ࡱ> [^VWXYZc Sbjbj D.؎U\؎U\Xj,j,999999998.:$R<9.CDC(lClClCDDD$:A9DDDDDA99lClC4ViiiD 9lC9lCiDii~8[lCyd^QXl0? Vt[[89tDDiDDDDDAAgPDDDDDDDDDDDDDDDDj,> 8: NCLEX-RN Exam Prep Third Edition Copyright 2014 Pearson Education, Inc. ISBN-10: 0-7897-5106-2 ISBN-13: 978-0-7897-5106-5 Warning and Disclaimer Every effort has been made to make this book as complete and as accurate as possible, but no warranty or fitness is implied. The information provided is on an "as is" basis. The author and the publisher shall have neither liability nor responsibility to any person or entity with respect to any loss or damages arising from the information contained in this book or from the use of the CD or programs accompanying it. When reviewing corrections, always check the print number of your book. Corrections are made to printed books with each subsequent printing. First Printing: December 2013 Corrections for March 29, 2017 PgError Third PrintingCorrection1Introduction, Second Bullet, First Sentence Reads: The RN is responsible for initiating peripheral IVs and giving IV Push medication, but the PN is expected to be able to monitor IV lines and medication and know how to recognize problems and the steps to take to correct them.Should read: The RN is responsible for the initiating of peripheral IVs and giving IV Push medication. 1Introduction, Second Bullet, Last Sentence Reads: In many states, the licensed practical nurse can also initiate peripheral IV lines.Should read: In many states the licensed practical nurse can initiate peripheral IV lines.4Introduction, Other Valuable Tools, Fourth Bullet Reads: Appendix D, Most Commonly Prescribed Medications in the United States, is a list of commonly prescribed drugs with the generic and brand names and common nursing implications for use.Should read: Appendix D, Commonly Prescribed Medications in the United States, is a list of commonly prescribed drugs with the generic and brand names and common nursing implications for use.6Introduction, First Paragraph, Second Sentence Reads: The candidate can schedule the exam at a time that is convenient and usually receives test results in seven days or sooner.Should read: The candidate can schedule the exam at a time that is convenient and in most states can receive unofficial test results in a few days.6Introduction, Advice for Preparing for the Exam, First Sentence Reads: Judicious use of this book, either alone or with a review seminar such as the one provided by Rinehart and Associates, will help you achieve you goal of becoming licenses to practice nursing.Should read: Judicious use of this book, either alone or with a review seminar such as the one provided by Rinehart and Associates with Pearsons NCLEX-RN Review Complete Video Course, will help you achieve you goal of becoming licenses to practice nursing. 7Introduction, Remove Second BulletBullet to remove: Dress in layers: The testing site might be cold or warn.8Introduction, Contact the Author, Frist Paragraph, Second Sentence Reads: If after reviewing with this text, you would like to contact us, you can do so at Rinehart and Associates, PO Box 124, Booneville, MS 38829 or visit our website at www.nclexreview.net.Should read: If after reviewing with this text, you would like to contact us, you may do so at Pearson Education.9Study and Exam Preparation Tips, Eight Bullet Reads: Attend a live review like that offered by Rinehart and Associates. Participating in a live review where the instructors are dedicated to helping you succeed is immeasurable in value.Should read: Attend a live review or use an online review such as Pearsons NCLEX-RN Review Complete Video Course.10Study and Exam Preparation Tips, Second ParagraphRemove Second Paragraph12Study and Exam Preparation Tips, Fifth Bullet, Third Sentence Reads: Write information that you remember about this topic on the paper or slate provided in the testing area.Should read:  12Study and Exam Preparation Tips, Sixth Bullet, Second Paragraph, First Sentence Reads: The nurse is attempting to evaluate the clients knowledge of diabetes.Should read: The nurse is attempting to evaluate the clients knowledge of diabetes mellitus.13Study and Exam Preparation Tips, Third Paragraph, Third Sentence Reads: Applying heat vasodilates and causes increased bleeding.Should read: Applying heat dilates blood vessels and causes increased bleeding.15Chapter 1, First Paragraph, Fourth Sentence Reads: The recent test plan approved by the National Council Licensure Exam devotes 13%19% of the Physiological Integrity section to pharmacology.Should read: The recent test plan approved by the National Council Licensure Exam devotes 13%19% to 12% - 18% of the Physiological Integrity section to pharmacology.40Chapter 1, After Answer 16, Add Suggested Reading and ResourcesAdd: Suggested Reading and Resources Lippincotts Illustrated Reviews: Pharmacology, 6th Edition, Whalen, Philadelphia, Lippincott Williams and Wilkins, 2014. Lehne, R. Pharmacology for Nursing Care. 9th ed., St. Louis: Elsevier, 2016.116Chapter 4, Management of the client with diabetes mellitus includes the following:, Third Bullet, Second Sentence Reads: Medications used to treat diabetes mellitus include sulfanylurea agents, alpha-glucosidase inhibitors, nonsulfanylurea agents, D-phenylalanine derivatives, and thiazolidinediones.Should read: Medications used to treat diabetes mellitus include sulfonylurea agents, alpha-glucosidase inhibitors, nonsulfonylurea agents, D-phenylalanine derivatives, meglitinides, biguanides, DPP-4 inhibitors, SGLT 2 inhibitors, bile acid sequestrants and thiazolidinediones.134Chapter 5, Emphysema, First Paragraph, Starting with Second Sentence delete and replaceReplace with: Clients with early emphysematous changes may complain of dyspnea without cyanosis. As the disease progresses the client may develop chronic hypoxia, cyanosis, pulmonary edema, and sometimes respiratory failure. Polycythemia predisposes the client with emphysema to the development of clots. (This should remove information on the older description of pink puffers and blue bloaters).135Chapter 5, First Paragraph, Insert Sentence after Second SentenceSentence to Insert: Lab Studies reveal increased RBCs and respiratory acidosis.135Chapter 5, Seventh Sentence Reads: Attention is given to correcting acid/base imbalances, meeting nutritional needs, providing frequent oral care, and providing oxygen at low settings (23 liters per minute).Should read: Attention is given to correcting acid/base imbalances, meeting nutritional needs, providing frequent oral care, and providing oxygen at low settings (24 liters per minute).137Chapter 5, CAUTION, Remove First Two Paragraphs and Replace with new ParagraphReplacement Paragraph: Methylxanthines, such as theophylline and aminophylline are no longer considered the first class of medications to treat COPD due to their serious side effects, interactions with other medications, and narrow margin for safety. In most cases they have been replaced with short acting beta 2 agonists, and long acting beta 2 agonists. Toxic symptoms associated with methylxanthines (theophylline and aminophylline) include nausea, vomiting, tachycardia, palpitation, and hypotension. 