Table of Contents

 

 

 

 

Introduction to the Continuing Education (CE) Contact Hour Application Process

v

 

Acknowledgements

xi

Chapter 1

Taking the Certification Examination   Elizabeth Blunt, PhD, MSN, FNP-BC

1

 

General Suggestions for Preparing for the Exam

1

 

About the Certification Exams

8

Chapter 2

Important Factors Influencing The Nurse Practitioner Role   Elizabeth Blunt, PhD, MSN, FNP-BC

9

 

Legal Dimensions of the Role

11

 

Theory and Principles of Family-Focused Care

18

Chapter 3

Healthcare Issues   Shirlee Drayton-Brooks, PhD, FNP-BC, APRN-BC

27

 

General Approach

27

 

Epidemiologic Principles

28

 

Human Development

33

 

Health Maintenance

41

 

Models and Theories Related to Health Care

42

 

Health Maintenance Practice

43

 

Safety

56

 

Geriatric Assessment

67

 

Immunization

68

 

Other Healthcare Considerations

82

Chapter 4

Infectious Diseases   Elizabeth Petit De Mange, PhD, MSN, BSN, NP-C, RN

87

 

General Approach

87

 

Viral Infections

90

 

Bacteria! and Other Infections

ill

 

HIV-Related Issues

125

Chapter 5

Common Problems of the Skin   Deborah Gilbert-Palmer, EDD, FNP-BC

153

 

General Approach

153

 

Allergy

156

 

Eczematous Conditions

161

 

Acne

166

 

Bapulosquamous Eruptions

173

 

Fungal and Yeast Infections

174

 

Bacterial Infections of the Skin

181

 

Viral Skin Infections

188

 

Parasitic Infestations and Bites

194

 

Tumors

201

 

Other Integumentary Conditions

206

Chapter 6

Eye, Ear, Nose, and Throat Disorders   Usa Nerl, MSN, CRNP

217

 

General Approach

217

 

Disorders of the Eyes

219

 

Ocular Trauma

239

 

Problems of the Ears

246

 

Problems of the Nose/Sinuses

258

 

Problems of the Pharynx

268

 

Problems of the Mouth

274

 

Problems of the Neck

278

Chapter 7

Respiratory Disorders   Li5a Neri, MSN, CRNP

285

 

General Approach

285

 

Acute Conditions

286

 

Chronic Conditions

311

Chapter 8

Cardiovascular Disorders   Shirlee Drayton-Brooks, PhD, FNP-BC, APRN-BC

333

 

General Approach

333

 

Common Cardiovascular Disorders

335

 

Congenital Heart Defects

380

 

Cyanotic Congenital Heart Defects

391

 

Peripheral Vascular Disorders

394

Chapter 9

Gastrointestinal Disorders   Barbara Rideout, MSN, APRN-BC

407

 

General Approach

407

 

Gastrointestinal Signs and Symptoms

408

 

Common Gastrointestinal Conditions

432

 

Conditions that may Warrant Surgery

455

 

Conditions of the Rectum and Anus

474

 

Conditions of the Liver

479

 

Other Related Conditions

488

Chapter 10

Renal and Urologic Disorders   Barbara Rideout, MSN, APRN-BC

495

 

General Approach

495

 

Urologic Disorders

499

 

Renal Disorders

516

Chapter 11

Female Reproductive System Disorders and Conditions   Barbara Siebert, MSN, CRNP, FNP-BC

525

 

Genera! Approach

525

 

Conditions of the Menstrual Cycle

536

 

Breast Conditions

558

 

Noninfectious Breast Disorders

561

 

Conditions of the Vulva, Vagina, and Cervix

568

 

Abnormal Growths of Uterus and Ovaries

582

 

Polycystic Ovary Syndrome/Polycystic Ovarian Disease

586

 

Other Conditions

588

 

Care of the Maternity Patient

591

Chapter 12

Male Reproductive System Disorders and Conditions   Barbara Siebert, MSN, CRNP, FNP-BC

599

 

General Approach

599

 

Disorders of the Prostate Gland

601

 

Disorders of the Scrotal Contents

613

 

Penile Disorders

627

Chapter 13

Sexually Transmitted Diseases   Mary Ann Krisman-Scott, RN, PHD, FNP-BC

637

 

General Approach

637

 

Infections that Cause Vaginitis and Cervicitis in Women and Urethritis in Men

639

 

Viral Infections

649

 

Other STDs

655

Chapter 14

Musculoskeletal Disorders   Deborah Gilbert-Palmer, EDD, FNP-BC

663

 

General Approach

663

 

Arthritis

664

 

Conditions of the Bones

672

 

Conditions that Cause Hip Pain

682

 

Conditions that Cause Knee Pain

687

 

Conditions that Cause Ankle Pain

691

 

Conditions that Cause Shoulder Pain

694

 

Other Shoulder Injuries and Conditions

696

 

Conditions that Cause Elbow Pain

699

 

Conditions that Cause Wrist Pain

702

 

Other Musculoskeletal Conditions and Injuries

706

Chapter 15

Neurologic Disorders   Deborah Gilbert-Palmer, EDD, FNP-BC

723

 

General Approach

723

 

General Neurologic and Neurosurgical Disorders

725

 

Seizures and Epilepsy

779

Chapter 16

Hematologic Disorders   Elizabeth Petit De Mange, PhD, MSN, BSN, NP-C, RN

795

 

General Approach

795

 

Normocytic Anemias

798

 

Hypochromic Anemias

802

 

Megaloblastic Anemias

805

 

Other Problems of Iron and Red Blood Ceils

819

 

White Blood Cell-Related Problems

822

 

Coagulation Disorders

825

Chapter 17

Endocrine Disorders   Shirlee Drayton-Brooks, PhD, FNP-BC, APRN-BC

829

 

General Approach

831

 

Disorders of the Pancreas

832

 

Thyroid Disorders

849

 

Adrenal Disorders

859

 

Pituitary Disorders

864

 

Pubertal Disorders

870

Chapter 18

Psychiatric-Mental Health Disorders   Mary Ann Krisman-Scott, RN, PHD, FNP-BC

879

 

General Approach

879

 

Anxiety Disorders

880

 

Mood Disorders

885

 

Substance Use Disorders

894

 

Domestic Violence and Abuse

904

 

Eating Disorders

913

 

Other Disorders

918

Appendix A

Case Studies and Discussion

933

Appendix B

Review Questions

965

Appendix C

Answers to the Review Questions

975

 

Index

987

 

About the Authors

1021