Content errors in Saunders NCLEX-RN book?

  1. Asthma is listed as a COPD. Is it? (many sources only include chronic bronchitis and emphysema)

    Tuberculin test positive only for more than 15 mm. (many sources say 10mm is enough to be considered positive for a normal person)

    There were some more but I never bothered to write them down. Did anybody find any other conflicting info in the book?
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  2. 39 Comments

  3. by   runnerbe
    yes asthma is part of chronic obstructed pulmonary disease COPD.
    TB- Tuberculosis they check if you are positive with different category
    15mm or more than ( positve if you are low risk has been exposed to TB)
    5mm or more (positve if you are HIGH risk such as HIV + or AIDs + AND ELDERLY AND ETC...)
    GOOD LUCK..... CHECK or reveiw this topic if you have Saunder's comprehensive book. or any nursing book that will help you to comprehend your doubts....
    Last edit by runnerbe on May 25, '07
  4. by   NurseLatteDNP
    Quote from runnerbe
    yes asthma is part of chronic obstructed pulmonary disease COPD.
    TB- Tuberculosis they check if you are positive with different category
    15mm or more than ( positve if you are high risk like HIV + or aids + )
    10mm or more (positve if you are low risk)
    GOOD LUCK..... CHECK or reveiw this topic if you have Saunder's comprehensive book. or any nursing book that will help you to comprehend your doubts....
    You are wrong.
    Because the response to TB skin testing may be decreased in immunocompromised client, reactions greater than 5mm are considered positive. 10mm is positive in other medical risk factors (diabetes mellitus, ESRD, homeless, IV drug users, recent immigrants and health care workers). 15 mm is positive in all other persons who are low risk.
    All my info is taken directly from the Medical-Surgical Nursing book by Lewis.
    Last edit by NurseLatteDNP on May 25, '07
  5. by   runnerbe
    kiyatylese,

    oops, its the other side effect. its 15mm considered + and low risk
    5mm considered + and high risk
  6. by   Nuieve
    According to American Lung Association COPD only incudes chronic bronchitis and emphysema.

    Also, the book says fruits (oranges in particular) are alkaline foods. One can find out this to be wrong by simply drinking orange juice. It's basically a pure acid. In fact the whole acid-ash and alkaline-ash foods table is messed up (page 869)

    The list of pH of foods:
    http://www.cfsan.fda.gov/~comm/lacf-phs.html
    Last edit by Nuieve on May 27, '07
  7. by   EricJRN
    Orange juice is acidic, yes - but only due to the presence of citric acid, which is broken down early in digestion. In the end, OJ has an alkalinizing effect on the body.
  8. by   Nuieve
    Quote from EricEnfermero
    Orange juice is acidic, yes - but only due to the presence of citric acid, which is broken down early in digestion. In the end, OJ has an alkalinizing effect on the body.
    Oh, would never guess. Do you know if same applies to other juices/fruits by any chance?
  9. by   EricJRN
    Good question... seems like the same might be true for other citrus fruits as well, but I'm not sure.


    Here's a link which discusses the asthma/COPD issue:

    http://www.copd-international.com/asthma.htm
  10. by   Nuieve
    Quote from EricEnfermero
    Good question... seems like the same might be true for other citrus fruits as well, but I'm not sure.


    Here's a link which discusses the asthma/COPD issue:

    http://www.copd-international.com/asthma.htm
    Yeah, it seems like this question is up for interpretation of individual educational institutions.

    Another possible error I found is that the book says "don't stop smoking" for patients with Meniere's disease. (p.914)
  11. by   runnerbe
    in princeton review cracking the nclex-rn and saunder's book
    under disorder of the respiratory system
    copd
    is a group of diseases that includes emphysema, chronic bronchitis, bronchiectasis and bronchial asthma. recurrent obstruction of air flow is the common link among these disease.


    i think you sent me via pm w/ this site but in my opinion you mistread the article.
    [font=arial, arial, helvetica] [color=#273f78]copd international[color=#273f78]your international support network.
    [font=arial, arial, helvetica] there remains the debate among medical professionals whether chronic asthma belongs under the umbrella term copd because, unlike emphysema and chronic bronchitis, asthma can be reversed and responds well to various medications.


    like i said in my previous forum we have to be carefull what we read and nclex base to nursing . not what you had read in this articles. i follow what nursing books say and what i learned in school. this part of the articles is not proven in the united state yet. and is not written in the nursing book either. remember we're taken american test " nclex " not international.

    good luck............
    Last edit by runnerbe on May 30, '07
  12. by   Nuieve
    ok, copd will have asthma.

    now how can anybody explain this:

    Arthritis/Osteoarthritis.
    1. Exercise only to the point of pain.
    2. Stop exercising when pain increases. (now, this implies that patient exercises already having pain, which contradicts the first advice which assume that exercise happens when there's no pain and only until pain occurs)
    3. Decrease number of repetitions when inflammation is severe. (so now the patient should still exercise when he has severe pain, but with less repetitions? this contradicts both previous advices)

    pp 1010-1011
    Last edit by Nuieve on May 29, '07
  13. by   kalayaan
    i would like a clarification on this question from Saunders comprehensive review cd. i might be interpreting it the wrong way. How can 6L per minute be below the normal range?

    thanks for the help.

    client’s cardiac output immediately after surgery was 6L/minute
    this measurement is:
    - above normal range
    - in the high normal range
    - in the low normal range
    - below the normal range

    Ans. 4.
    Rationale. The normal cardiac output for the adult can range from 4-8L/minute and varies greatly because of body size. The heart normally pumps 5L of blood every minute."
    Last edit by kalayaan on Jun 6, '07 : Reason: rephrased
  14. by   Nuieve
    yeah, it's definitely a typo... should be "above normal range"

    btw you might want to change the text of the question so that it doesn't exactly matches the CD's one... i think directly quoting material from books/cds is frowned upon on this forum...

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