137Chapter 5, CAUTION, Last Sentence Reads: Refer to Table 5.1 at the end of the chapter for full details on the pharmacology agents administered for respiratory conditions.Should read: Refer to Table 5.1 at the end of the chapter for details on the pharmacology agents administered for respiratory conditions.137Chapter 5, Second Paragraph, Second Sentence Reads: Management of the client with pleurisy includes the administration of analgesics, such as Indocin (indomethicin) and other NSAIDS, antitussives with codeine, antitussives, antibiotics, and oxygen therapy.Should read: Management of the client with pleurisy includes the administration of analgesics, such as Indocin (indomethicin) and other NSAIDS, antitussives with codeine, antibiotics, and oxygen therapy.139Chapter 5, First Paragraph, Third Sentence Reads: These shortacting direct vasodilators include intravenous Flolan (epoprostenol), intravenous Remodulin (treprostinol), and oral Tracleer (bosentan).Should read: These shortacting direct vasodilators include intravenous Flolan (epoprostenol), intravenous Remodulin (treprostinil), and oral Tracleer (bosentan).143Chapter 5, First Paragraph, Second Sentence Reads: Hospital-acquired pneumonias include Pseudomonas pneumonia, staphylococcal pneumonia, Klebsiella pneumonia, Pneumocystis carinii pneumonia (PCP), and fungal pneumonia.Should read: Hospital-acquired pneumonias include Pseudomonas pneumonia, staphylococcal pneumonia, Klebsiella pneumonia, Pneumocystis jirovecki pneumonia (PCP), and fungal pneumonia. 143Chapter 5, Second Paragraph, Third Sentence Reads: Clients with cytomegalovirus, Pneumocystis carinii, or aspergillus will be acutely ill.Should read: Clients with cytomegalovirus, Pneumocystis jirovecki, or aspergillus will be acutely ill.143Chapter 5, Last Paragraph, Second Sentence Reads: The vaccine is recommended for people over age 65, those with cardiorespiratory conditions, those with chronic illness, and those who are immunocompromised.Should read: The vaccine is recommended for those people with cardiorespiratory conditions, those with chronic illness, and those who are immunocompromised.145Chapter 5, Tuberculosis, First Paragraph, Third Sentence Reads: The incidence of TB has been steadily increasing in the United States and worldwide for the past 20 years. Although rates have been steadily dropping in the United States due to TB control programs, TB remains a significant world health problem.Should read: The incidence of TB has been steadily increasing worldwide for the past 20 years. Although rates in the United States have been dropping due to TB control programs, TB remains a significant world health problem. 147Chapter 5, First Paragraph, Add Sentence at the End of ParagraphSentence to Add: Clients with drug resistant TB are treated with additional medications for extended periods of time. 148Chapter 5, Bullet Points Reads: Hypoxia (decreased tissue oxygenation) Suprasternal and intercostal retractions Presence of crackles (rales) or rhonchi Diminished breath sounds Refractory hypoxemia (low levels of oxygen in the blood despite supplemental oxygen delivered at high concentrations)Should read: Hypoxia (persists with 100% oxygen administration) Suprasternal and intercostal retractions Presence of crackles (rales) or rhonchi Diminished breath sounds Refractory hypoxemia (cardinal sign) Decreased lung compliance (cardinal sign) Diffuse bilateral infiltrates on x-ray (cardinal sign)149Chapter 5, First Bullet Point, First Sentence Reads: Maintaining endotrachial intubation and mechanical ventilation with positive end expiratory pressure (PEEP) or continuous positive airway pressure (CPAP).Should read: Maintaining endotrachial intubation and mechanical ventilation with positive end expiratory pressure (PEEP) or continuous positive airway pressure (CPAP) or ECMO.150Chapter 5, Second Bullet, Insert New Sub-Bullet after Third BulletSub-Bullet to Insert: Flow-cycled ventilators push air into the lungs until a predetermined or set flow rate is achieved during inhalation. 150Chapter 5, Second Bullet, Replace Last Sub-BulletReplacement Sub-Bullet: Complications sometimes associated with positive pressure ventilation include cardiac problems (hypotension and fluid retention) and pulmonary problems (ventilator associated lung injury). Gastrointestinal and nutrition problems and infection are also major complications that may occur from positive pressure ventilation. 151Chapter 5, Add New Bullet at the end of Bullet ListNew Bullet to Add: Be familiar with the cause and intervention for high pressure and low pressure alarms154Chapter 5, Second Paragraph, Second Sentence Reads: Surgical management using umbrella-type filters is indicated for those who cannot take anticoagulants as well as for clients who have recurrent emboli while taking anticoagulants.Should read: Surgical management using vena cava filter is indicated for those who cannot take anticoagulants as well as for clients who have recurrent emboli while taking anticoagulants.163Chapter 5, Table 5.1, Row Expectorants, Column Name Reads: Ammonium Chloride Guaifenesin K+ iodideShould read: Ammonium Chloride Guaifenesin K+ iodide 164Chapter 5, Table 5.3, Column - Organism Responsible, Fourth Row Reads: Pneumocystis cariniiShould read: Pneumocystis jirovecki165Chapter 5, Table 5.4, Column Name, Second Row Reads: Ethambutol HCI (myambutol) (first-line drug)Should read: Myambutol (ethambutol HCl) (first-line drug)165Chapter 5, Table 5.4, Column Name, Fourth Row Reads: Fluoroquinolones (levoflaxacin, Monofloxacin gatifloxacin)Should read: Floroquinolones (levofloxacin, Monofloxacin gatifloxacin)165Chapter 5, NOTE, Add Third BulletBullet to Add: Sirturo (combination of bedaquiline, pyrazinamide, and moxifloxacin): Used in the treatment of client with multidrug resistant TB168Chapter 5, Answers to the Exam Questions, Number 7, Second Sentence reads: Cytoxan is an immunosuppressive drug; therefore, the client should notify the doctor of symptoms associated with infection.Should read: Cytoxan (cyclophosphamide) is an immunosuppressive drug; therefore, the client should notify the doctor of symptoms associated with infection.171Chapter 6, Second Sentence Reads: The nurse should be particularly sensitive to the clients emotional needs because many genitourinary disorders affect both the clients physical and emotional well-being, as well as her sexuality.Should read: The nurse should be particularly sensitive to the clients emotional needs because many genitourinary disorders affect both the clients physical and emotional well-being, as well as sexuality.173Chapter 6, First Paragraph, Second Sentence Reads: Appropriate anti-infectives such as penicillin, Erythromycin, and Zithromax (azithromycin) are usually prescribed if the condition is due to an infection.Should read: Appropriate anti-infectives such as penicillin, Erythrocin (erythromycin), and Zithromax (azithromycin) are usually prescribed if the condition is due to an infection.174Chapter 6, First Paragraph, First Sentence Reads: If a renal biopsy is performed, the client should be positioned on her abdomen.Should read: If a renal biopsy is performed, the client should be positioned on his/her abdomen.189Chapter 6, Second Bullet, Fourth Sentence Reads: Foods moderate in purine include bacon, pork, ham, chicken.Should read: Foods moderate in purine include bacon, pork, ham, and chicken.191Chapter 6, Third Paragraph, First Sentence Reads: Discharge instructions include telling the client to increase fluid intake to 2,0003,000 ml of water a day to decrease risk of bladder infections and to avoid alcohol, caffeinated beverages, and spicy foods.Should read: Discharge instructions include telling the client to increase fluid intake to 2,0003,000 mL of water a day to decrease risk of bladder infections and to avoid alcohol, caffeinated beverages, and spicy foods. 