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JOURNAL OF EMERGENCY NURSING examination and possible associated injuries are of specific interest to the emergency nurse. Other features include a list of recommended readings at the end of each chapter and a fairly extensive glossary of commonly used orthopedic terms at the end of the book. It is generally welt illustrated, although it has the usual problem of some x-ray films that are difficult to decipher. No "bones" about it, a lot of valuable information is nicely packed into this pocket-size book. The authors, who are reputable orthopedic trauma surgeons, have fulfilled their goal of providing a "practical, accessible guide for all persons involved in the care of fracture management" and, more importantly, the care of the patient with a frac- ture.--KR Nurse's Clinical Guide to Wound Care. Hess CT. Springhouse, Pennsylvania. Springhouse Corporation, 1995, 294 pp., $26.95, ISBN 0-87434-717-1. Emergency nurses generally think of the trauma of a laceration, gunshot, or stab in association with the word wound. Nurse's Clinical Guide to Wound Care brings emer- gency nurses back to reality. The basics of wound healing are discussed after a brief review of skin structure and func- tion. The chapter on assessment serves as a nice review to assist documentation on charts of patients with ulceration of the skin. Differentiation of types of ulcers--arterial, venous, and diabetic--are reviewed. Pressure ulcers, which can compli- cate the care of a large population of patients, are discussed at length from prevention to treatment. Illustrations of all aspects of wound care are well presented in an easy-to-fol- low format. One example involves the proper technique for collection of wound culture specimens. Clear illustrations are accompanied by concise instructions and charts. A large portion of this clinical guide is devoted to the types of wound care products available from a cross section of distributors. This section includes the packaging, action, indications, application, and removal of a wide variety of wound care products from cleansers to gauze tape. This section allows nurses to be more comfortable working with patients from facilities that use supplies different from those with which we are accustomed. The appendix offers many assessment algorithms for wound care. Some of these could be used as a reference in the development of an outcome-based documentation sys- tem. This pocket-sized guide would be a valuable ED refer- ence.--SLB BOOK REVIEWERS Dineke Mackey, RN, MN, CEN, is an emergeney clinical nurse specialist, Horbor-UCLA Medical Center, Torrance, Califor- nia. Kathleen Rourke, BSN, RNC, ONC, is an adult/orthopedic nurse practitioner, Maine-Dartmouth Family Practice Resi- dency, Augusta, Maine. Susan L Bessette, RN, CEN, is a staff nurse, Emergency Department, Rogers Williams Medical Center, Providence, Rhode Island. ..... :::::.: .... ~,/ With the current emphasis on credentialmg in nursing, many nurses have committed to taking the CEN examination. The following questions have been developed to assist in emergency nursing knowledge assessment and in preparation for the CEN examination. Questions, rationale for the correct answers, and references are provided here for your self-evaluation. J EMERG NURS 1995;21:551-3. Copyright 9 1995 by the Emergency Nurses Association. 0099-1767/95 $5.00 + 0 18/62/68014 ENAhas developed educational materials that can be used as further resources for CEN preparation: Emergency Nursing Core Curriculum, CEN Review Software, and CEN Review Manual. For further reformation on educational review materials, please contact ENA at (708) 698-9400 or (800) 243-8362 (800-2-GET-ENA). Questions 1. The priority nursing diagnosis for a patient admit- ted to the emergency department with severe hy- December 1995 551
