Additional Information
Book Details
Abstract
Prepare for success on the Certification for Emergency Nurses examination! Not only does Pass CEN! review all the content covered in the current exam blueprint, it includes fun yet challenging learning activities, realistic practice questions, and comprehensive practice examinations. A concise outline format and numerous illustrations make the material easy to read, understand, and remember. Written by a team of expert nursing instructors led by Robin Donohoe Dennison, this unique guide also reviews anatomy and physiology for each core body system. This is the all-in-one study tool you can't do without!
- An easy-to-follow outline format quickly and clearly delineates what you must know to pass the CEN exam.
- Content follows the most current CEN blueprint and eliminates extraneous information that is not likely to be tested.
- Learning activities provide fun and stimulating ways to learn critical concepts, such as matching questions, essays, table completion exercises, and crossword puzzles.
- Anatomy and physiology reviews cover each core body system
- Case Related Learning activities include questions on clinical reasoning and decision-making.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| PASS CEN! | iii | ||
| Copyright Page | iv | ||
| Contributor | vii | ||
| Reviewers | vii | ||
| Preface | ix | ||
| Table of Contents | xi | ||
| CHAPTER 1 Preparing and Performing on the CEN Examination | 1 | ||
| Certification | 1 | ||
| The CEN Examination (ENA, 2008) | 1 | ||
| Preparation to Improve Performance on the these Examination | 2 | ||
| Performance During the Examination | 4 | ||
| Reasons for Failing the Examination | 6 | ||
| Test Results | 6 | ||
| Maintaining Your CEN Certification | 6 | ||
| References and Selected Readings | 6 | ||
| CHAPTER 2 Patient Care Management | 8 | ||
| Introduction | 8 | ||
| Triage and Priority Setting | 8 | ||
| Primary Assessment | 11 | ||
| Secondary Assessment | 13 | ||
| Pain Management | 16 | ||
| Transfer and Stabilization | 16 | ||
| Cultural Diversity | 18 | ||
| Organ and Tissue Donation | 25 | ||
| Discharge Planning | 26 | ||
| Emergency Preparedness | 27 | ||
| References and Selected Readings | 37 | ||
| CHAPTER 3 Professional Issues in Emergency Nursing | 38 | ||
| Introduction to the Professional Issues in Emergency Nursing Chapter | 38 | ||
| Delegation | 38 | ||
| Critical Incident Stress Management | 38 | ||
| Preservation of Evidence for Legal/ Forensic Situations | 39 | ||
| Ethical Decision Making | 40 | ||
| Ethical Principles | 40 | ||
| Patient Confidentiality | 41 | ||
| Legal Concepts Important to Emergency Nursing | 42 | ||
| Evidence-Based Practice, Research, and Quality Improvement | 44 | ||
| Documentation of Assessment, Intervention, and Evaluation of Patient Care | 49 | ||
| Orientation/Continuing Education/ Inservice Programs | 50 | ||
| Patient Education | 50 | ||
| Stress Management | 52 | ||
| References and Suggested Readings | 63 | ||
| CHAPTER 4 Cardiovascular Emergencies | 64 | ||
| Introduction | 64 | ||
| Age-Related Considerations | 64 | ||
| Selected Concepts in Anatomy and Physiology | 64 | ||
| Cardiovascular Assessment | 75 | ||
| Hemodynamic Monitoring | 85 | ||
| Electrocardiography | 94 | ||
| Dysrhythmias and Blocks | 108 | ||
| Cardiopulmonary Arrest | 124 | ||