200Chapter 6, Table 6.4, Second Column Action, Fifth Row Down Reads: Anti-androgen Bbocks DHT and shrinks the prostate.Should read: Anti-androgen blocks DHT and shrinks the prostate.203Chapter 6, Number 9, Second Sentence Reads: The nurse should avoid clamping or kinking the nephrostomy because urine would be retained in the kidney.Should read: The nurse should avoid clamping or kinking the nephrostomy tube because urine would be retained in the kidney.206Chapter 7, Herpes Simplex, Third Paragraph, Third Sentence Reads: Infected newborn can develop fever, hypothermia, jaundice, seizures, poor feeding, and vesicular skin eruptions.Should read: Infected newborns can develop fever, hypothermia, jaundice, seizures, poor feeding, and vesicular skin eruptions.212Chapter 7, First Paragraph, Second Sentence Reads: According to the American Burn Association (2007), about 40,000 persons require hospital care each year for treatment of their injuries.Should read: According to the American Burn Association (2012), about 40,000 persons require hospital care each year for treatment of their injuries.215Chapter 7, Nursing Care for Burn Victims, Bullet Points Reads: Emergent Intermediate RehabilitativeShould read: Emergent (Resuscitative) Intermediate (Acute) Rehabilitative217Chapter 7, Parkland Formula Reads: Ringers Lactate 4 mL * kg body weight * % TBSAShould read: Ringers Lactate 4 mL x kg body weight x % TBSA218Chapter 7, Number Three, at the top of the page, formula Reads: 4 mL * 82 kg * 63 = 20,664 mL in 24 hoursShould read: 4 mL x 82 kg x 63 = 20,664 mL in 24 hours218Chapter 7, Consensus formula Reads: Ringers lactate or other balanced saline solution 2 ml4 ml * kg body weight * % TBSAShould read: Ringers lactate or other balanced saline solution 2 mL4 mL x kg body weight x % TBSA218Chapter 7, Number Three, at the bottom of the page, formulas Reads: 2 mL * 82 * 63 = 10,332 mL 4 mL * 82 * 63 = 20,664 mLShould read: 2 mL x 82 x 63 = 10,332 mL 4 mL x 82 x 63 = 20,664 mL263Chapter 9, Second Paragraph, Add sentence between Fourth and Fifth SentencesSentence to add: IBS constipation pharmacological therapy include psylium hydropholic mucilloid (Metamucil), lubiprostone (Amitiza), and linaclotide (Linzess).263Chapter 9, Second Paragraph, Last Sentence Reads: Complementary therapies, such as hypnosis and acupuncture, are also used as forms of treatment.Should read: Complementary and alternative therapies, such as hypnosis, acupuncture, probiotics, and peppermint oil capsules are also used as forms of treatment. 265Chapter 9, First Paragraph, First Sentence Reads: Intestinal obstruction and abscesses are complications requiring surgery, but are more common with Crohns disease.Should read: Intestinal obstruction, abscesses, and fistulas may require surgery, but are more common with Crohn's disease.265Chapter 9, Diverticular Disease, Third Paragraph, Insert Sentence between First and Second SentenceSentence to Insert: Abdominal ultrasonography may also be done and shows thickening or abscesses of the bowels.267Chapter 9, Second Paragraph, Add Sentences at end of ParagraphSentence to add: Uncomplicated appendicitis can be done via laparoscopy. Another minimally invasive procedure called natural orifice transluminal endoscopic surgery (NOTES) can be used to remove organs such as the appendix and gallbladder. These procedures can be done through the mouth, vagina, or rectum. There are no visible incisions and fewer post operative complications with these procedures.285Chapter 9, First Paragraph, First Sentence Reads: Medications prescribed for clients with cirrhosis include antacids for gastric distress that could lead to bleeding, diuretics for fluid and ascites, and cathartics and enemas (lactulose [Cephulac]) to correct the pH in the bowel and rid the body of ammonia.Should read: Medications prescribed for clients with cirrhosis include antacids for gastric distress that could lead to bleeding, diuretics for fluid and ascites, and cathartics (lactulose [Cephulac]), non-absorbable antibiotics, and enemas to correct the pH in the bowel and rid the body of ammonia.291Chapter 9, Second Sentence, Insert Sentence between Fourth and Fifth SentencesSentence to insert: Fecal bacteriotherapy, using transported normal stool flora into an infected patient has had positive results.305Chapter 10, Second Set of Bullet Points, Add Bullet Point between Third and Fourth BulletBullet Point to Add: Daclizumab (Zenapex)305Chapter 10, Third Paragraph, Add Second SentenceSentence to Add: A spleenectomy may also be required.313Chapter 10, First Set of Bullets, Add Bullet Point between Second and Third BulletBullet Point to Add: Apheresis317Chapter 10, Table 10.3, Treatment Column, First Row, Add SentenceSentence to Add: Keep IV access open, but do not infuse the blood in the iV tubing.336Chapter 11, After Note, Third Bullet Point Reads: Avoid narcotic or medications that depress respirationShould read: Avoid narcotic or medications that depress respiration however, opiods can be given to decrease agitation if it is due to pain336Chapter 11, After Note, Add Fourth Bullet PointBullet Point to Add: Sedatives, such as dexmedetomidine (Precedex), propovol (Diprivan) may be given for agitation and ventilator asynchroncy342Chapter 11, Cerebrovascular Accident/Stroke, First Sentence Reads: Strokes or brain attacks are the third leading cause of death and the leading cause of disability in the United States.Should read: Strokes or brain attacks are the third leading cause of death and the major cause of disability in the United States.349Chapter 11, Simple Partial, First Sentence Reads: With a simple partial seizure, the clients finger, arm, or hand might shake, autonomic symptoms (for example, flushing or heart rate changes), or special sensory symptoms might occur.Should read: With a simple partial seizure, the clients finger, arm, or hand might shake, autonomic symptoms (for example, flushing, discomfort in the epigastric region, and heart rate changes), or special sensory symptoms might occur.351Chapter 11, First Paragraph, Last Bullet Point Reads: Stooped postureShould read: Stooped or instable postures351Chapter 11, Second Paragraph Reads: The management of Parkinsons disease is usually accomplished by pharmaceutical interventions, including levodopa-carbidopa (Sinemet), benztropine mesylate (Cogentin), amantidine hydrochloride (Symmetrel), ropinirole hydrochloride (Requip), pramipexole (Mirapex), MAO inhibitors (for example, selegiline [Eldepryl]), CONT inhibitors (for example, entacapone [Comtess]), antidepressants (for example, Elavil or Prozac), and antihistamines (for example, Benadryl) for mild anti-cholinergic