Exam (elaborations)
Mark Klimek Blue Book Part 1
- Module
- Management
- Institution
- Management
Mark Klimek Blue Book Part 1
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Mark Klimek Blue Book Part 1Study online at quizlet.com/_1rpbwc
1. In Abruptio Placenta, the placenta Separates, 15. Children at highest risk for seizure drugs, insecticides
____________ from the uterine wall prematurely activity after ingestion are those who
____________. have swallowed _____________ and
______________.
2. Abruptio Placenta usually occurs in Multigravida, 35
(prima/multi) gravida over the age (HTN, trauma, 16. Can impaired skin integrity ever be Yes, when lye or
of ____________. cocaine) an appropriate nursing diagnosis caustic agents have
when poisoning has occurred? been ingested
3. How is the bleeding of Abruptio Usually painful;
Placenta different from that in bleeding is more 17. What is the causative organism of P. acnes
Placenta Previa? voluminous in acne? (propionibacterium
placenta previa acnes)
4. If you are the nurse starting the IV 18 (in preparation to 18. What structures are involved in acne The sebaceous
on the client with Abruptia give blood if vulgaris? glands
Placenta, what guage needle should necessary) 19. Name 3 drugs given for acne? Vitamin A,
you use?
Antibiotics, Retinoids
5. How often should you measure the Q5-15 minutes for 20. Dietary indiscretions and False
VS, vaginal bleeding, fetal HR bleeding, maternal VS
uncleanliness are causes of acne?
during Abruptio Placenta? and continuous fetal
monitoring 21. What are the 3 causative factors in Hereditary,
acne vulgaris? Bacterial, Hormonal
Deliver baby at 22. Uncleanliness is a cause of acne? False
earliest sign of fetal
23. What is the most common retinoid Accutane
distress
given to people with acne?
6. How is an infant delivered when Usually C-section
24. Accutane is an analog of which Vitamin A
Abruptio Placenta is present?
vitamin?
7. Is there a higher or lower incidence Higher
25. What is the most common side effect Inflammation of the
of fetal death with Abruptio
of accutane? And what is most lips; Causes birth
Placenta compared to Placenta
important in health teaching in defects
Previa?
adminstration?
8. In what trimester does Abruptio Third
26. What is the antibiotic most Tetracycline
Placenta most commonly occur?
commonly given to clients with
9. At what age are accidental 2 years old acne?
poisonings most common?
27. How long will it take for the person 4 to 6 weeks
10. If a child swallows a potentially Call for medical help to see results when acne is being
poisonous substance, what should treated?
be done first?
28. Does stress make acne worse? yes
11. Should vomiting be induced after No- not for gas or any
29. How often should the client with Twice a day
ingestion of gasoline? other petroleum
acne wash his face each day?
products
30. What instructions do you give to a Take it on an empty
12. When taking a child to the ER after the suspected poison
client taking tetracycline? stomach and avoid
accidental poisoning has occurred
the sunlight
what must accompany the child to
(photosensitivity)
the ER?
31. What are comedones? Blackheads and
13. An elderly client is a (high/low) risk high - due to poor
white heads
for accidental poisoning? What eyesight, high
about a school age child? 32. What virus causes AIDS? HIV - Human
immunodeficiency
14. What types of chemicals cause Lye, caustic cleaners
virus
burns to oral mucosa when
ingested? 33. The AIDS virus invades helper T-lymphocytes (or
____________. CD4 cells)
,34. AIDS is transmissible through blood 45. PI's (Protease Most potent of antiviral meds
what four routes? sexual contact inhibitors) Inhibit cell protein synthesis that
breast feeding interferes with viral replication. Does not
across placenta in utero cure but slows progression of AIDS.
Prolongs life, used prophylactically and
35. HIV is present in all body Yes, but it is not transmitted
used in AIDS to decrease viral load and
fluids? by all, only blood, semen
opportunistic infections.
and breast milk
46. What do NRTI's They prevent viral replication.
36. Name the 5 risk groups for Homosexual/bisexual men
and PI's do?
