LWBK942-FM.qxd 6/25/11 8:45 AM Page x

1 6/25/11 8:45 AM Page i8/17/2011 3:29:56 PM8/17/2011 3:29:56 PMSTAFFP ublisherJ. Christopher BurghardtAcquisitions EditorBill LamsbackClinical DirectorJoan Robinson, RN, MSNC linical Project ManagerBeverly Ann Tscheschlog, RN, MSClinical EditorMarian Pottage, RN, MSNP roduct DirectorDavid MoreauSenior Product ManagerDiane LabusEditorMargaret EckmanCopy EditorsLeslie Dworkin, Erika KorsEditorial AssistantsKaren J. Kirk, Jeri O Shea, Linda K. RuhfArt DirectorElaine KasmerDesign AssistantKate ZulakVendor ManagerCynthia RudySenior Manufacturing CoordinatorBeth WelshProduction ServicesSPi GlobalThe clinical treatments described and recommended in this publication are based on research and consultation with nursing, medical, and legal authorities.

2 To the best of our knowledge, these procedures refl ect currently accepted practice. Nevertheless, they can t be considered absolute and universal recommendations. For individual applications, all recommendations must be considered in light of the patient s clini-cal condition and, before administration of new or infrequently used drugs, in light of the latest package insert information. The authors and publisher disclaim any responsibility for any adverse effects resulting from the suggested procedures, from any undetected errors, or from the reader s misunderstanding of the text. 2012 by Lippincott Williams & Wilkins. All rights reserved. This book is protected by copyright.

3 No part of it may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means electronic, mechanical, photocopy, recording, or otherwise without prior written permission of the publisher, except for brief quotations embodied in critical articles and reviews and testing and evalua-tion materials provided by publisher to instructors whose schools have adopted its accompanying textbook. For information, write Lippincott Williams & Wilkins, 323 Norristown Road, Suite 200, Ambler, PA in of Congress Cataloging-in-Publication DataLippincott s review for medical-surgical nursing certifi cation. 5th ed. p. ; cm.

4 Review for medical-surgical nursing certifi cation Rev. ed. of: Springhouse review for medical-surgical nursing certifi cation. 4th ed. c2007. Includes bibliographical references and index. ISBN 978-1-4511-1657-1 1. Nursing Examinations, questions, etc. 2. Surgical nursing Examinations, questions, etc. I. Springhouse review for medical-surgical nursing certifi cation. II. Title: Review for medical-surgical nursing certifi cation. [DNLM: 1. Nursing Examination Questions. 2. Nursing Outlines. 3. Certifi cation Examination Questions. 4. Certi-fi cation Outlines. 5. Perioperative Nursing Examination Questions. 6. Perioperative Nursing Outlines.]

5 WY ] 2012 ii8/17/2011 3:29:57 PM8/17/2011 3:29:57 PMiiiContributors and consultants ivForeword vChapter 1 Medical-surgical nursing certification 1 Chapter 2 Foundations of nursing 8 Chapter 3 Legal and ethical aspects of nursing 23 Chapter 4 Principles of medical-surgical nursing 38 Chapter 5 Principles of wound care 51 Chapter 6 Disruptions in homeostasis 63 Chapter 7 Cardiovascular disorders 96 Chapter 8 Hematologic disorders 125 Chapter 9 Respiratory disorders 141 Chapter 10 Neurologic disorders 166 Chapter 11 Musculoskeletal disorders 192 Chapter 12 Gastrointestinal disorders 211 Chapter 13 Skin disorders 232 Chapter 14 Endocrine disorders 242 Chapter 15 Renal and urinary tract

6 Disorders 259 Chapter 16 Reproductive system disorders 277 Chapter 17 Immune system disorders 304 Chapter 18 Eye, ear, and nose disorders 319 Chapter 19 Perioperative nursing 332 NANDA-I taxonomy II by domain 342 Nursing implications of diagnostic tests 345 Nursing implications in oncology care 357 Nursing implications in clinical pharmacology 364 Common infectious disorders 380 CDC hand hygiene guidelines fact sheet 385 CDC isolation precautions 386 Guide to laboratory test results 388 Posttest 391 Selected references 435 Index