effects.Should read: The management of Parkinsons disease is usually accomplished by pharmaceutical interventions, including levodopa-carbidopa (Sinemet), benztropine mesylate (Cogentin), amantidine hydrochloride (Symmetrel), ropinirole hydrochloride (Requip), pramipexole (Mirapex), rotigotine {(Neupro) available as a trandermal patch}, MAO inhibitors (for example, selegiline [Eldepryl]), CONT inhibitors (for example, entacapone [Comtess]), antidepressants (for example, Elavil or Prozac), and antihistamines (for example, Benadryl) for mild anti-cholinergic effects.352Chapter 11, Add Bullet Point between First and Second Bullet Points of the Second Set of Bullet PointsBullet Point to Add: Myalgia354Chapter 11, Multiple Sclerosis, First Bullet Point Reads: WeaknessShould read: Weakness, fatigue, and spasticity 352Chapter 11, Multiple Sclerosis, Third Bullet Point Reads: PainShould read: Pain and numbness352Chapter 11, Multiple Sclerosis, Fourth Bullet Point Reads: Visual changes (blurring of vision, double vision, scotoma, fatigue, spasticity, numbness, cognitive changes)Should read: Visual changes (blurring of vision, diplopia, and scotoma)352Chapter 11, Multiple Sclerosis, Add Fifth Bullet PointBullet Point to Add: Cognitive changes355Chapter 11, Fourth Bullet Point Reads: Mitoxantrone (Novantrone).Should read: Mitoxantrone (Novantrone), natalizumab (Tysabri)355Chapter 11, Add Bullet Between Fourth and Fifth Bullet PointBullet Point to Add: Oral agents, such as fingolimod (Gilenya) and tiflunomide (Anbagio)357Chapter 11, NOTE Reads: Complications for plasmapheresis procedure include: infection of the vascular device, fluid volume deficit, and decreased potassium and calcium levels.Should read: Complications for plasmapheresis procedure include: infection and/or clotting of the vascular device, fluid volume deficit, and decreased potassium and calcium levels.358Chapter 11, Table 11.7, Row: Pathophysiology of area affected, Column: Huntingtons Disease, Add Second SentenceSentence to Add: Decrease in gamma aminobutyric acid (GABA)358Chapter 11, Table 11.7, Row: Pharmacalogic Treatment, Column: Huntingtons Disease, Add TreatmentTreatment to Add: Tetrabenazine (Xenazine)372Chapter 11, NOTE Reads: Other drugs for multiple sclerosis include mitoxantrone (Novantrone), an anti tumor antibiotic that is also given in prostate cancer and glatiramer acetate (Copaxone).Should read: Other drugs for multiple sclerosis include mitoxantrone (Novantrone), an anti tumor antibiotic that is also given in prostate cancer, glatiramer acetate (Copaxone), natalizumab (Tysabri), fingolimod (Gilenya), and tiflunomide (Anbagio)400Chapter 13, Risk Factors for Specific Cancers, Third Bullet Reads: Cervical: Risk factors include early sexual activity, early childbearing, multiple partners, human papillomavirus (HPV) or human immunodeficiency virus (HIV) infection, smoking, use of DES by the mother during pregnancy, and chronic cervical infections.Should read: Cervical: Risk factors include early sexual activity, age below 17 at first time pregnancy, multiple partners, obesity, use of birth control pills, diet low in fruits and vegetables, human papillomavirus (HPV) or human immunodeficiency virus (HIV) infection, smoking, use of DES by the mother during pregnancy, and chronic cervical infections.401Chapter 13, First Bullet Reads: Colon: Risk factors include family history, polyps, chronic inflammatory bowel disease, alcohol use, smoking, and a diet high in fat and protein and low in fiber.Should read: Colon: Risk factors include family history, polyps, obesity, type 2 diabetes, chronic inflammatory bowel disease, alcohol use, smoking, and a diet high in fat and protein and low in fiber.401Chapter 13, Second Bullet Reads: Esophagus: Risk factors include use of tobacco, use of alcohol, and chronic irritation.Should read: Esophagus: Risk factors include use of tobacco, use of alcohol, obesity, HPV infection, and chronic irritation.401Chapter 13, Third Bullet Reads: Larynx: Risk factors include use of tobacco, nutritional deficiencies (riboflavin), chronic laryngitis, use of alcohol, and exposure to carcinogens.Should read: Larynx: Risk factors include use of tobacco, nutritional deficiencies (riboflavin), chronic laryngitis, use of alcohol, HPV infection, and exposure to carcinogens.401Chapter 13, Fifth Bullet Reads: Hodgkins lymphoma: Risk factors include exposure to chemical agents, and viral infections.Should read: Hodgkins lymphoma: Risk factors include exposure to chemical agents, a weakened immune system, living in a developed country, and viral infections.401Chapter 13, Sixth Bullet Reads: Liver: Risk factors include cirrhosis, hepatitis B, exposure to certain toxins, smoking, and alcohol use.Should read: Liver: Risk factors include cirrhosis, hepatitis B, exposure to certain toxins, smoking, type 2 diabetes, obesity, and alcohol use.401Chapter 13, Ninth Bullet Reads: Ovarian: Risk factors include a diet high in fat; alcohol use; a history of cancer of the breast, endometrium, or colon or a family history of ovarian or breast cancer; anovulation; nulliparity; and infertility.Should read: Ovarian: Risk factors include a diet high in fat; women with first pregnancy after age 35, obesity, and a history of cancer of the breast, endometrium, or colon or a family history of ovarian or breast cancer. 401Chapter 13, Tenth Bullet Reads: Non-Hodgkins lymphoma: Risk factors include viral infections; exposure to chemicals and/or ionizing radiation; autoimmune disorders.Should read: Non-Hodgkins lymphoma: Risk factors include viral infections; exposure to chemicals and/or ionizing radiation; weakened immune system; autoimmune disorders.401Chapter 13, Eleventh Bullet Reads: Pancreas: Risk factors include a diet high in fat, smoking, exposure to industrial chemicals, diabetes mellitus, and chronic pancreatitis.Should read: Pancreas: Risk factors include a diet high in fat, cirrhosis of the liver, smoking, exposure to industrial chemicals, diabetes mellitus, and chronic pancreatitis.401Chapter 13, Thirteenth Bullet Reads: Skin: Risk factors include exposure to sun, exposure to various chemicals (arsenic and coal tar), scarring or chronic irritation of the skin, and ancestry (highest incidence in those of Celtic ancestry with red or blond hair, fair skin, and blue eyes).Should read: Skin: Risk factors include exposure to sun, or UV light exposure to various chemicals (arsenic and coal tar), scarring or chronic irritation of the skin, skin moles, weakened immunity, and ancestry (highest incidence in those of Celtic ancestry with red or blond hair, fair skin, and blue eyes).401Chapter 13, Cancer Prevention, Third Bullet Reads: A baseline mammogram should be done at age 40 and yearly after age 40.Should read: Women age 40 to 44 should have the choice to start annual breast cancer screening with mammograms; 45-54 should have mammograms yearly; 55 and older should switch to mammograms every 2 years or continue yearly screening. 