AIDS IV drug users
Hemophiliacs 47. What does the A delayed onset of AIDS for as long as
Heterosexual partners of physician hope possible (usually can delay onset for 10-15
infected people to achieve with years)
Newborn children of NRTI's and PI's
infected women for HIV?
37. What is the first test for HIV ELISA 48. What is the AZT (zidovudine)
antibodies? most common
NRTI used?
38. What test confirms the ELISA? Western Blot
49. What is the The number of pills that must be taken in
39. Which test is the best CD4 count
most 24 hours can be overwhelming. The
indicator of the PROGRESS of
challenging frequency also makes it hard to
HIV disease?
aspect of remember-an alarm wristwatch is used.
40. A CD4 count of under 500 combination of
__________ is associated with drug therapy for
the onset of AIDS-related HIV disease?
symptoms.
50. Clients with Lose weight
41. A CD4 count of under _______ is 200 AIDS (gain/lose)
associated with the onset of weight?
OPPORTUNISTIC INFECTIONS.
51. The typical Pneumocystic carinii
42. Give 6 symptoms of HIV anorexia pneumonia of
disease. fatigue AIDS is caused
weakness by ___________
diarrhea ____________.
night sweats
52. What type of Candida
fever
oral/esophageal
43. Which 2 classes of drugs are NRTI's (Nucleoside Reverse infections do
given in combination for HIV Transcriptease Inhibitors) AIDS patients
sero-positivity? and PI's (Protease get?
Inhibitors)
53. What is the #1 Kaposi's sarcoma
cancer that AIDS
They prevent viral
patients get?
replication.
54. Kaposi's skin
44. NRTI (nucleoside reverse An antiviral drug used
sarcoma is a
transcriptease inhibitors) against HIV
cancer of the
___________.
Is incorporated into the
DNA of the virus and stops 55. T/F: AIDS True
the building process patients get
Results in incomplete DNA lymphomas?
that cannot create a new 56. What lab Decreased RBC's, WBC's and platelets
virus
findings are
Often used in combination
present in AIDS?
with other drugs
,57. If the AIDS patient HAS Protective (reverse) Isolation 75. What are the Hematuria
leukopenia they will be on urinalysis findings on Proteinuria +3 to +4
_____________ ________________. AGN? Specific Gravity Up
58. Define Leukopenia Decrease in WBC, indicated 76. How long after strep 2 to 3 weeks after initial infection
viral infection infection does AGN
develop?
59. Without leukopenia the Standard precautions or
AIDS patient will be on blood and body fluid 77. How do you assess Daily weight
____________ precautions. precautions fluid excess in the
child with AGN?
60. When the AIDS patient has a Bleeding precautions; No
low platelet count, what is IM's, no rectal temperatures, 78. What organism Group A beta hemolytic strep
indicated? other bleeding precautions causes acute
glomerular
61. Does AIDS require a single Yes - if WBC counts are low
nephritis?
room?
79. What happens to the It becomes clogged with antigen-
62. When do you need a gown If you are going to get
kidney in AGN? antibody complexes which then
with AIDS? contaminated with secretions
cause inflammation and loss of
63. When do you need a mask Not usually unless they have function.
with AIDS? an infection caused by an
80. How often are vital Q4 hours with blood pressure
AIREBORNE bug
sign measurements
64. When do you need goggles Suctioning taken in AGN?
with AIDS? Central line start
81. Will the client have Hypertension, because of fluid
Arterial procedures
hypo or hyper retention
65. If an AIDS patient's blood 1:10 solution of bleach and tension with AGN?
contaminates a counter top, water Why?
with what do you clean?