| Sudden Infant Death Syndrome (SIDS) | 132 | ||
| Coronary Artery Disease/Acute Coronary Syndrome | 133 | ||
| Angina Pectoris | 135 | ||
| Myocardial Infarction | 139 | ||
| Heart Failure | 147 | ||
| Cardiomyopathy | 150 | ||
| Pericarditis | 153 | ||
| Myocarditis | 154 | ||
| Infective Endocarditis | 155 | ||
| Hypertensive Crises | 157 | ||
| Acute Arterial Occlusion | 159 | ||
| Acute Aortic Aneurysm | 160 | ||
| Peripheral Arterial Disease | 162 | ||
| Peripheral Venous Thrombosis | 163 | ||
| Blunt Cardiac Injury (also known as myocardial contusion) | 164 | ||
| Penetrating Cardiac Trauma | 166 | ||
| Great Vessel Injury | 166 | ||
| Cardiac Tamponade | 167 | ||
| References and Suggested Readings | 180 | ||
| CHAPTER 5 Respiratory Emergencies | 182 | ||
| Introduction | 182 | ||
| Age-Related Considerations | 182 | ||
| Selected Concepts in Anatomy and Physiology | 182 | ||
| Pulmonary Assessment | 193 | ||
| Acid-Base Balance and Arterial Blood Gas Interpretation | 201 | ||
| Airway Management | 205 | ||
| O₂ Therapy | 215 | ||
| Hazards of O₂ Therapy | 216 | ||
| Selected Concepts in Mechanical Ventilation | 217 | ||
| Noninvasive Positive Pressure Ventilation (NPPV) | 220 | ||
| Specific Respiratory Emergencies | 220 | ||
| Chest Trauma Emergencies | 249 | ||
| References and Selected Readings | 266 | ||
| CHAPTER 6 Neurologic Emergencies | 268 | ||
| Introduction to the Neurologic Emergencies Chapter | 268 | ||
| Age-Related Considerations | 268 | ||
| Selected Concepts in Anatomy and Physiology | 268 | ||
| Neurologic Assessment | 278 | ||
| Intracranial Hypertension (Also known as increased ICP [hICP]) | 294 | ||
| Traumatic Brain Injury | 301 | ||
| Skull Fractures | 303 | ||
| Intracranial Hematomas | 305 | ||
| Hemorrhagic Stroke | 307 | ||
| Ischemic Stroke | 309 | ||
| Spinal Cord Injuries | 313 | ||
| Seizures | 317 | ||
| Headaches | 321 | ||
| Guillain-Barré Syndrome | 322 | ||
| Chronic Neurologic Disorders | 323 | ||
| References and Selected Readings | 339 | ||
| CHAPTER 7 Gastrointestinal Emergencies | 340 | ||
| Introduction | 340 | ||
| Age-related Considerations | 340 | ||
| Selected Concepts in Gastrointestinal Anatomy and Physiology | 340 | ||
| Assessment of the Gastrointestinal System | 350 | ||
| Acute Abdomen | 355 | ||
| Appendicitis | 358 | ||
| Upper Gastrointestinal Hemorrhage | 359 | ||
| Gastroesophageal Reflux Disease and Esophagitis | 364 | ||
| Cholecystitis | 365 | ||
| Hepatic Failure/Encephalopathy | 366 | ||
| Diverticulitis | 369 | ||
| Gastroenteritis | 371 | ||
| Hernias | 372 | ||
| Intussusception/Volvulus | 373 | ||
| Pyloric Stenosis | 374 | ||
| Irritable Bowel Syndrome (IBS) | 375 | ||
| Inflammatory Bowel Disease | 376 | ||
| Pancreatitis | 378 | ||
| Intestinal Infarction/Obstruction/ Perforation | 379 | ||
| Abdominal Trauma | 382 | ||
| References and Suggested Readings | 395 | ||
| CHAPTER 8 Orthopedic and Wound Emergencies | 396 | ||
| Introduction | 396 | ||
| Age-Related Considerations (Emergency Nurses Association [ENA], 2003, 2007) | 396 | ||
| Selected Concepts in Anatomy and Physiology | 396 | ||
| Orthopedic Assessment | 397 | ||
| General Principles of Wound Care | 399 | ||
| General Orthopedic Management | 399 | ||
| General Discharge Instruction | 404 | ||
| Specific Orthopedic Emergencies | 405 | ||
| Specific Orthopedic Trauma | 411 | ||