403Chapter 13, Major Types of Cancer, Third Sentence Reads: The American Cancer Society lists the four most prevalent new cancers as colon, lung, breast, and prostate.Should read: The American Cancer Society lists the four most prevalent cancers as colon, lung, breast, and prostate.404Chapter 13, First Paragraph, Last Sentence Reads: Blood tests include the CBC, which will reveal anemia, and the CEA, which might be elevated.Should read: Blood tests include the CBC, which will reveal anemia, and the carcinogenic embryonic acid (CEA), which might be elevated.404Chapter 13, Third Paragraph, First Sentence Reads: Typical treatment involves chemotherapy with 5-fluorouracil (FU), oxaliplatin (Eloxatin), leucovorin (Wellcovorin), and/or levamisole (Ergamisol).Should read: Typical treatment involves chemotherapy with 5-fluorouracil (FU), oxaliplatin (Eloxatin), capecitabine (Xeloda), and leucovorin (Wellcovorin).409Chapter 13, Prostate Cancer, First Two Bullets Reads: Hematuria Pain during ejaculationShould read: Hematuria Nocturia Pain during ejaculation410Chapter 13, First Paragraph, Add Sentence at beginning of Paragraph Sentence to Add: Robotic assisted laparoscopic radical prostatectomy may be done for cancer that is localized and the client's PSA is less than 10 ng/ML. 410Chapter 13, First Paragraph, Last Sentence Reads: Important nursing interventions after prostate surgery include the following (Additional discussion available in Chapter 6, Care of the Client with Genitourinary Disorders.):Should read: Important nursing interventions after radical prostate surgery include the following (Additional discussion available in Chapter 6, Care of the Client with Genitourinary Disorders.):411Chapter 13, Second Bullet Reads: Administration of estrogen or gonadotropin-releasing hormones, such asleuprolide (Lupron), magestrol (Megace), medroxyprogesterone (Depo-Provera), abarelix (Plenaxis), flutamide (Eulexin), goserelin (Zoladex), bicalutamide (Casodex), and diethystilbestrol (DES)Should read: Administration of luteinizing hormone releasing hormone agonists and anti androgen drugs, such as leuprolide (Lupron), magestrol (Megace), flutamide (Eulexin), goserelin (Zoladex), and bicalutamide (Casodex).413Chapter 13, First Paragraph, Move Sixth Sentence and place between Sentences Four and FiveSentence to move: This procedure helps to prevent negative aspects of node excision, such as decreased mobility of the limb, numbness, and lymphedema.413Chapter 13, Delete Second Sixth BulletsBullets to Delete: Methotrexate (Trexall) Vinorelbine (Navelbine)417Chapter 13, Table 13.4, Cancer Type: Pancreatic cancer, Diagnostics Reads: Laboratory: Elevated CEA, amylase, lipase, and bilirubin (depending on involvement); Tumor markers: CA 19-9, CA 242, CA 72-4, HCG beta. X-ray: CT scan, MRI, ERCP most definitive diagnostic tool).Should read: Laboratory: Elevated CEA, amylase, lipase, and bilirubin (depending on involvement); Tumor markers: CA 19-9, CA 242, HCG beta. X-ray: CT scan, MRI, ERCP most definitive diagnostic tool).417Chapter 13, Table 13.4, Cancer Type: Pancreatic cancer, Treatment Reads: Pharmacological intervention: 5-FU, cisplatin, mitomycin. Surgery: Whipple procedure. Endoscopy: Biliary to relieve obstruction can be inserted. Radiation: Usually external beam radiation. Radioactive iodine seeds might be implanted. Intraoperative radiation therapy might be used.Should read: Pharmacological intervention: 5-FU, gemcitabine and doctaxel. Surgery: Whipple procedure. Endoscopy: Biliary to relieve obstruction can be inserted. Radiation: Usually external beam radiation. Radioactive iodine seeds might be implanted. Intraoperative radiation therapy might be used.418Chapter 13, Table 13.4, Cancer Type: Ovarian cancer, Diagnostics Reads: Laboratory: CA 125 (a ovarian nostic tool because benign problems can also cause elevation. X-ray: Ultrasound, CT scan, IVP, UGI.Should read: Laboratory: CA 125 (a ovarian nostic tool because benign problems can also cause elevation. Genetic BCRA 1 and BCRA 2. X-ray: Ultrasound, CT scan, IVP, UGI.418Chapter 13, Cancer Type: Cervical cancer (most are squamous cell carcinomas), Treatment Reads: Pharmacological intervention: Usually has a poor response; paclitaxel, carboplatin, hydroxyurea. Surgery: Depending on extentconization, hysterectomy, pelvic exenteration. Treatments: LEEP (loop electrosurgical excision procedure); laser therapy; cryotherapy. Radiation: External followed by intracavity.Should read: Pharmacological intervention: Usually has a poor response; paclitaxel, carboplatin, Mitomycin. Surgery: Depending on extentconization, hysterectomy, pelvic exenteration. Treatments: LEEP (loop electrosurgical excision procedure); laser therapy; cryotherapy; conization Radiation: External followed by intracavity.419Chapter 13, Cancer Type: Leukemia (unregulated WBC proliferation in bone marrow), Clinical Manifestations Reads: Frequent infections/colds, decreased platelet functions evidenced by nosebleeds, hematuria, bruising, and so on, weight loss, fatigue, anorexia, headache, bone pain or swelling.Should read: Frequent infections/colds, decreased platelet functions evidenced by nosebleeds, hematuria, bruising, and so on, weight loss, fatigue, anorexia, headache, hematuria, ecchymoses, bone pain or swelling.419Chapter 13, Cancer Type: Leukemia (unregulated WBC proliferation in bone marrow), Treatment, Other medications Reads: Other medications: antibiotics and antibacterials (for example, amnioglycosides [Gentamicin, Tobramycin, vancomycin], antifungals [amphotericin B, Nizoral], and antivirals [ganciclovir]).Should read: Other medications include antibiotics, antibacterials, antifungals, and antivirals.419Chapter 13, Cancer Type: Leukemia (unregulated WBC proliferation in bone marrow), Treatment Reads: Pharmacological intervention: Chemotherapy is the standard treatment melphalan, vincristine, cyclophosphamide combined with Decadron, doxorubicin, thalidomide (Thalomid). Clients with no improvement after treatment might be treated with bortezomib Velcade). Biphosphanates are also prescribed. Bone marrow transplantation.Should read: Pharmacological intervention: Chemotherapy is the standard treatment bortezomig (Velcade) and thalidomide (Thalomid) combined with dexamethazone. Biphosphanates are also prescribed. Bone marrow transplantation prescribed for the bone disease.420Chapter 13, Cancer Type: Non-Hodgkins lymphoma (lymphoid tumors without presence of Reed- Sternberg cells), Treatment Reads: Pharmacological intervention: multi- or single chemotherapy (Fludarabine) use, Rituximab (Rituxan). Radiation: Radiation therapy may be used.Should read: Pharmacological intervention: multi- or single chemotherapy (Fludarabine) use, Rituximab (Rituxan) and alentuzumab (Campath). Radiation: Radiation therapy may be used. Stem cell transplantation.422Chapter 13, Table 13.5, Side Effects of Radiation: Dry Skin, Column: Nursing Care of Clients Receiving External Radiation Reads: Avoid soaps, alcohol skin preparations, and hot baths. Use moisturizers.Should read: Avoid harsh soaps, alcohol skin preparations, and hot baths.423Chapter 13, Second Paragraph, Add Sentence between Third and Fourth SentenceSentence to Add: No pregnant women are children younger than 16 should be allowed to visit.424Chapter 13, Second Bullet Reads: Recommended dressing is either a gauze dressing taped on all four sides or a transparent dressing.Should read: Change the dressing every 48-72 hours or per the facility protocol. 