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Illustrated Study Guide for the NCLEX-RN® Exam - E-Book

Illustrated Study Guide for the NCLEX-RN® Exam - E-Book

JoAnn Zerwekh

(2012)

Additional Information

Book Details

Abstract

It’s a fun, visual review for the NCLEX! Illustrated Study Guide for the NCLEX-RN® Exam, 8th Edition covers all the nursing concepts and content found on the latest NCLEX-RN examination. A concise outline format makes studying easier, and 2,300 NCLEX exam-style review questions (including alternate item formats) are included to test your knowledge at the end of each chapter and on the Evolve companion website. Written by NCLEX expert JoAnn Zerwekh, this study guide uses colorful illustrations and mnemonic cartoons to help you remember key concepts for the NCLEX-RN exam.

  • UNIQUE! Mnemonic cartoons provide a fun, easy way to review and remember key nursing concepts and disease processes.
  • UNIQUE! The integrated systems approach incorporates pediatric, adult, and older adult lifespan considerations in each body system chapter.
  • UNIQUE! Appendixes for each chapter summarize medications and nursing procedures for quick reference.
  • Electronic alternate item format questions on Evolve prepare you for the interactive question types on the computerized NCLEX examination, including priority drag-and-drop and hot-spot (illustrated point-and-click) questions.
  • Practice questions on the Evolve companion website are available in both study and quiz modes and separated by content area, allowing you to create a customized review experience based on your personal study needs.
  • Answers and rationales for all review questions show why correct answers are right and incorrect options are wrong.
  • NEW! 2,300 review questions are now included on the Evolve companion website.
  • Two NEW alternate item question types are added: graphic options and questions incorporating audio.
  • UPDATED content reflects the latest NCLEX-RN test plan and incorporated important clinical updates.
  • NEW! Page references to an Elsevier textbook are provided with each question, for further study and self-remediation.
  • NEW! Disorder names are highlighted in color in the index for quick reference.
  • EXPANDED coverage of management of care reflects the increased percentage of this content on the NCLEX-RN test plan.

