PROGRESSIVE CARENURSING CERTIFICATIONPreparation, Review, andPractice Exams Thomas S. Ahrens, PhD, RN, CCNS, FAAN Research Scientist Barnes–Jewish Hospital St. Louis, Missouri Donna Prentice, MSN(R), RN, ACNS-BC, CCRN Clinical Nurse Specialist Barnes–Jewish Hospital St. Louis, Missouri Ruth M. Kleinpell, PhD, RN, FAAN, FAANP, FCCM Director, Center for Clinical Research and Scholarship Rush University Medical Center Professor, Rush University College of Nursing Nurse Practitioner, Mercy Hospital & Medical Center Chicago, Illinois

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PROGRESSIVE CARENURSING CERTIFICATIONPreparation, Review, andPractice Exams Thomas S. Ahrens, PhD, RN, CCNS, FAAN Research Scientist Barnes–Jewish Hospital St. Louis, Missouri Donna Prentice, MSN(R... ), RN, ACNS-BC, CCRN Clinical Nurse Specialist Barnes–Jewish Hospital St. Louis, Missouri Ruth M. Kleinpell, PhD, RN, FAAN, FAANP, FCCM Director, Center for Clinical Research and Scholarship Rush University Medical Center Professor, Rush University College of Nursing Nurse Practitioner, Mercy Hospital & Medical Center Chicago, Illinois PART I. CARDIOVASCULAR..............................................................................................................................1 1. Cardiovascular Anatomy and Physiology ......................................................................................................................3 2. Diagnosis and Treatment of Cardiovascular Disorders..............................................................................................17 3. The Normal ECG ..............................................................................................................................................................27 4. The 12-Lead ECG ............................................................................................................................................................33 5. Hemodynamic Monitoring..............................................................................................................................................47 6. Acute Coronary Syndrome (Angina Pectoris and Myocardial Infarction)...............................................................57 7. Conduction Blocks ..........................................................................................................................................................69 8. Heart Failure: Congestive Heart Failure, Pulmonary Edema, and Hypertensive Crisis ........................................79 9. Cardiogenic Shock ..........................................................................................................................................................89 10. Hemorrhagic (Hypovolemic) Shock .............................................................................................................................93 11. Interpreting Dysrhythmias ..............................................................................................................................................99 12. Cardiomyopathies and Pericarditis..............................................................................................................................115 13. Treatment of Cardiac, Valvular, and Vascular Insufficiency, and Trauma .............................................................119 Cardiovascular Practice Exam ...........................................................................................................................131 PART II. PULMONARY .....................................................................................................................................139 14. Pulmonary Anatomy and Physiology...........................................................................................................................141 15. Diagnosis and Treatment of Pulmonary Disorders ...................................................................................................161 16. Alternative Methods of Ventilatory Support................................................................................................................171 17. Acute Respiratory Dysfunction.....................................................................................................................................181 18. Acute Pulmonary Embolism and Aspiration ..............................................................................................................193 19. Thoracic Trauma and Air-Leak Syndromes...............................................................................................................199 Pulmonary Practice Exam..................................................................................................................................211 Contents PART III. ENDOCRINE.....................................................................................................................................223 20. Introduction to the Endocrine System.......................................................................................................................225 21. Anatomy, Physiology, and Dysfunction of the Pituitary Gland...............................................................................229 22. Anatomy, Physiology, and Dysfunction of the Thyroid and Parathyroid Glands ................................................235 23. Anatomy, Physiology, and Dysfunction of the Pancreas .......................................................................................245 24. Anatomy, Physiology, and Dysfunction of the Adrenal Glands .............................................................................253 Endocrine Practice Exam...................................................................................................................................263 PART IV. IMMUNOLOGY AND HEMATOLOGY.......................................................................269 25. Physiology of the Immunologic and Hematologic Systems ...................................................................................271 26. Diagnosis and Treatment of Immunologic and Hematologic Problems..............................................................289 27. Hematologic and Immunologic Failure and Its Effects on Other Organ Systems..............................................297 28. Organ Transplantation ..................................................................................................................................................313 29. Life-Threatening Coagulopathies................................................................................................................................317 Immunology and Hematology Practice Exam ........................................................................................................323 PART V. NEUROLOGY....................................................................................................................................329 30. Anatomy and Physiology of the Nervous System....................................................................................................331 31. Intracranial Pressure .....................................................................................................................................................353 32. Acute Head Injuries and Craniotomies ......................................................................................................................357 33. Stroke and Intracranial Aneurysms ............................................................................................................................365 34. The Vertebrae and Spinal Cord ...................................................................................................................................371 35. Encephalopathies and Coma ......................................................................................................................................381 36. Meningitis, Muscular Dystrophy, and Myasthenia Gravis.......................................................................................385 37. Seizures and Status Epilepticus ..................................................................................................................................391 Neurology Practice Exam ...................................................................................................................................399 PART VI. GASTROENTEROLOGY........................................................................................................409 38. Anatomy and Physiology of the Gastrointestinal System........................................................................................411 39. Gastrointestinal Hemorrhage and Esophageal Varices .........................................................................................433 40. Hepatitis, Cirrhosis, Hepatic Failure, and Acute Pancreatitis ..................................................................................441 41. Intestinal Infarction, Obstruction, Perforation, and Trauma....................................................................................455 42. Management of the Patient with a Gastrointestinal Disturbance .........................................................................467 Gastroenterology Practice Exam ..........................................................................................................................473 PART VII. RENAL..................................................................................................................................................483 43. Anatomy and Physiology of the Renal System ........................................................................................................485 44. Renal Regulation of Electrolytes.................................................................................................................................499 45. Diagnosis and Treatment of Renal Failure ................................................................................................................509 Renal Practice Exam.........................................................................................................................................525 PART VIII. MULTIORGAN PROBLEMS............................................................................................533 46. Sepsis and Multiorgan Syndrome ..............................................................................................................................535 47. Toxic Emergencies .......................................................................................................................................................543 48. Airway Obstruction ........................................................................................................................................................551 49. Burns ...............................................................................................................................................................................553 Multisystem Organ Dysfunction Practice Exam.....................................................................................................561 PART IX. SYNERGY...........................................................................................................................................569 50. Professional Caring and Ethical Practice....................................................................................................................571 Synergy Practice Exam ......................................................................................................................................575 PART X. BEHAVIOR ..........................................................................................................................................583 51. Behavioral and Psychologic Factors in Critical Care ...............................................................................................585 Behavior Practice Exam ....................................................................................................................................595 Index..............................................................................................................................................................601 On CD-ROM: COMPREHENSIVE PRACTICE EXAM—I COMPREHENSIVE PRACTICE EXAM—II [Show More]

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