425Chapter 13, Nursing Implementations, Delete First BulletBullet to delete: Blood should not be drawn from the TPN port, but it can be drawn from the venous port.427Chapter 13, Bone Marrow and Peripheral Stem Cell Transplantation, First Paragraph, Last Sentence Reads: Sources of stem cells include bone marrow, peripheral circulating blood, and umbilical cord.Should read: Sources of stem cells include bone marrow, peripheral stem cell apheresis, and umbilical cord448Chapter 14, Fractures, First Paragraph, Second Sentence Reads: Four major categories of bone fractures are classified according to the amount of tissue damage:Should read: Categories of bone fractures include:449Chapter 14, First Paragraph, First Sentence Reads: A fifth type of fracture is the pathological fracture.Should read: Other types of fractures include pathological fractures, stress fractures, or compression fractures. These fractures occur without major trauma or injury.451Chapter 14, General Treatment for Fractures, Add Last BulletLast Bullet to Add: Assess neurovascular status452Chapter 14, Bullet Reads: Balanced suspension traction: Uses more than one force of pull to establish alignment (see Figure 14.8).Sentence to Add: Should read: Balanced suspension traction: Uses more than one force of pull to establish alignment. Provides counter traction for better activity.Movement or a change in position will not alter counter traction (see Figure 14.8).453Chapter 14, First Bullet Reads: Weights must hang free.Should read: Weights must hang free and be the number of pounds ordered.453Chapter 14, Third Bullet Reads: Ropes should remain within the pulley.Should read: Ropes should remain within the pulley without fraying or looseness.453Chapter 14 Seventh Bullet Reads: Countertraction is usually provided by the clients weight.Should read: Countertraction is usually provided by the clients weight in running traction. Movement of the client's body or bed position alters the countertraction.456Chapter 14, First Paragraph, Second Sentence Reads: One course of treatment includes medications, which can include the use of long-term (4 6 weeks) antibiotic therapy.Should read: One course of treatment includes medications, which can include the use of long-term (12 weeks) antibiotic therapy.456Chapter 14, First Paragraph, Sixth Sentence Reads: The following contains nursing interventions you need to know for the exam:Should read: The following contains nursing interventions and irrigation after debridement you need to know for the exam:456Chapter 14, First Bullet Points, Insert Bullet between the Fifth and Sixth Bullet PointsBullet to Insert: Antibiotic saturated bone cement beads as a wound packing 456Chapter 14, Delayed Union or Healing, Second Paragraph, Second Sentence Reads: The management of this condition includes surgical internal fixation, use of bone grafts, and electrical bone stimulation.Should read: The management of this condition includes surgical internal fixation, use of bone grafts, exogen therapy, and electrical bone stimulation. Exogen therapy uses low intensified ultrasound to the bone. Used daily for 20 minutes. There are no contraindications or adverse effects to this therapy.457Chapter 14, Osteoporosis, Fifth Bullet Reads: Low dietary calcium intakeShould read: Low dietary calcium intake and vitamin D457Chapter 14, Osteoporosis, Seventh Bullet Reads: Alcohol consumptionShould read: Excessive alcohol intake457Chapter 14, Last Paragraph, Last Sentence Reads: In addition, the client should be taught to avoid alcohol and caffeine.Should read: In addition, the client should be taught to avoid excessive alcohol and caffeine.458Chapter 14, Delete NOTE at the top of page458Chapter 14, First Set of Bullet Points, First Bullet Reads: Biphosphonates (examples are Fosamax, Boniva, and Didronel)Should read: Biphosphonates (examples are Fosamax, Boniva, Alendronate, Risedronate, Ibandronate, and Zoledronic Acid) 458Chapter 14, First Set of Bullet Points, Sixth Bullet Reads: Selective estrogen receptor modules or SERMs (for example, Evista)Should read: Selective estrogen receptor modules or SERMs (for example, Raloxifene)458Chapter 14, First Set of Bullet Points, Add Seventh BulletBullet Point to Add: Monoclonal antibody (for example Denosumab)459Chapter 14, Diagnosis of Osteoarthritis, Second Sentence Reads: These tests might reveal a slight elevation in the erythrocyte sedimentation rate (ESR) if inflammation is present in the synovial fluid.Should read: These tests might reveal a slight elevation in the erythrocyte sedimentation rate (ESR) and high-sensitivity C-reactive protein (hsCRP) if inflammation is present in the synovial fluid.459Chapter 14, Treatment of the Client with Osteoarthritis, Fourth Sentence Reads: Some drugs used in treatment are acetaminophen (Tylenol), meloxicam (Mobic), cortisone into the joint by the HCP, muscle relaxers (Skelaxin), glucosamine, and arthritic rubs (such as Aspercreme and capsaicin cream [Zostrix]).Should read: Some drugs used in treatment are acetaminophen (Tylenol), Lidoderm patch, buspirone HCL (Buspar cream) meloxicam (Mobic), cortisone into the joint by the HCP, muscle relaxers (Skelaxin), glucosamine, and arthritic rubs (such as Aspercreme and capsaicin cream [Zostrix]).460Chapter 14, Fibromyalgia, Bullet Point Medications, Third Bullet Reads: Skeletal muscle relaxants (cyclobenzaprine [Flexeril])Should read: Skeletal muscle relaxants (cyclobenzaprine [Flexeril] and Trazodone (Desyrel)460Chapter 14, Fibromyalgia, Bullet Point Medications, Fifth Bullet Reads: Short-term sleep aids (for example, Zolpidem [Ambien])Should read: Short-term sleep aids (for example, Zolpidem [Ambien] and Tramadol (Ultram)461Chapter 14, Add Bullets between First and Second Bullet after Arthralgia or achy jointsBullets to Add: Back pain Visual Disturbances461Chapter 14, Gout, Add Sentence at the End of the First ParagraphSentence to Add: Clients should avoid the use of aspirin and diuretics which can also precipitate an attack.462Chapter 14, First Paragraph, Fourth Sentence Reads: Probenecid (Benemid) might be given to help with the excretion of uric acid.Should read: Probenecid (Benemid) or Colbenemid might be given to help with the excretion of uric acid.462Chapter 14, First Paragraph, Add Sixth SentenceSentence to Add: Pegloticase (Krystexxa) can be given IV in severe cases.463Chapter 14, Add New Bullet to the First Set of Bullet Points at the endBullet to Add: Joint deformities463Chapter 14, Add New Bullet to the Second Set of Bullet Points at the endBullet to Add: (HLA-B 27)463Chapter 14, Third Set of Sub-Bullets, First Bullet Reads: Antiarthritics (for example, etanercept [Enbrel], infliximab [Remicade], and adalimumab [Humira])Should read: Antiarthritics (for example, etanercept [Enbrel], infliximab [Remicade], adalimumab [Humira], and anarinra [Kineret], and tofacitinib [Xeljanz])464Chapter 14, First Bullet under NOTE Reads: Application of heat and ice to the affected joints. This can be done at home or by a physical therapy department.Should read: Application of heat and ice to the affected joints. Heated paraffin wax works well to provide heat to arthritic hands. This can be done at home or by a physical therapy department.464Chapter 14, Last Paragraph, Second Sentence Reads: The disease, which is characterized by remissions and exacerbations, is more common in women between the ages of 15 and 40.Should read: The disease, which is characterized by remissions and exacerbations, is more common in women between the ages of 20 and 40.465Chapter 14, Second Paragraph, Insert Sentence Between the Second and Third Sentences Sentence to Insert: Laboratory tests are similar to the ones used to diagnose Rheumatoid arthritis.465Chapter 14, Third Bullet Reads: Cardiovascular: Pericarditis and myocardial ischemia.Should read: Cardiovascular: Pericarditis, myocardial ischemia, and Raynauds phenomenum. 