7 Iii8/17/2011 3:29:57 PM8/17/2011 3:29:57 PMivKatherine Balkema, RN, BA, BSN, MM, RRT, CMSRNC linical Nurse EducatorHolland HospitalHolland, L. Claytor, PhD, CMSRN, ACNS-BCEducation SpecialistClarian HealthIndianapolis, Clevenger, RN, MSN, EdDc, BCAssociate Professor of NursingMorehead State UniversityMorehead, Conn, RN, MSNN urse EducatorStevens-Henager CollegeMurray, UtahMedical-Surgical and Psychiatric NurseDuke University Health SystemDurham Regional HospitalDurham, Conner, RN, MSN, CMSRNC linical Education ConsultantINTEGRIS HealthOklahoma City, K. Freisner, RN-BC, BSNA ssistant InstructorMt. Carmel College of NursingColumbus, OhioAnna Jarrett, PhD, ACNS/ACNP, BCOrthopedic Advanced Practice NurseCentral Arkansas Veterans Health SystemsLittle Rock, G.

8 Lewis, RN, MS, ACNS-BCAssociate ProfessorGeorgia Baptist College of Nursing of Mercer UniversityAtlanta, Magaletto, RN, MS, BCInstructor, Medical-Surgical NursingCochran School of NursingYonkers, Mangosing-Lemmon, RN, MSN, CMSRNN ursing InstructorRiverside School of Professional NursingNewport News, Allan Menez, RN-BC, MS, CMSRNF acultyUniversity of PhoenixPhoenix, Angela Nguyen, RN, BSN, CMSNN urse EducatorScripps Mercy HospitalSan Diego, W. Pompey, RN,C, BSN, MSN, DNP, APRN-BCAssistant ProfessorUniversity of South Carolina AikenSchool of NursingAiken, W. Pottage, RN, MSIndependent Clinical EditorPaoli, Narvaez Ramirez, RN, MSNN ursing InstructorUniversity of the Incarnate Word School of Nursing & Health ProfessionsSan Antonio, Elsa Rodriguez, RN, MSN-CNS, CMSRNA ssistant Professor of NursingSan Diego City CollegeSan Diego, Rudolph, RN, CMSRNR egistered NurseUniversity of Colorado HospitalAurora, Verosky, MSN, ACNS-BC, CMSRND irector, Palliative CareUPMC Mercy HospitalPittsburgh, L.

9 Willingham, RN, BSN, MANursing FacultyWatts School of NursingDurham, and consultantsContributors and iv8/17/2011 3:29:58 PM8/17/2011 3:29:58 PMMedical-surgical nursing is alive and well! Once considered a basic skill required of all nurses, medical-surgical nursing has become increasingly complex, evolving into a vital specialty nursing practice. Medical-surgical nurses must care for a growing number of health care consumers with complex medical needs as well as keep current with continuing developments in health care science, technology, and economics. They must overcome the challenges these developments can bring to providing patient care while continuing to provide high-quality nursing care to diverse patient populations in all stages of life from adolescents to the certifi cation is the most important step a registered nurse can take in his or her career.

10 It signifi es a nurse s commitment to professional growth and development and, most importantly, to provide safe, effective, timely, and high-quality patient care. Research by the American Board of Nursing Specialties confi rms that certifi cation vali-dates specialized knowledge, enhances professional credibility and autonomy, indi-cates professional growth, and provides evidence of professional s Review for Medical-Surgical Nursing Certifi cation will certainly help you in your pursuit of certifi cation as a medical-surgical nurse. This thoroughly updated review book offers the most current content typically included in medical-surgical nursing certifi cation tests by both the Medical-Surgical Nursing Certifi cation Board (MSNCB) of the Academy of Medical Surgical Nurses (AMSN) and the American Nurses Credentialing Center (ANCC).