural Disordersp. 119
Disorders of the Eyesp. 120
Intraocular Disordersp. 120
Retinal Disordersp. 123
Refractive Errorsp. 125
Traumatic Injuriesp. 126
Visual Tests for Reviewp. 127
Pharmacology Categories for Reviewp. 127
Ear Disordersp. 127
Otitis Externap. 128
Otitis Mediap. 128
Meniere's Diseasep. 128
Otosclerosisp. 129
Presbycusisp. 129
Ear Traumap. 130
Assisting Clients with Hearing Lossp. 130
Diagnostic Tests for Reviewp. 130
Pharmacology Categories for Reviewp. 131
Exam Prep Questionsp. 132
Answer Rationalesp. 134
Suggested Reading and Resourcesp. 135
Chapter 9 Caring for the Client with Cancerp. 137
Cancerp. 138
American Cancer Society's Seven Warning Signs of Cancerp. 138
The Four Major Categories of Cancerp. 138
Risk Factors for Specific Cancersp. 139
Cancer Preventionp. 140
Patient Teachingp. 141
Management of the Client with Cancerp. 141
Radiationp. 142
Chemotherapyp. 143
Bone Marrow Transplantation and Peripheral Stem Cell Transplantation (PSCT)p. 145
Types of Transplantsp. 145
Nursing Care After Transplantationp. 146
Hodgkin's Lymphomap. 147
Diagnosis of Hodgkin's Lymphomap. 147
Prognosis of Hodgkin's Lymphomap. 148
Treatment of Hodgkin's Lymphomap. 148
Diagnostic Tests for Reviewp. 148
Pharmacology for Reviewp. 149
Exam Prep Questionsp. 151
Answer Rationalesp. 153
Suggested Reading and Resourcesp. 154
Chapter 10 Caring for the Client with Disorders of the Gastrointestinal Systemp. 155
Ulcersp. 156
Types of Ulcersp. 156
Treatment of Ulcersp. 157
Inflammatory Bowel Disordersp. 159
Crohn's Disease (Regional Enteritis)p. 159
Ulcerative Colitisp. 160
Diverticulitisp. 161
Diagnosis of Diverticulitisp. 161
Treatment of Diverticulitisp. 161
Gastroesophageal Reflux Disease (GERD)p. 162
Diseases Associated with the Liverp. 163
Hepatitisp. 163
Cirrhosisp. 168
Pancreatitisp. 170
Cholecystitis/Cholelithiasisp. 172
Symptoms of Cholecystitis and Cholelithiasisp. 172
Diagnosis of Cholecystitis/Cholethiasisp. 173
Treatment of Cholecystitisp. 173
Treatment of Cholethiasisp. 174
Clostridium Difficilep. 175
Food-Borne Illnessesp. 175
Diagnostic Tests for Reviewp. 176
Pharmacology for Reviewp. 177
Exam Prep Questionsp. 178
Answer Rationalesp. 180
Suggested Reading and Resourcesp. 181
Chapter 11 Caring for the Client with Disorders of the Musculoskeletal Systemp. 183
Fracturesp. 184
Treating Fracturesp. 184
Compartment Syndromep. 187
Osteomyelitisp. 188
Osteoporosisp. 189
Treatment of Osteoporosisp. 190
Goutp. 190
Treatment of the Client with Goutp. 191
Rheumatoid Arthritisp. 192
Treatment of Rheumatoid Arthritisp. 192
Musculoskeletal Surgical Proceduresp. 193
Fractured Hip and Hip Replacementp. 193
Total Knee Replacementp. 194
Amputationsp. 195
Assistive Devices for Ambulationp. 196
Crutchesp. 197
Canesp. 197
Walkersp. 198
Diagnostic Tests for Reviewp. 198
Pharmacology for Reviewp. 199
Exam Prep Questionsp. 201
Answer Rationalesp. 203
Suggested Reading and Resourcesp. 204
Chapter 12 Caring for the Client with Disorders of the Endocrine Systemp. 205