466Chapter 14, Second Paragraph, Insert Sentence Between the Fourth and Fifth SentencesSentence to Insert: Belimumag (Benlysta) is a monoclonal antibiody specifically indicated for SLE.466Chapter 14, Musculoskeletal Surgical Procedures, Add Two Sentences at the end of ParagraphSentences to Add: Minimally invasive surgical procedures are available for Hip and Total Knee replacements. These procedures result in faster recovery, mobility and less client pain.469Chapter 14, Interventions Post-Amputation Surgery, Second Sentence Reads: Specific problems that might occur with the client after an amputation include pain, contractures, hemorrhage, and infection.Should read: Specific problems that might occur with the client after an amputation include pain, contractures, Neuromas, hemorrhage, and infection.529Chapter 16, Last Paragraph, Second Sentence Reads: However, if the infection is caused by Group A beta hemolytic streptococcus, antibiotic therapy is ordered.Should read: However, if the infection is caused by Group A beta hemolytic streptococcus, antibiotic therapy is ordered.534Chapter 16, Paragraph after NOTE, Last Sentence Reads: Respiratory therapy with ribavirin (Virazole) is ordered for those with bronhiolitis caused by respiratory synctial virus.Should read: Respiratory therapy with ribavirin (Virazole) is ordered for those with bronchiolitis caused by respiratory synctial virus.565Chapter 16, Surviving Childhood Cancer, First Sentence Reads: Each year approximately 12,400 children ranging in age from birth to 19 years are diagnosed with some form of cancer.Should read: Each year approximately 15,000 children ranging in age from birth to 19 years are diagnosed with some form of cancer ( HYPERLINK "http://www.curesearch.org" www.curesearch.org). 589Chapter 17, Heading for Anxiety-related Disorders Reads: Anxiety-related DisordersShould read: Anxiety Disorders589Chapter 17, First Paragraph and Bullet Points under Anxiety Reads: Anxiety-related disorders are sometimes referred to as neurotic disorders and include the following categories: Generalized anxiety disorder Post-traumatic stress disorder Dissociative identity disorder Somatoform disorder Panic disorder Phobic disorder Obsessive-compulsive disorderShould read: Anxiety disorders include the following categories: Separation anxiety disorder Agorophobia Generalized anxiety disorder Obsessive-Compulsive disorder Social anxiety Specific phobia Body dysmorphic disorder Panic disorder589Chapter 17, Add Sentence to Last ParagraphSentence to Add: Other disorders characterized by stress and anxiety include somatic disorder, trauma related disorder, and dissociative disorder. This section will review the most commonly occurring anxiety disorders. 590Chapter 17, Second Heading Reads: Post-traumatic Stress DisorderShould read: Trauma Related Disorder (Posttraumatic Stress Disorder)590Chapter 17, Last Paragraph, Add SentenceSentence to Add: Interventions for PTSD include the use of antidepressants, antihypertensives, and cognitive restructuring.591Chapter 17, First Heading Reads: Dissociative Identity DisorderShould read: Dissociative Disorder (Dissociative Identity Disorder)591Chapter 17, Second Heading, Paragraph and Bullet Points Reads: Somatoform Disorder Somatoform disorder is characterized by the appearance of physical symptoms for which there is no apparent organic or physiological cause. The client with a somatoform disorder continuously seeks medical treatment for a physical complaint even though he has been told there is no evidence of physical illness. Somatoform disorders include the following: Conversion disorder Hypochondriasis Pain disorder Somatization disorderShould read: Somatic Disorder Somatic disorder is characterized by the appearance of physical symptoms for which there is no apparent organic or physiological cause. The client with a somatic disorder continuously seeks medical treatment for a physical complaint even though he has been told there is no evidence of physical illness. Somatic disorders include the following: Functional neurological disorder (conversion disorder) Illness anxiety disorder (hypochondriasis) Factitious disorder Somatic symptom disorder592Chapter 17, First Heading, Paragraph and Bullet Points Reads: Phobic Disorders Phobic disorders are expressed as intense, irrational fears of some object, situation, or activity. A person with a phobic disorder experiences anxiety when he comes in contact with the situation or feared object. Although the client recognizes that the fear is irrational, the phobia persists. Major phobic disorders include: Agoraphobia Social phobia Specific phobiaShould read: Specific Phobia Phobic disorders are expressed as intense, irrational fears of some object, situation, or activity. A person with a phobic disorder experiences anxiety when he comes in contact with the situation or feared object. Although the client recognizes that the fear is irrational, the phobia persists. According to the DSM V some common phobias include: Agoraphobia (fear of open spaces) Acrophobia (fear of heights) Claustrophobia (fear of enclosed spaces) Mysophobia (fear of germs)593Chapter 17, Remove and Replace Section Personality DisordersReplacement Paragraphs: The second major category of reality-based disorders focuses on the client with faulty personality development. Unlike clients with an anxiety disorder, who believe that everything is wrong with them, clients with personality disorders seldom seek treatment. They see nothing wrong with their behavior and therefore see no need to change. Personality disorders refer to pervasive maladaptive patterns of behavior that are evident in the perceptions, communication, and thinking of an individual. The DSM V lists ten personality disorders. These disorders are: paranoid, schizoid, schizotypal, histrionic, narcissistic, antisocial, borderline, avoidant, dependent, and obsessive compulsive. 593Chapter 17, Insert NOTE Box Before Cluster ANOTE BOX to Insert: The previous edition of the DSM (DSM IV TR) grouped personality disorders into clusters based on collective behaviors. Cluster A: Odd Eccentric included paranoid, schizoid, and schizotypal. Cluster B: Dramatic Erratic included histrionic, narcissistic, antisocial, and borderline. Cluster C Anxious Fearful included avoidant, dependent, and obsessive compulsive.593Chapter 17, Remove Cluster A Section and ReplaceReplacement Paragraph: Although they represent different personalities, individuals with paranoid, schizoid, and schizotypal personalities all display behavior that is odd or eccentric. 