Table of Contents

 

 

 

 

Contributors

ix

 

Preface

x

 

Acknowledgments

xii

 

Frequently Asked Questions

xiii

 

How to Use this Book

xx

UNIT 1

THE NURSING CARE OF ADULTS WITH MEDICAL-SURGICAL DISORDERS

1

Test 1

The Nursing Care of Clients with Musculoskeletal Disorders

2

 

Nursing Care of Clients with Musculoskeletal Injuries

2

 

Nursing Care of Clients with Fractures

3

 

Nursing Care of Clients with Casts

5

 

Nursing Care of Clients in Traction

6

 

Nursing Care of Clients with Inflammatory Joint Disorders

8

 

Nursing Care of Clients with Degenerative Bone Disorders

11

 

Nursing Care of Clients with Amputations

12

 

Nursing Care of Clients with Skeletal Tumors

12

 

Nursing Care of Clients with Herniated Intervertebral Disks

13

 

Correct Answers and Rationales

14

Test 2

The Nursing Care of Clients with Neurologic System Disorders

39

 

Nursing Care of Clients with Infectious and Inflammatory Conditions

39

 

Nursing Care of Clients with Seizure Disorders

40

 

Nursing Care of Clients with Neurologic Trauma

41

 

Nursing Care of Clients with Degenerative Disorders

42

 

Nursing Care of Clients with Cerebrovascular Disorders

44

 

Nursing Care of Clients with Tumors of the Neurologic System

46

 

Nursing Care of Clients with Nerve Disorders

47

 

Correct Answers and Rationales

49

Test 3

The Nursing Care of Clients with Disorders of Sensory Organs and the Integument

71

 

Nursing Care of Clients with Eye Disorders

71

 

Nursing Care of Clients with Disorders of Accessory Eye Structures

75

 

Nursing Care of Clients with Ear Disorders

75

 

Nursing Care of Clients with Nasal Disorders

78

 

Nursing Care of Clients with Disorders of the Skin and Related Structures

79

 

Correct Answers and Rationales

83

Test 4

The Nursing Care of Clients with Endocrine Disorders

108

 

Nursing Care of Clients with Disorders of the Pituitary Gland

108

 

Nursing Care of Clients with Disorders of the Thyroid Gland

109

 

Nursing Care of Clients with Disorders of the Parathyroid Glands

111

 

Nursing Care of Clients with Disorders of the Adrenal Glands

111

 

Nursing Care of Clients with Pancreatic Endocrine Disorders

113

 

Correct Answers and Rationales

118

Test 5

The Nursing Care of Clients with Cardiac Disorders

139

 

Nursing Care of Clients with Hypertensive Heart Disease

139

 

Nursing Care of Clients with Coronary Artery Disease

140

 

Nursing Care of Clients with Myocardial Infarction

143

 

Nursing Care of Clients with Congestive Heart Failure

146

 

Nursing Care of Clients with Conduction Disorders

147

 

Nursing Care of Clients with Valvular Disorders

148

 

Nursing Care of Clients with Infectious and Inflammatory Disorders of the Heart

149

 

Correct Answers and Rationales

150

Test 6

The Nursing Care of Clients with Peripheral Vascular: Hematologic, and Lymphatic Disorders

175

 

Nursing Care of Clients with Venous Disorders

175

 

Nursing Care of Clients with Arterial Disorders

178

 

Nursing Care of Clients with Red Blood Cell Disorders

179

 

Nursing Care of Clients with White Blood Cell Disorders

181

 

Nursing Care of Clients with Bone Marrow Disorders

183

 

Nursing Care of Clients with Coagulation Disorders

185

 

Nursing Care of Clients with Inflammatory and Obstructive Lymphatic Disorders

185

 

Correct Answers and Rationales

186

Test 7

The Nursing Care of Clients with Respiratory Disorders

211

 

Nursing Care of Clients with Upper Respiratory Tract Infections

211

 

Nursing Care of Clients with Inflammatory and Allergic Disorders of the Upper Airways

212

 

Nursing Care of Clients with Cancer of the Larynx

213

 