82. What are the first Puffiness of face
66. Are all articles used by AIDS no - only those contaminated signs of AGN? Dark urine
patients double-bagged? with secretions
83. What are the three Early adulthood
67. Can AIDS patients leave the Yes, unless WBC's are very adult stages of Middle adulthood
floor? low development called? Late adulthood
68. Is dietary protein limited in Not usually, however if there 84. What is the age range 19 - 35
AGN? is severe azotemia then it for early adulthood?
may be restricted
85. What is the age range 35 - 64
69. Define azotemia? Nitrogenous wastes in the for middle
blood (increased creatinine, adulthood?
BUN)
86. What is the age range 64 - death
70. What is the best indicator of The serum creatinine for late adulthood?
renal function?
87. What is the Intimacy vs. Isolation
71. Do people recover from Yes, the vast majority of all developmental task
AGN? clients recover completely for EARLY
from it. adulthood?
72. How can AGN be prevented? By having all sore throats 88. What is the Generativity vs. Stagnation
cultured for strep and developmental task
treating any strep infections. for middle
73. What is the most important Bedrest - they can walk if adulthood?
intervention in treating hematuria, edema and 89. Intimacy vs. Erikson's stage in which individuals
AGN? hypertension are gone. Isolation form deeply personal relationships,
74. What is the most common Moderate Na+ restriction. marry, begin families
dietary restriction for AGN?
Fluid restriction is #2 if
edema is severe.
, 90. Generativity vs. Erikson's stage of social 102. To prevent post-op elevated
Stagnation development in which middle-aged swelling, the stump
people begin to devote themselves should be __________ for
more to fulfilling one's potential and 12 to 24 hours.
doing public service 103. How long should the 12-24 hours
91. What is the Ego Integrity vs. Despair stump be elevated to
developmental task prevent post op
for LATER adulthood? swelling?
92. Ego Integrity vs. (Erikson) People in LATE adulthood 104. How often should a Daily
Despair either achieve a sense of integrity of stump be washed?
the self by accepting the lives they 105. When a stump is distally (far from the center),
have lived or yield to despair that
wrapped, the bandage proximally (neareast to the point)
their lives cannot be relived
should be tightest
93. "Time is too short to Despair _____________ and
start another life, loosest _____________.
though I wish I 106. If after a right BKA, the phantom limb sensation (which is
could," is an example
client c/o pain in his normal)
of ___________.
right toe, he is
94. "If I had to do it over Ego Integrity experiencing
again, I'd live my life _____________.
just about the same," The result of the positive resolution 107. When will phantom In a few months
is an example of of the final life crisis.
limb sensation
__________ __________. Viewed as the key to harmonious
subside?
personality development; the
individual views their whole life with 108. Is it acceptable for the Yes, this is one way to toughen a
satisfaction and contentment. patient to push the stump so it will not breakdown
stump against a wall? due to the wear of the prosthetic
95. What does AKA Above the knee amputation
leg; hitting it with pillows is another
mean?
good method.
96. What does BKA Below the knee amputation 109. An aneurysm is an widening (it is also weakening)
mean?
abnormal
97. If the patient had an Prone (to prevent flexion _______________ of the
AKA they should lie contracture) wall of a(n) artery.
____________ several 110. What artery is widened the aorta
times per day.
in a thoracic
98. The #1 contracture flexion, hip aneurysm?
problem in AKA is 111. An aneurysm can infection, syphillis
____________ of the
result from an
_____________
_____________ and from
99. What will prevent Lying prone several times a day ____________.
hip flexion 112. The most common A pulsating mass above the
contracture after
symptom of umbilicus
AKA?
abdominal aneurysm
100. What is the #1 Flexion of the knee is:
contracture problem 113. Which aneurysm is the abdominal is most often
after BKA?
most likely to have no "silent"
101. How do you prevent Remind the patient to straighten symptoms?
flexion contracture their knee constantly while standing 114. Which vital signs are The pulse and blood pressure
of the knee after
most important to
BKA?
measure in clients
with aneurysm?
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