Table of Contents

Section Title Page Action Price
Front cover Cover
Front matter i
Illustrated study guide for thenclex-rn® exam eighth edition i
Copyright page ii
Contributors iii
Item writers iii
Reviewers v
Preface vi
Acknowledgments vii
Table of contents viii
ONE Testing strategies for the NCLEX-RN® examination 1
Test plan 1
Integrated processes 1
Nursing process 1
Caring 1
Communication and documentation 2
Teaching and learning 2
Areas of client needs 2
Classification of questions 2
What is computer adaptive testing? 3
Taking the NCLEX® examination 4
Application 4
Scheduling the examination 4
Testing center identification 4
Day of the examination 4
Testing 5
Test results 5
NCLEX® test-taking strategies 5
Management of client care 6
Establishing nursing priorities 7
Example questions for management and priority setting 8
Question 1 8
Question 2 8
Question 3 8
Question 4 8
Strategies for evaluating multiple-choice questions 8
Question characteristics 9
Stem of the question 9
Options 9
TWO Health implications across the life span 23
Growth and development 23
Anticipatory guidance for the family of an infant 23
Anticipatory guidance for the family of A toddler 23
Anticipatory guidance for the family of A preschooler 24
Anticipatory guidance for the family of A school-age child 25
Anticipatory guidance for the family of an adolescent 25
Anticipatory guidance for the adolescent 26
Health implications and guidance for adults and older adults (box 2-1) 26
Communicable diseases 28
Poisoning 31
General principles (remember sires) 31
Salicylate poisoning 32
THREE Concepts of nursing practice 45
Basic human needs 45
Health assessment 45
Subjective health assessment 45
Health history 45
Nursing assessment 46
Comprehensive physical assessment 46
Focused assessment 47
Health promotion 47
Levels of prevention 47
Health teaching 47
Principles of client education (box 3-1) 47
End-of-life care 48
Physical management of symptoms 49
Postmortem care 49
Basic nursing skills 50
Body alignment and range of motion (rom) 50
Asepsis 50
Wound care 50
Specimen collection 52
Heat and cold applications 52
Vital signs 53
Immobility 53
Adverse physical effects of immobility 53
Adverse psychologic effects of immobility 54
Pain 55
Classification of pain 55
Pain characteristics (box 3-4) 55
Cultural implications of pain 55
Nondrug pain relief measures 56
Medications for pain relief 57
Barriers to pain management 58
Palliative pain relief 58
Perioperative care 58
Preoperative care 58
Day of surgery 60
Anesthesia 60
Immediate postoperative recovery 61
General postoperative care 63
Study questions 70
Concepts of nursing practice 70
Answers to study questions 71
1. 3 71
2. 1 71
3. 4 71
4. 2 71
5. 1 71
6. 3 72
7. 2 72
8. 2, 3, 4 72
9. 1, 3 72
10. 4 72
11. 2 72
12. 2, 3, 1, 4 72
13. 2 72
14. 1470 ml 72
15. 3 72
FOUR Nursing management and ethical/legal concepts 73
Legal aspects 73
Nursing practice regulations 73
Liability for actions 74
Civil torts 74
Protective procedures 75
Responsibility for professional practice 77
Specific situations of risk 78
Legal documents 79
Ethical concerns 79
Management concepts 80
Client care assignments and delegation 80
Quality management 82
Study questions 82
Nursing management and ethical/legal concepts 82
Answers to study questions 83
1. 3 83
2. 4 83
3. 3 83
4. 3 83
5. 2 84
6. 3 84
7. 1 84
8. 4 84
9. 4 84
10. 1 84
11. 4 84
12. 2 84
13. 4 84
FIVE Emergency and disaster preparedness and bioterrorism 85
Definitions 85
Clinical preparedness 85
Triage 87
Community nursing preparedness 90
Study questions 92
Emergency and disaster preparedness and bioterrorism 92
Answers to study questions 93
1. 1 93
2. 3 93
3. 2 93
4. 1 93
5. 3 94
6. 1 94
7. 4 94
8. 4 94
9. 2 94
10. 3 94
11. 2 94
12. 4 94
13. 1 94
14. 3 94
15. 4, 5, 6 94
SIX Pharmacology and medication administration 95
General concepts 95
Drug actions 95
Drug interactions 96
Drug therapy considerations across the life span 97
Herbal supplements 97
Medication administration 98
Nursing responsibilities in medication administration 98
Nurse’s legal responsibilities in administration of medication 100
Methods of medication administration 101
Forms of medication preparations 105
Calculation of medication dosages 106
Oral medication calculations 106
Parenteral medication calculations 106
Intravenous medication calculation 106
Determining safe pediatric dosages 107
Study questions 109
Pharmacology and medication administration 109
Answers to study questions 110
1. 3 110
2. 2 110
3. 1 110
4. 1 111
5. 3 111
6. 3 111
7. 1 111
8. 1, 4, 6 111
9. 4 ml 111
10. 1.5 ml 111
11. 4 111
12. 1, 3, 5 111
13. 1, 3, 4 111
14. 1 111
15. 4 ml 111
16. 1.5 ml 112
17. 2 tablets 112