Nursing Care of Clients with Inflammatory and Infectious Disorders of the Lower Airways

214

 

Nursing Care of Clients with Asthma

217

 

Nursing Care of Clients with Chronic Obstructive Pulmonary Disease

218

 

Nursing Care of Clients with Lung Cancer

219

 

Nursing Care of Clients with Chest Injuries

220

 

Nursing Care of Clients with Pulmonary Embolism

221

 

Nursing Care of Clients with Tracheostomies

221

 

Nursing Care of Clients with Sudden Airway Occlusion

222

 

Correct Answers and Rationales

223

Test 8

The Nursing Care of Clients with Disorders of the Gastrointestinal System and Accessory Organs of Digestion

247

 

Nursing Care of Clients with Disorders of the Mouth

247

 

Nursing Care of Clients with Disorders of the Esophagus

248

 

Nursing Care of Clients with Disorders of the Stomach

250

 

Nursing Care of Clients with Disorders of the Small Intestine

252

 

Nursing Care of Clients with Disorders of the Large Intestine

253

 

Nursing Care of Clients with Disorders of the Rectum and Anus

258

 

Nursing Care of Clients with Disorders of the Gallbladder

259

 

Nursing Care of Clients with Disorders of the Liver

260

 

Nursing Care of Clients with Disorders of the Pancreas

262

 

Nursing Care of Clients with Culturally Diverse Backgrounds

263

 

Correct Answers and Rationales

264

Test 9

The Nursing Care of Clients with Urologic Disorders

297

 

Nursing Care of Clients with Urinary Incontinence

297

 

Nursing Care of Clients with Infectious and Inflammatory Urologic Disorders

298

 

Nursing Care of Clients with Renal Failure

301

 

Nursing Care of Clients with Urologic Obstructions

302

 

Nursing Care of Clients with Urologic Tumors

304

 

Nursing Care of Clients with Urinary Diversions

305

 

Nursing Care of Clients with Culturally Diverse Backgrounds

306

 

Correct Answers and Rationales

307

Test 10

The Nursing Care of Clients with Disorders of the Reproductive System

326

 

Nursing Care of Clients with Breast Disorders

326

 

Nursing Care of Clients with Disturbances in Menstruation

329

 

Nursing Care of Clients with Infectious and Inflammatory Disorders of the Female Reproductive System

330

 

Nursing Care of Clients with Benign and Malignant Disorders of the Uterus and Ovaries

330

 

Nursing Care of Clients with Miscellaneous Disorders of the Female Reproductive System

332

 

Nursing Care of Clients with Inflammatory Disorders of the Male Reproductive System

333

 

Nursing Care of Clients with Structural Disorders of the Male Reproductive System

334

 

Nursing Care of Clients with Benign and Malignant Disorders of the Male Reproductive System

334

 

Nursing Care of Clients with Sexually Transmitted Infections

335

 

Nursing Care of Clients Practicing Family Planning

336

 

Correct Answers and Rationales

339

UNIT 2

THE NURSING CARE OF THE CHILDBEARING FAMILY

363

Test 11

The Nursing Care of Clients during the Antepartum Period

364

 

Anatomy and Physiology of the Male and Female Reproductive Systems

364

 

Signs and Symptoms of Pregnancy

365

 

Assessing the Pregnant Client

366

 

Nutritional Needs during Pregnancy

367

 

Teaching the Pregnant Client

369

 

Common Discomforts of Pregnancy

369

 

High-Risk Factors and Pregnancy

371

 

Complications of Pregnancy

372

 

Elective Abortion

375

 

Correct Answers and Rationales

376

Test 12

The Nursing Care of Intrapartum, Pqstpartum, and Newborn Clients

399

 

Admission of the Client to a Labor and Delivery Facility

399

 

Nursing Care of Clients during the First Stage of Labor

400

 

Nursing Care of Clients during the Second Stage of Labor

402

 

Nursing Care of Clients during the Third Stage of Labor

403

 

Nursing Care of Clients during the Fourth Stage of Labor

404

 

Nursing Care of Clients Having a Cesarean Birth

404

 

Nursing Care of Clients Having an Emergency Delivery

406

 