594Chapter 17, Schizoid Personality Disorder, Add Sentence at end of ParagraphSentence to Add: Antidepressants and antipsychotics may be used to improve flattened affect. 594Chapter 17, Schizotypal Personality Disorder, Add Sentences at end of ParagraphSentences to Add: The DSM V identifies schizotypal personality disorder as both a personality disorder and as the first of the schizophrenia spectrum disorders. Low dose antipsychotics and antidepressant medication helps with day to day functioning. 594Chapter 17, Remove Cluster B Section and ReplaceReplacement Paragraph: Persons with histrionic, narcissistic, antisocial, or borderline personality disorder tend to display behavior that is overly dramatic, attention-seeking, and manipulative with little regard for others. 594Chapter 17, Histrionic Personality Disorder, Add Sentences at end of ParagraphSentence to Add: Medication therapy includes the use of antidepressants and anxiolytics.594Chapter 17, Narcissistic Personality Disorder, Add Sentences at end of ParagraphSentence to Add: Interventions include cognitive behavioral therapy, family therapy, and group therapy.595Chapter 17, Remove Cluster C Section and ReplaceReplacement Paragraph: Persons with avoidant, dependent, and obsessive compulsive exhibit behaviors that are anxious and fearful. 595Chapter 17, Avoidant Personality Disorder, Add Sentences at end of ParagraphSentence to Add: Interventions include the use of antidepressants, individual, and group therapy.595Chapter 17, Dependent Personality Disorder, Add Sentences at end of ParagraphSentence to Add: Interventions include cognitive and behavioral therapy.596Chapter 17, Obsessive-Compulsive Personality Disorder, Add Sentences at end of ParagraphSentence to Add: Interventions include antidepressant medication, group therapy, and self-help groups. 597Chapter 17, Schizophrenia, First Paragraph, Third Sentence Reads: Theories offered regarding the cause of schizophrenia include genetics, environmental factors, and biological alterations in the neurotransmitters serotonin and dopamine.Should read: Theories offered regarding the cause of schizophrenia include genetics, environmental factors, and biological alterations in the neurotransmitters serotonin, glutamate, and dopamine. 597Chapter 17, Schizophrenia, Third Paragraph, First Sentence Reads: The DSM 5 no longer classifies schizophrenia into subtypes (catatonic, disorganized, paranoid, residual, and undifferentiated) based on the cients history and presenting symptoms.Should read: The DSM V no longer classifies schizophrenia into subtypes (catatonic, disorganized, paranoid, residual, and undifferentiated) based on the cients history and presenting symptoms.597Chapter 17, Schizophrenia, Paragraph Three, Add Last Sentence and Bullet PointsSentence and Bullet Points to Add: The DSM V identifies four main symptom groups of schizophrenia and their characteristics. These are: Positive symptoms characterized by hallucinations, delusions, bizarre behavior, paranoia, abnormal movement, gross errors in thinking Negative symptoms characterized by absence of interest in hygiene, lack of motivation, inability to experience pleasure Cognitive symptoms characterized by changes in memory, thinking, and attention; impaired executive functioning Affective symptoms characterized by no expression and no emotion598Chapter 17, Remove First NOTE BoxNOTE Box to remove: You might want to refer to your nursing textbook for a more complete description of the subtypes and positive and negative symptoms associated with schizophrenia.598Chapter 17, Last Paragraph, Last Sentence Reads: Atypical antipsychotics, such as Risperdal (risperidone), can be given in smaller doses, produce fewer side effects, and help manage the negative symptoms of schizophrenia more effectively than the older antipsychotics such as Thorazine (chloropromazine).Should read: Atypical antipsychotics, such as Risperdal (risperidone) and Latuda (lurasidone), can be given in smaller doses, produce fewer side effects, and help manage the negative symptoms of schizophrenia more effectively than the older antipsychotics such as Thorazine (chloropromazine).598Chapter 17, NOTE Box at Bottom of Page, Second Sentence Reads: Refer to the chapter on psychopharmacology in your psychiatric nursing textbook for more information on the typical and atypical antipsychotics.Should read: Refer to the chapter on psychopharmacology in your psychiatric nursing textbook for more information on antipsychotic medication and the treatment of adverse effects including EPSE.599Chapter 17, Paragraph under CAUTION Box, Second Sentence Reads: The prognosis for the client with schizophrenia is based on the subtype, the severity of symptoms, and compliance with treatment.Should read: The prognosis for the client with schizophrenia is based on the severity of symptoms, compliance with treatment, and community and family support for the client.600Chapter 17, Acute Mania, Add Sentence at the End of Second Paragraph Sentence to Add: As mania intensifies the client may develop psychosis and auditory hallucinations.600Chapter 17, Caution Box, Add Sentence at the End of First ParagraphSentence to Add: Blood should be drawn in the morning 8 12 hours after the last dose of medication.600Chapter 17, Caution Box, Add Sentence at the End of Second ParagraphSentence to Add: Other interventions include gastric lavage, intravenous urea, mannitol, or aminophylline to hasten lithium excretion. In some instances hemodialysis may be necessary.606Chapter 17, Psychological Disorders of Childhood and Adolescence, First Paragraph, Remove Second Sentence and Bullet Points Replacement Sentence In this section we will review disruptive, control, and conduct disorders (conduct disorder and oppositional defiant disorder), neurodevelopmental disorders (ADHD and autism spectrum disorder), and eating feeding disorders (anorexia nervosa and bulimia).607Chapter 17, Change Heading Reads: Autistic Spectrum DisorderShould read: Autism Spectrum Disorder 607Chapter 17, Autistic Spectrum Disorder, First Paragraph, First Sentence Reads: Autistic Spectrum Disorder now encompasses the previous DSM-IV autistic disorder (autism), Aspergers disorder, childhood disintegrative disorder, and pervasive developmental disorder not otherwise specified.Should read: Autism Spectrum Disorder now encompasses the previous DSM-IV autism disorder, Aspergers disorder, childhood disintegrative disorder, and pervasive developmental disorder not otherwise specified.607Chapter 17, Autistic Spectrum Disorder, Third Paragraph, First Sentence Reads: Autistic children are not able to relate to people or respond to social or emotional cues in a normal manner.Should read: Autism children are not able to relate to people or respond to social or emotional cues in a normal manner.613Chapter 17, Table 17.6, Drug Column, Last Row Reads: Olanzapine (Zyprexa, Zyprexa, Zydis)Should read: Olanzapine (Zyprexa, Zydis)615Chapter 17, Table 17.6, Drug Column, Sixth Row Reads: Antidepressants (MAOI)Should read: Antidepressants (MAOI) This errata sheet is intended to provide updated technical information. Spelling and grammar misprints are updated during the reprint process, but are not listed on this errata sheet.     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