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 |