| Specific Orthopedic Life-Threatening Complications | 415 | ||
| Specific Wound Emergencies | 419 | ||
| References and Suggested Readings | 439 | ||
| CHAPTER 9 Genitourinary, Gynecologic, and Obstetric Emergencies | 440 | ||
| Introduction | 440 | ||
| Age-Related Considerations | 440 | ||
| Pregnancy-Related Changes | 440 | ||
| Selected Concepts in Anatomy and Physiology | 440 | ||
| Physical Assessment | 442 | ||
| System-Specific Tasks | 444 | ||
| SPECIFIC GEN/GYN/OB EMERGENCIES | 445 | ||
| Urinary Tract Infections | 445 | ||
| Pyelonephritis | 446 | ||
| Urinary Calculi | 447 | ||
| Urinary Retention | 448 | ||
| Testicular Torsion | 449 | ||
| Epididymitis | 450 | ||
| Epididymo-orchitis | 451 | ||
| Prostatitis | 452 | ||
| Benign Prostatic Hypertrophy (BPH) | 453 | ||
| Priapism | 454 | ||
| Phimosis | 455 | ||
| Urethral Injury | 456 | ||
| Ruptured Bladder | 457 | ||
| Renal Trauma | 458 | ||
| Foreign Bodies in Urethra, Vagina, or Rectum | 461 | ||
| Pelvic Pain | 461 | ||
| Endometriosis | 464 | ||
| Dysfunctional Uterine Bleeding (DUB) | 465 | ||
| Vaginal Discharge | 466 | ||
| Sexually Transmitted Infections (STIs) | 467 | ||
| Pelvic Inflammatory Disease (PID) | 471 | ||
| Bartholin Cyst/Abscess | 472 | ||
| Sexual Assault and Rape | 473 | ||
| Spontaneous Abortion | 475 | ||
| Pregnancy-Induced Hypertension (PIH) | 476 | ||
| Bleeding in Late Pregnancy | 477 | ||
| Hyperemesis Gravidarum | 478 | ||
| Preterm Labor (PTL) | 479 | ||
| Postpartum Hemorrhage | 480 | ||
| Emergency Delivery | 481 | ||
| Complicated Deliveries | 482 | ||
| Neonatal Resuscitation | 483 | ||
| Trauma in Pregnancy | 483 | ||
| References and Suggested Readings | 494 | ||
| CHAPTER 10 Maxillofacial and Ocular Emergencies | 497 | ||
| Introduction | 497 | ||
| Age-Related Considerations | 497 | ||
| Selected Concepts in Anatomy and Physiology | 497 | ||
| Physical Assessment | 500 | ||
| System-Specific Tasks | 503 | ||
| SPECIFIC MAXILLOFACIAL AND OCULAR EMERGENCIES | 504 | ||
| Odontalgia (i.e., dental pain) | 504 | ||
| Gingival Emergencies | 505 | ||
| Dental Abscess | 506 | ||
| Foreign Body in the Ear, Nose, or Throat | 507 | ||
| Labyrinthitis | 508 | ||
| Ménière Disease | 509 | ||
| Otitis Externa | 510 | ||
| Otitis Media | 511 | ||
| Ruptured Tympanic Membrane | 512 | ||
| Sinusitis and Rhinosinusitis | 513 | ||
| Cavernous Sinus Thrombosis | 514 | ||
| Epistaxis | 514 | ||
| Pharyngitis | 516 | ||
| Peritonsillar Abscess | 517 | ||
| Retropharyngeal Abscess | 518 | ||
| Diphtheria | 519 | ||
| Conjunctivitis | 520 | ||
| Iritis and Uveitis | 521 | ||
| Periorbital Cellulitis | 522 | ||
| Glaucoma | 523 | ||
| Central Retinal Artery Occlusion | 524 | ||
| Corneal Ulcer or Abrasion | 525 | ||
| Blepharitis | 526 | ||
| Hordeolum and Chalazion | 526 | ||
| Extraocular Foreign Bodies | 527 | ||
| Retinal Detachment | 527 | ||
| Orbital Fracture | 528 | ||
| Ocular Chemical Burn | 529 | ||
| Hyphema | 530 | ||
| Eyelid Laceration | 531 | ||
| Globe Rupture or Impaled Objects | 531 | ||
| Snow Blindness | 532 | ||
| Tooth Fracture, Subluxation, and Avulsion | 533 | ||
| Larynx Fracture | 533 | ||
| Nasal Fracture | 535 | ||
| Temporomandibular Joint Dislocation | 535 | ||
| Facial Emergencies and Facial Nerve Disorders | 536 | ||
| Facial Lacerations and Soft-Tissue Injuries | 537 | ||
| Mandibular Fracture | 538 | ||
| Maxillary Fracture | 539 | ||