SEVEN Homeostasis concepts 113
Fluid and electrolytes 113
Physiology 113
Fluid imbalances 114
Intravenous fluid replacement therapy 115
Isotonic solutions 115
Hypotonic solutions 115
Hypertonic solutions 115
Nursing implications in administration of intravenous fluid 115
Selection of site and equipment 115
Starting an intravenous infusion 116
Maintenance of intravenous infusions 117
Indications for use of infusion control devices 117
Complications of peripheral intravenous therapy (figure 7-3) 117
Infiltration 117
Phlebitis 118
Acid-base balance 118
Basic concepts of acid-base balance 118
Regulation of acid-base balance 119
Alterations in acid-base balance 119
Inflammation 121
Basic concepts of inflammation 121
Infection 121
Chain of transmission 122
Prevention of transmission of infection in the health care setting 122
Nursing interventions 123
Antibiotic-resistant infections 123
EIGHT Immune: care of adult, maternity, and pediatric clients 139
Physiology of the immune system 139
Immunologic responses 139
Disorders of the immune system 140
Hypersensitivity 140
Anaphylactic reaction 141
Assessment 141
Diagnostics 142
Treatment 142
Nursing interventions 142
Autoimmune conditions 142
Systemic lupus erythematosus (sle) 143
Assessment 143
Diagnostics 144
Treatment 144
Nursing interventions 144
Acquired immunodeficiency syndrome 144
Transmission of human immunodeficiency virus 144
Clinical manifestations 145
Opportunistic diseases 145
Diagnostics 146
Treatment 146
Nursing interventions 146
Home care 146
Pediatric acquired immunodeficiency syndrome 147
Assessment 147
Diagnostics 147
Treatment 147
Nursing interventions specific to children 147
Home care 147
Nursing interventions for immunocompromised clients 147
Home care for the immunocompromised client 148
Study questions 152
Immune: care of adult, maternity, and pediatric clients 152
Answers to study questions 154
1. 2 154
2. 3 154
3. 2 154
4. 1 154
5. 2 154
6. 4 154
7. 1 154
8. 1 155
9. 1, 3, 5, 6 155
10. 1, 3, 5, 6 155
11. 4 155
12. 4 155
13. 1 155
14. 2 155
15. 4 155
16. 4 155
17. 1 156
18. 2 156
19. 1 156
20. 1 156
NINE Cancer concepts 157
Characteristics of cancer 157
Major dysfunction in the cell 157
Etiology 157
Prevention 157
Classification of malignant tumors 158
Treatment of cancer 158
Diagnostics 158
Goals of cancer therapy 159
Modalities of cancer treatment 159
Oncologic emergencies 163
Nursing interventions 163
Home care 164
Study questions 169
Cancer concepts 169
Answers to study questions 170
1. 2 170
2. 2 170
3. 4 170
4. 4 170
5. 3 171
6. 2 171
7. 3 171
8. 3, 4, 6 171
9. 4 171
10. 1 171
11. 3 171
12. 2 171
13. 3 171
14. 3 171
15. 1 171
16. 3 171
17. 3 172
18. 1, 3, 4, 6 172
19. 1 172
TEN Psychosocial nursing care 173
Self-concept 173
Assessment 173
Nursing interventions 173
Body image 173
Evaluation of body image alteration 173
Specific situations of altered body image and nursing interventions 174
Obesity 174
ELEVEN Integumentary: care of adult and pediatric clients 221
Physiology of the integumentary system 221
System assessment 221
Benign and inflammatory disorders 222
Acne vulgaris 222
Assessment 222
Treatment 222
Home care 222
Psoriasis 222
TWELVE Sensory: care of adult and pediatric clients 237
The eye 237
Physiology of the eye 237
 System assessment 237
Disorders of the eye 237
 Glaucoma 237
Types 238
Assessment 238
Treatment 238
Nursing interventions 238
Home care 239
Cataract 239
Assessment 239
Treatment 239
THIRTEEN Endocrine: care of adult, maternity, and pediatric clients 253
Physiology of the pituitary gland 253
System assessment 253
Disorders of the pituitary gland 253
Hyperpituitary: acromegaly 253
Assessment 253
Treatment 253
Nursing interventions 253
Disorders of the posterior pituitary 254
Assessment 254
Treatment 255
Nursing interventions 255
Physiology of the thyroid gland 255
System assessment 255
Disorders of the thyroid gland 255
Hyperthyroidism 255
Assessment 255
Complications 256
Treatment 256
Nursing interventions 256
Home care 257
Hypothyroidism 257
FOURTEEN Hematology: care of adult and pediatric clients 285
Physiology of the blood 285
System assessment 287
Anemias 287
Nursing interventions 289
Sickle cell anemia 289
Assessment 289
Treatment 290
Complications 290
Nursing interventions 290
Home care 291
Polycythemia vera (primary) 291
Assessment 291
Treatment 291
Nursing interventions 291
 Leukemia 291
Assessment 292
Treatment 292
Nursing interventions 292
Home care 293
Lymphomas 293
Nursing interventions 293
Multiple myeloma (plasma cell myeloma) 294
FIFTEEN Respiratory: care of adult and pediatric clients 305
Physiology of the respiratory system 305
Organs of the respiratory system 305
Physiology of respiration 305
