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Prioritization, Delegation, & Management of Care for The 3313_FM_i-xii 14/03/14 5:13 PM Page i Prioritization, Delegation, & Management of for the NCLEX-RN® Care Exam 3313_FM_i-xii 14/03/14 5:13 PM Page ii DAvis’s SUCCESS SERIES Q&A Course Review and NCLEX Prep 9 Thousands of NCLEX-style questions 9 Alternate-item-format questions 9 Rationales for correct and incorrect answers 9 Test-taking tips Visit www.FADavis.com Keyword: Success Series to learn more. DAVIS MOBILE APPS Download today from your favorite app store! www.FADavis.com 3313_FM_i-xii 14/03/14 5:13 PM Page iii Prioritization, Delegation, & Management of for the NCLEX-RN® Care Exam Ray A. Hargrove-Huttel, RN, PhD Kathryn Cadenhead Colgrove, RN, MS, CNS 3313_FM_i-xii 14/03/14 5:13 PM Page iv F. A. Davis Company 1915 Arch Street Philadelphia, PA 19103 www.fadavis.com Copyright © 2014 by F. A. Davis Company Copyright © 2014 by F. A. Davis Company. All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Printed in the United States of America Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1 Publisher, Nursing: Robert G. Martone Director of Content Development: Darlene D. Pedersen Project Editor: Jacalyn C. Clay Electronic Project Editor: Sandra A. Glennie Illustration and Design Manager: Carolyn O’Brien As new scientific information becomes available through basic and clinical research, recommended treatments and drug therapies undergo changes. The author(s) and publisher have done everything possible to make this book accurate, up to date, and in accord with accepted standards at the time of publication. The author(s), editors, and publisher are not responsible for errors or omissions or for consequences from application of the book, and make no warranty, expressed or implied, in regard to the contents of the book. Any practice described in this book should be applied by the reader in accordance with professional standards of care used in regard to the unique circumstances that may apply in each situation. The reader is advised always to check product information (package inserts) for changes and new information regarding dose and contraindications before administering any drug. Caution is especially urged when using new or infrequently ordered drugs. Library of Congress Cataloging-in-Publication Data Library of Congress Cataloging-in-Publication Data ISBN: 978-0-8036-3313-1 Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by F. A. Davis Company for users registered with the Copyright Clearance Center (CCC) Transactional Reporting Service, provided that the fee of $.25 per copy is paid directly to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a separate system of payment has been arranged. The fee code for users of the Transactional Reporting Service is: 978-0-8036-3313-1/14 0 + $.25. 3313_FM_i-xii 14/03/14 5:13 PM Page v Thank you to all the nursing students, nursing faculty, and nursing colleagues we have had the privilege to work with during our careers. We want to thank Robert Martone for his vision and support, who was there when our writing career started and has been with us every step of the way. Our thanks to computer extraordinaire Glada Norris, who fixes our mistakes, makes the questions look “pretty,” and is responsible for making this book possible. Thank you to Kathryn McAfee who codes all the questions, leaving us time to write the questions. I want to thank all my friends for love, support, and prayers as I battled ovarian cancer this last year. Thanks to aunts, uncles, and cousins, my Los Angeles friends, my Trinity Valley Community College friends, my Texas friends, my Hawaiian friends, and the Lee girls. My thanks to my sisters Gail and Debbie, my nephew Ben, and Paula who brought me home and cared for me. I thank my children Teresa and Aaron for making me want to get up every day and fight the fight. As always, I dedicate this book to my parents, T/Sgt Leo R. Hargrove and Nancy, who made me believe I can do anything. I am an ovarian cancer survivor. —RAY A. HARGROVE-HUTTEL (This was Ray’s dedication. Ray lost her battle with cancer on December 23, 2012. She is much loved and greatly missed. -Kathy Colgrove) I would like to dedicate this book to the memory of my mother, Mary Cadenhead, and grandmother, Elsie Rogers. They always told me I could accomplish anything I wanted to accomplish. I would also like to dedicate this book to my husband, Larry, children, Laurie and Todd and Larry Jr. and Mai, and grandchildren, Chris, Ashley, Justin C., Justin A., Connor, Sawyer, and Carson—without their support and patience the book would not have been possible. —KATHRYN CADENHEAD COLGROVE v 3313_FM_i-xii 14/03/14 5:13 PM Page vi 3313_FM_i-xii 14/03/14 5:13 PM Page vii Reviewers Debra Bailey, RN, PhD candidate, FNP, CDE Maria McCormick, MSN, MS, RN Associate Professor of Nursing, Department Faculty Head Health Sciences Spencerian College