| Zygomatic Fracture | 541 | ||
| References and Suggested Readings | 550 | ||
| CHAPTER 11 Medical Emergencies | 552 | ||
| Introduction | 552 | ||
| Age-Related Considerations | 552 | ||
| Selected Concepts in Anatomy and Physiology | 552 | ||
| Assessment | 575 | ||
| SPECIFIC ENDOCRINE EMERGENCIES | 580 | ||
| Hyperglycemic Crises | 580 | ||
| Hypoglycemia | 594 | ||
| Hyperthyroidism | 596 | ||
| Myxedema Coma | 598 | ||
| Syndrome of Inappropriate ADH (SIADH) | 598 | ||
| Diabetes Insipidus | 599 | ||
| Acute Adrenocortical Insufficiency (i.e., Adrenal Crisis) | 600 | ||
| HEMATOLOGIC EMERGENCIES | 602 | ||
| Disseminated Intravascular Coagulation | 602 | ||
| Acquired Immunodeficiency Syndrome (AIDS) | 604 | ||
| Anemia | 606 | ||
| Hemophilia | 612 | ||
| GENERAL MEDICAL EMERGENCIES | 613 | ||
| Acute Renal Failure | 613 | ||
| Reye Syndrome | 616 | ||
| Hepatic Failure/Encephalopathy | 617 | ||
| COMMUNICABLE CHILDHOOD DISEASES | 621 | ||
| Measles | 621 | ||
| Mumps | 622 | ||
| Chickenpox | 623 | ||
| Pertussis | 624 | ||
| Diphtheria | 625 | ||
| Encephalitis | 626 | ||
| Mononucleosis | 627 | ||
| Fibromyalgia Syndrome (FMS) | 627 | ||
| Tuberculosis | 629 | ||
| Shingles (Herpes Zoster) | 630 | ||
| Pandemic Illness | 631 | ||
| ONCOLOGIC EMERGENCIES | 632 | ||
| Superior Vena Cava Syndrome | 632 | ||
| Tumor Lysis Syndrome | 632 | ||
| MISCELLANEOUS INFECTIOUS CONDITIONS | 633 | ||
| Scabies | 633 | ||
| Ringworm | 634 | ||
| Lice | 634 | ||
| Myiasis | 635 | ||
| Intestinal Parasites | 636 | ||
| Tapeworm Infestation | 637 | ||
| References and Suggested Readings | 651 | ||
| CHAPTER 12 Substance Abuse, Toxicologic, and Environmental Emergencies | 653 | ||
| Introduction | 653 | ||
| Age-Related Considerations | 653 | ||
| Toxicologic Emergencies | 653 | ||
| ENVIRONMENTAL EMERGENCIES | 680 | ||
| Frostbite and Frostnip | 680 | ||
| Hypothermia | 681 | ||
| Heat-Related Emergencies | 684 | ||
| Radiation Exposure and Acute Radiation Syndrome | 685 | ||
| Food Poisoning | 687 | ||
| Rabies | 688 | ||
| Tick-Borne Illnesses | 690 | ||
| Hantavirus Infection | 692 | ||
| Plague | 693 | ||
| Cat-Scratch Fever | 694 | ||
| Snake Bites | 695 | ||
| Diving Emergencies | 697 | ||
| Burns | 698 | ||
| References and Suggested Readings | 712 | ||
| CHAPTER 13 Shock and Multisystem Trauma | 715 | ||
| Introduction | 715 | ||
| Age-Related Considerations | 715 | ||
| Trauma | 716 | ||
| Shock | 722 | ||
| Hypovolemic Shock | 730 | ||
| Cardiogenic Shock | 732 | ||
| Anaphylactic Shock | 734 | ||
| Neurogenic Shock | 737 | ||
| Septic Shock | 738 | ||
| References and Suggested Readings | 755 | ||
| CHAPTER 14 Psychosocial Emergencies | 757 | ||
| Introduction | 757 | ||
| Age-Related Considerations | 757 | ||
| Physical Assessment | 757 | ||
| General Principles of Care | 758 | ||
| Crisis | 759 | ||
| Family Support and End-of-Life Issues | 759 | ||
| SPECIFIC PSYCHIATRIC DISORDERS | 760 | ||
| Anxiety Disorders | 760 | ||
| Depression | 761 | ||
| Mania | 762 | ||
| Psychosis | 763 | ||
| Dementia | 764 | ||
| Eating Disorders | 765 | ||
| Substance Use Disorders | 766 | ||
| Substance Abuse/Withdrawal | 767 | ||
| Trauma, Violence, and Abuse | 767 | ||
| Suicide and Homicide | 768 | ||
| References and Selected Readings | 775 | ||
| APPENDIX A Common Abbreviations and Acronyms | 777 | ||
| Index | 789 |