Oxygen and carbon dioxide transport 306
System assessment 307
Respiratory disorders 308
Hypoxia 308
Assessment 309
Nursing interventions 309
Sleep apnea 310
Assessment 310
Treatment 310
SIXTEEN Vascular: care of adult clients 341
Physiology of the vascular system 341
Vessels 341
Mechanics of blood flow 341
Blood pressure (bp) 341
System assessment 342
Disorders of the vascular system 342
Atherosclerosis 342
SEVENTEEN Cardiac: care of adult, maternity, and pediatric clients 365
Physiology of the cardiac system 365
Structure of the heart 365
Cardiac function 365
Myocardial blood supply 366
Conduction system 367
System assessment 367
Disorders of the cardiac system 368
Angina pectoris 368
EIGHTEEN Gastrointestinal: care of adult and pediatric clients 401
Physiology of the gastrointestinal system 401
Digestion, absorption, and elimination process 401
System assessment 401
Disorders of the gastrointestinal (gi) system 402
Nausea and vomiting 402
Assessment 402
NINETEEN Hepatic and biliary: care of adult and pediatric clients 435
Physiology of the hepatic and biliary system 435
Organs of the hepatic and biliary system 435
Functions of the liver 435
System assessment (box 19-1) 436
Pathophysiology of jaundice 436
Disorders of the hepatic system 436
Hepatitis 436
Assessment 438
Treatment 438
Complications 438
Nursing interventions 438
Home care 439
Hepatic cirrhosis 439
Assessment 440
Treatment 440
Nursing interventions 441
Cancer of the liver 442
TWENTY Neurology: care of adult and pediatric clients 451
Physiology of the nervous system 451
Cells of the nervous system 451
Central nervous system 451
Peripheral nervous system 453
System assessment 454
Disorders of the neurologic system 456
Brain tumors 456
Assessment 456
Treatment 456
Complications 456
Nursing interventions 456
TWENTY-ONE Musculoskeletal: care of adult and pediatric clients 489
Physiology of the musculoskeletal and connective tissue 489
Skeletal system 489
Connective tissue: joints and cartilage 489
Skeletal muscle 489
System assessment 490
Disorders of musculoskeletal and connective tissue 490
Developmental Dysplasia of the Hip 490
Assessment 490
TWENTY-TWO Reproductive: care of adult and pediatric clients 513
Physiology of the reproductive system 513
Male reproductive system 513
Female reproductive system 513
System assessment 513
Disorders of the male reproductive system 514
Prostate disorders 514
Assessment 514
Treatment 514
Complications 515
Nursing interventions 515
Home care 517
Inflammatory disorders 517
Assessment 517
Treatment 517
Complications 517
Nursing interventions 517
 Undescended testes (cryptorchidism) 518
TWENTY-THREE Urinary-renal: care of adult and pediatric clients 535
Physiology of the kidney and urinary tract 535
System assessment 536
Disorders of the urinary-renal system 536
Urinary tract infections 536
Assessment 537
Treatment 538
Nursing interventions 538
Urinary calculi 539
Assessment 539
Treatment 539
TWENTY-FOUR Maternity nursing care 561
Antepartum 561
Family planning 561
Infertility 561
Assessment 561
Nursing interventions 562
Contraception 562
Assessment 562
Genetic counseling 563
Assessment 563
Nursing interventions 563
Fetal and maternal assessment testing 563
Amniocentesis 563
Ultrasonography 564
Chorionic villus sampling 564
Percutaneous umbilical blood sampling (pubs) 564
Daily fetal movement count 564
Nonstress test (nst) 565
Biophysical profile 565
Contraction stress test 565
Normal pregnancy cycle: physiologic changes 566
Uterus 566
Vagina 566
Breasts 566
Cardiovascular system 566
Respiratory system 566
Urinary-renal system 566
Gastrointestinal system 567
Musculoskeletal system 567
Integumentary system 567
Endocrine 567
Metabolism 567
Prenatal care 568
Assessment 568
Diagnostics 570
High risk pregnancy 570
Nursing interventions 571
Fetal development 572
Developmental stages 572
Summary of growth and development 572
Multifetal pregnancy 573
Placenta 573
Fetal circulation 573
Complications associated with pregnancy 573
Abortion 573
Assessment 573
TWENTY-FIVE Newborn nursing care 609
Healthy newborn 609
Biologic adaptations in the neonatal period 609
Assessment 609
General characteristics 610
Behavioral characteristics 611
Specific body system clinical findings 611
Nursing interventions 614
High-risk newborn 616
Gestational age variation 616
Assessment 616
Nursing interventions 618
Respiratory distress 619
Diagnostics 619
Clinical manifestations 619
Complications 619
Treatment 619
Nursing interventions 619
Cleft lip 620
APPENDIX Normal laboratory data 631
References and resources 633
Index 634
A 634
B 634
C 635
D 636
E 636
F 636
G 636
H 637
I 637
J 638
K 638
L 638
M 638
N 639
O 640
P 640
Q 641
R 641
S 641
T 642
U 642
V 642
W 642
X 642