The Endocrine Systemp. 206
Pituitary Disordersp. 206
Tumors of the Pituitaryp. 207
Thyroid Disordersp. 209
Hypothyroidismp. 209
Hyperthyroidismp. 210
Parathyroid Disordersp. 212
Hypoparathyroidismp. 212
Hyperparathyroidismp. 213
Adrenal Gland Disordersp. 214
Adrenocortical Insufficiency (Addison's Disease)p. 214
Adrenocortical Hypersecretion (Cushing's Syndrome) or Cushing's Diseasep. 215
Diabetes Mellitusp. 215
Diagnostic Tests for Reviewp. 219
Pharmacology Categories for Reviewp. 219
Exam Prep Questionsp. 220
Answer Rationalesp. 222
Suggested Reading and Resourcesp. 223
Chapter 13 Caring for the Client with Disorders of the Cardiovascular Systemp. 225
Hypertensionp. 226
Medications Used to Treat Hypertensionp. 227
Heart Blockp. 227
Toxicity to Medicationsp. 229
Malfunction of the Conduction Systemp. 229
Myocardial Infarctionp. 230
Diagnosis of Myocardial Infarctionp. 231
Management of Myocardial Infarction Clientsp. 232
Inflammatory Diseases of the Heartp. 235
Infective Endocarditisp. 235
Pericarditisp. 235
Buerger's Diseasep. 236
Thrombophlebitisp. 236
Raynaud's Syndromep. 237
Aneurysmsp. 237
Congestive Heart Failurep. 238
Diagnostic Tests for Reviewp. 238
Pharmacology Categories for Reviewp. 239
Exam Prep Questionsp. 240
Answer Rationalesp. 242
Suggested Reading and Resourcesp. 243
Chapter 14 Caring for the Client with Disorders of the Neurological Systemp. 245
Seizuresp. 246
Types of Seizuresp. 246
Treatment of Seizure Clientsp. 248
Status Epilepticusp. 249
Brain Injuriesp. 249
Epidural Hematomasp. 250
Subdural Hematomap. 250
Treatment of Epidural and Subdural Hematomasp. 250
Increased Intracranial Pressurep. 251
Treatment of ICPp. 253
Neurological Assessmentp. 253
Cranial Nerve Assessmentp. 254
Glasgow Coma Scalep. 255
Intracranial Pressure Monitorsp. 256
Care of the Client with Intracranial Surgery (Craniotomy)p. 256
Cerebrovascular Accident/Strokep. 257
Spinal Cord Injuryp. 258
Treatment of Spinal Cord Injuriesp. 259
Potential Complications with SCI Clientsp. 260
Guillain-Barrép. 261
Treating Clients with Guillian-Barrép. 261
Degenerative Neurological Disordersp. 261
Diagnostic Tests for Reviewp. 263
Pharmacology for Reviewp. 263
Exam Prep Questionsp. 265
Answer Rationalesp. 267
Suggested Reading and Resourcesp. 268
Chapter 15 Caring for the Client with Psychiatric Disordersp. 269
Anxiety-Related Disordersp. 270
Generalized Anxiety Disorderp. 270
Post-traumatic Stress Disorderp. 271
Dissociative Identity Disorderp. 271
Somatoform Disorderp. 272
Panic Disorderp. 272
Phobic Disordersp. 273
Obsessive-Compulsive Disorderp. 273
Personality Disordersp. 274
Cluster Ap. 274
Cluster Bp. 275
Cluster Cp. 276
Managing Clients with Personality Disordersp. 277
Psychotic Disordersp. 277
Schizophreniap. 277
Bipolar Disordersp. 280
Substance Abusep. 282
Alcoholismp. 282
Other Commonly Abused Substancesp. 285
Disorders of Childhood and Adolescencep. 287
Conduct Disorderp. 287
Oppositional Defiant Disorderp. 287
Attention Deficit Hyperactive Disorderp. 288