Nursing Care of Clients Having a Stillborn Baby

406

 

Nursing Care of Clients during the Postpartum Period

406

 

Nursing Care of the Newborn Client

408

 

Correct Answers and Rationales

414

UNIT 3

THE NURSING CARE OF CHILDREN

443

Test 13

The Nursing Care of Infants, Toddlers, and Preschool Children

444

 

Normal Growth and Development of Infants, Toddlers, and Preschool Children

444

 

Nursing Care of an Infant with Myelomeningocele

446

 

Nursing Care of an Infant with Hydrocephalus

446

 

Nursing Care of an Infant with Cleft Lip

447

 

Nursing Care of an Infant with Pyloric Stenosis

447

 

Nursing Care of an Infant with Bilateral Clubfoot

448

 

Nursing Care of a Child with Otitis Media

448

 

Nursing Care of a Child with a Congenital Heart Defect

449

 

Nursing Care of a Child with an Infectious Disease

449

 

Nursing Care of a Child with Human Immunodeficiency Virus Infection

449

 

Nursing Care of a Child with Atopic Dermatitis

450

 

Nursing Care of a Toddler with Sickle Cell Crisis

450

 

Nursing Care of a Toddler with Cystic Fibrosis

450

 

Nursing Care of a Toddler with Asthma

451

 

Nursing Care of a Toddler Who has Swallowed a Toxic Substance

451

 

Nursing Care of a Toddler with Croup

452

 

Nursing Care of a Toddler with Pneumonia

452

 

Nursing Care of a Preschooler with Seizure Disorder

453

 

Nursing Care of a Preschooler with Leukemia

453

 

Nursing Care of a Preschooler with Strabismus

454

 

Nursing Care of a Preschooler Having a Tonsillectomy and Adenoidectomy

455

 

Correct Answers and Rationales

456

Test 14

The Nursing Care of School-Age Children and Adolescents

481

 

Nursing Care of a Child with Rheumatic Fever

481

 

Nursing Care of a Child with Diabetes Mellitus

482

 

Nursing Care of a Child with Partial-Thickness and Full-Thickness Burns

483

 

Nursing Care of a Child with Juvenile Rheumatoid Arthritis

484

 

Nursing Care of a Child with an Injury

485

 

Nursing Care of a Child with a Head Injury

485

 

Nursing Care of a Child with a Brain Tumor

486

 

Nursing Care of a Child in Traction

487

 

Nursing Care of a Child with a Kidney Disorder

487

 

Nursing Care of a Child with a Blood Disorder

487

 

Nursing Care of a Child with a Communicable Disease

488

 

Nursing Care of a Child with a Nutritional Deficiency

488

 

Nursing Care of a Child with a Musculoskeletal Disability

488

 

Nursing Care of an Adolescent with Appendicitis

489

 

Nursing Care of an Adolescent with Dysmenorrhea

489

 

Nursing Care of an Adolescent Who is Engaging in Risk-Taking Behaviors

490

 

Nursing Care of an Adolescent with a Sexually Transmitted Infection

490

 

Nursing Care of an Adolescent with Scoliosis

492

 

Dosage Calculations for Children and Adolescents

493

 

Correct Answers and Rationales

494

UNIT 4

THE NURSING CARE OF CLIENTS WITH MENTAL HEALTH NEEDS

515

Test 15

The Nursing Care of Infants, Children, and Adolescents with Mental Health Needs

516

 

Mental Health Needs during Infancy

516

 

Mental Health Needs during Childhood

518

 

Mental Health Needs during Adolescence

523

 

Correct Answers and Rationales

527

Test 16

The Nursing Care of Adult Clients with Mental Health Needs

549

 

Mental Health Needs during Young Adulthood

549

 

Mental Health Needs during Middle Age (35 to 65)

552

 

Mental Health Needs during Late Adulthood (Older Than 65)

557

 

Correct Answers and Rationales

561

UNIT 5

POSTREVIEW TESTS

583

 

Comprehensive Test 1

584

 

Correct Answers and Rationales

595

 

Comprehensive Test 2

621

 

Correct Answers and Rationales

632