Colorado Mesa University Louisville, Kentucky Grand Junction, Colorado Mary Ann Siciliano McLaughlin, MSN, RN Patricia A. Bicknell, EdD, APRN, Faculty, UMDNJ School of Nursing ACNS-BC, CNL UMDNJ School of Nursing Assistant Professor of Nursing; Track Coordinator Stratford, New Jersey for Clinical Nurse Leader (CNL) Elizabeth Murray, PhD, RN, CNE La Salle University Assistant Professor Philadelphia, Pennsylvania Florida Gulf Coast University School of Donna Bowles, EdD, MSN, CNE Nursing Associate Professor Fort Myers, Florida Indiana University Southeast L. Jane Rosati, EdD, MSN, RN-BC New Albany, Indiana Assistant Chair/Program Manager of the Diane Cohen, RN, MSN ADN Program Professor Daytona State College MassBay Community College Daytona Beach, Florida Framingham, Massachusetts Faye Sigman, PhD Diane L. Cooper-McLean, RN, BSN, MSN Professor of Nursing Nursing Instructor Dyersburg State Faulkner State Community College Dyersburg, Tennessee Bay Minette, Alabama Thomas Worms, RN, MSN Pamela DeWitt, RN, MN, CNE Professor of Nursing Residential Faculty Truman College Phoenix College Chicago, Illinois Department of Nursing Polly Gerber Zimmermann, RN, MS, MBA, Phoenix, Arizona CEN, FAEN Kathleen Walsh Free, MSN, RN-C, APRN-BC Associate Professor Clinical Professor Harry S Truman College Indiana University Southeast Chicago, Illinois New Albany, Indiana Lynn D. Kennedy, MSN, RN Assistant Professor of Nursing Francis Marion University Florence, South Carolina vii 3313_FM_i-xii 14/03/14 5:13 PM Page viii 3313_FM_i-xii 14/03/14 5:13 PM Page ix Table of Contents 1 Introduction to Prioritization, Assignment, Delegation, and Management 1 NCSBN BLUEPRINT FOR QUESTIONS 1 GUIDELINES FOR MAKING A DECISION 2 TYPES OF QUESTIONS 4 PUTTING THE PIECES TOGETHER 5 2 Cardiovascular Management 7 QUESTIONS 7 CARDIAC CLINICAL SCENARIO 20 ANSWERS AND RATIONALES 22 CLINICAL SCENARIO ANSWERS AND RATIONALES 40 3 Peripheral Vascular Management 43 QUESTIONS 43 PERIPHERAL VASCULAR DISEASES CLINICAL SCENARIO 54 ANSWERS AND RATIONALES 56 CLINICAL SCENARIO ANSWERS AND RATIONALES 74 4 Respiratory Management 77 QUESTIONS 77 RESPIRATORY CLINICAL SCENARIO 88 ANSWERS AND RATIONALES 90 CLINICAL SCENARIO ANSWERS AND RATIONALES 107 5 Gastrointestinal Management 109 QUESTIONS 109 GASTROINTESTINAL CLINICAL SCENARIO 120 ANSWERS AND RATIONALES 122 CLINICAL SCENARIO ANSWERS AND RATIONALES 139 6 Renal and Genitourinary Management 141 QUESTIONS 141 RENAL AND GENITOURINARY CLINICAL SCENARIO 152 ANSWERS AND RATIONALES 154 CLINICAL SCENARIO ANSWERS AND RATIONALES 171 ix 3313_FM_i-xii 14/03/14 5:13 PM Page x x TABLE OF CONTENTS 7 Neurological Management 173 QUESTIONS 173 NEUROLOGICAL CLINICAL SCENARIO 185 ANSWERS AND RATIONALES 187 CLINICAL SCENARIO ANSWERS AND RATIONALES 204 8 Endocrine Management 207 QUESTIONS 207 ENDOCRINE CLINICAL SCENARIO 220 ANSWERS AND RATIONALES 221 CLINICAL SCENARIO ANSWERS AND RATIONALES 238 9 Integumentary Management 239 QUESTIONS 239 INTEGUMENTARY CLINICAL SCENARIO 250 ANSWERS AND RATIONALES 252 CLINICAL SCENARIO ANSWERS AND RATIONALES 269 10 Hematological and Immunological Management 271 QUESTIONS 271 HEMATOLOGICAL AND IMMUNOLOGICAL CLINICAL SCENARIO 282 ANSWERS AND RATIONALES 284 CLINICAL SCENARIO ANSWERS AND RATIONALES 299 11 Women’s Health Management 301 QUESTIONS 301 MATERNAL-CHILD CLINICAL SCENARIO 312 ANSWERS AND RATIONALES 314 CLINICAL SCENARIO ANSWERS AND RATIONALES 330 12 Pediatric Health Management 333 QUESTIONS 333 PEDIATRIC CLINICAL SCENARIO 345 ANSWERS AND RATIONALES 347 CLINICAL SCENARIO ANSWERS AND RATIONALES 361 13 Mental Health Management 363 QUESTIONS 363 MENTAL HEALTH CLINICAL SCENARIO 376 ANSWERS AND RATIONALES 378 CLINICAL SCENARIO ANSWERS AND RATIONALES 394 3313_FM_i-xii 14/03/14 5:13 PM Page xi TABLE OF CONTENTS xi 14 Case Studies: Care of Clients in Various Settings 397 MEDICAL NURSING CASE STUDY 397 CRITICAL CARE NURSING CASE STUDY 400 OUTPATIENT NURSING CASE STUDY 403 HOME HEALTH CASE STUDY 406 MENTAL HEALTH NURSING CASE STUDY 409 MATERNAL-CHILD CASE STUDY 412 ANSWERS TO CASE STUDIES 414 15 Comprehensive Exam 429 QUESTIONS 429 ANSWERS AND RATIONALES 446 Appendix A: Normal Laboratory Values 469 Glossary of English Words Commonly Encountered on Nursing Examinations 471 Index 475 3313_FM_i-xii 14/03/14 5:13 PM Page xii 3313_Ch01_001–006 14/03/14 4:45 PM Page 1 Introduction to Prioritization, Assignment, Delegation, 1 and Management Each problem that I solved became a rule which served afterwards to solve other problems. —Rene Descartes This book is designed to assist the student nurse in nursing school and in taking nursing examinations, particularly the NCLEX-RN® exam for licensure as a registered nurse (RN). Prioritization, Delegation & Management of Care for the NCLEX-RN® Exam focuses on aspects of management such as setting priorities for client care, delegating and assigning nursing tasks, and managing clients and staff.
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