Autistic Disorderp. 288
Eating Disordersp. 289
Diagnostic Tests for Reviewp. 289
Pharmacology Categories for Reviewp. 290
Exam Prep Questionsp. 291
Answer Rationalesp. 293
Suggested Reading and Resourcesp. 294
Chapter 16 Caring for the Maternal/Infant Clientp. 295
Signs of Pregnancyp. 296
Presumptive Signsp. 296
Probable Signsp. 296
Positive Signsp. 297
Prenatal Carep. 297
Prenatal Diet and Weight Maintenancep. 297
Alpha-Fetoprotein Screeningp. 297
Other Prenatal Diagnostic Testsp. 298
Assessing Fetal Heart Tonesp. 299
Ultrasonographyp. 299
Signs of Complications of Pregnancyp. 299
Types of Abortionsp. 300
Complications Affecting Pregnancyp. 301
Diabetes in Pregnancyp. 301
Preeclampsiap. 302
Disseminated Intravascular Coagulationp. 303
Cord Prolapsep. 303
Abruptio Placentap. 303
Placenta Previap. 303
Maternal Infectionsp. 304
Preterm Laborp. 306
Intrapartal Carep. 307
Stages of Laborp. 307
Phases of Laborp. 308
Important Terms You Should Knowp. 308
Prelabor Testingp. 309
Fetal Monitoringp. 310
Pharmacologic Management of Laborp. 312
Postpartum Carep. 313
Terms Associated with the Normal Newbornp. 313
Rh Incompatibilityp. 314
Contraceptionp. 315
Diagnostic Tests for Reviewp. 316
Pharmacology Categories for Reviewp. 317
Exam Prep Questionsp. 318
Answer Rationalesp. 320
Suggested Reading and Resourcesp. 321
Chapter 17 Caring for the Pediatric Clientp. 323
Growth and Developmentp. 324
Infant (28 Days to 1 Year)p. 324
Toddler (1-3 Years)p. 326
Preschooler (3-5 Years)p. 327
School Age (6-12 Years)p. 328
Adolescence (12-18 Years)p. 329
Congenital Anomaliesp. 329
Anomalies of the Gastrointestinal Systemp. 330
Anomalies of the Musculoskeltal Systemp. 334
Anomalies of the Cardiovascular Systemp. 336
Inborn Errors of Metabolismp. 339
Respiratory Disordersp. 340
Acute Otitis Mediap. 341
Tonsillitisp. 342
Laryngotracheobronchitisp. 343
Acute Epiglottitisp. 343
Bronchiolitisp. 344
Cystic Fibrosis (Mucoviscidosis)p. 345
Gastrointestinal Disordersp. 345
Gastroenteritisp. 346
Pyloric Stenosisp. 346
Intussusceptionp. 346
Celiac (Gluten-Induced Enteropathy, Celiac Sprue)p. 347
Cardiovascular Disordersp. 347
Rheumatic Feverp. 347
Kawasaki's Disease (Mucocutaneous Lymph Node Syndrome)p. 348
Musculoskeletal Disordersp. 350
Scoliosisp. 350
Legg-Calve-Perthes Disease (Coxa Plana)p. 351
Muscular Dystrophiesp. 351
Childhood Cancerp. 352
Wilms Tumor (Nephroblastoma)p. 352
Leukemiap. 352
Osteogenic Sarcoma (Osteosarcoma)p. 352
Ingestion of Hazardous Substancesp. 353
Salicylate Overdosep. 353
Acetaminophen (Tylenol) Overdosep. 353
Lead (Plumbism)p. 353
Iron Poisoningp. 354
Diagnostic Tests for Reviewp. 354
Pharmacology Categories for Reviewp. 355
Exam Prep Questionsp. 356
Answer Rationalesp. 358
Suggested Reading and Resourcesp. 359
Practice Exam 1p. 361
Answers to Practice Exam 1p. 405
Practice Exam 2p. 427
Answers to Practice Exam 2p. 469
Appendix A Things You Forgotp. 491
Appendix B Need to Know More?p. 499
Appendix C Calculationsp. 507
Glossaryp. 511