Mark Klimek Blue Book Part 1 Questions with 100% Complete Solutions | Rated A+

In Abruptio Placenta, the placenta ____________ from the uterine wall ____________. Separates, prematurely Abruptio Placenta usually occurs in (prima/multi) gravida over the age of ____________. Multigravida, 35 (HTN, trauma, cocaine) How is the bleeding of Abruptio Placenta different from that in Placenta Previa? Usually painful; bleeding is more voluminous in placenta previa If you are the nurse starting the IV on the client with Abruptia Placenta, what guage needle should you use? 18 (in preparation to give blood if necessary) How often should you measure the VS, vaginal bleeding, fetal HR during Abruptio Placenta? Q5-15 minutes for bleeding, maternal VS and continuous fetal monitoring Deliver baby at earliest sign of fetal distress How is an infant delivered when Abruptio Placenta is present? Usually C-section Is there a higher or lower incidence of fetal death with Abruptio Placenta compared to Placenta Previa? Higher In what trimester does Abruptio Placenta most commonly occur? Third At what age are accidental poisonings most common? 2 years old If a child swallows a potentially poisonous substance, what should be done first? Call for medical help Should vomiting be induced after ingestion of gasoline? No- not for gas or any other petroleum products When taking a child to the ER after accidental poisoning has occurred what must accompany the child to the ER? the suspected poison An elderly client is a (high/low) risk for accidental poisoning? What about a school age child? high - due to poor eyesight, high We have an expert-written solution to this problem! What types of chemicals cause burns to oral mucosa when ingested? Lye, caustic cleaners Children at highest risk for seizure activity after ingestion are those who have swallowed _____________ and ______________. drugs, insecticides Can impaired skin integrity ever be an appropriate nursing diagnosis when poisoning has occurred? Yes, when lye or caustic agents have been ingested We have an expert-written solution to this problem! What is the causative organism of acne? P. acnes (propionibacterium acnes) What structures are involved in acne vulgaris? The sebaceous glands Name 3 drugs given for acne? Vitamin A, Antibiotics, Retinoids Dietary indiscretions and uncleanliness are causes of acne? False What are the 3 causative factors in acne vulgaris? Hereditary, Bacterial, Hormonal Uncleanliness is a cause of acne? False What is the most common retinoid given to people with acne? Accutane Accutane is an analog of which vitamin? Vitamin A What is the most common side effect of accutane? And what is most important in health teaching in adminstration? Inflammation of the lips; Causes birth defects What is the antibiotic most commonly given to clients with acne? Tetracycline How long will it take for the person to see results when acne is being treated? 4 to 6 weeks Does stress make acne worse? yes How often should the client with acne wash his face each day? Twice a day What instructions do you give to a client taking tetracycline? Take it on an empty stomach and avoid the sunlight (photosensitivity) What are comedones? Blackheads and white heads What virus causes AIDS? HIV - Human immunodeficiency virus The AIDS virus invades helper ____________. T-lymphocytes (or CD4 cells) AIDS is transmissible through what four routes? blood sexual contact breast feeding across placenta in utero HIV is present in all body fluids? Yes, but it is not transmitted by all, only blood, semen and breast milk Name the 5 risk groups for AIDS Homosexual/bisexual men IV drug users Hemophiliacs Heterosexual partners of infected people Newborn children of infected women What is the first test for HIV antibodies? ELISA What test confirms the ELISA? Western Blot Which test is the best indicator of the PROGRESS of HIV disease? CD4 count A CD4 count of under __________ is associated with the onset of AIDS-related symptoms. 500 A CD4 count of under _______ is associated with the onset of OPPORTUNISTIC INFECTIONS. 200 Give 6 symptoms of HIV disease. anorexia fatigue weakness diarrhea night sweats fever Which 2 classes of drugs are given in combination for HIV sero-positivity? NRTI's (Nucleoside Reverse Transcriptease Inhibitors) and PI's (Protease Inhibitors) They prevent viral replication. NRTI (nucleoside reverse transcriptease inhibitors) An antiviral drug used against HIV Is incorporated into the DNA of the virus and stops the building process Results in incomplete DNA that cannot create a new virus Often used in combination with other drugs PI's (Protease inhibitors) Most potent of antiviral meds Inhibit cell protein synthesis that interferes with viral replication. Does not cure but slows progression of AIDS. Prolongs life, used prophylactically and used in AIDS to decrease viral load and opportunistic infections. What do NRTI's and PI's do? They prevent viral replication. What does the physician hope to achieve with NRTI's and PI's for HIV? A delayed onset of AIDS for as long as possible (usually can delay onset for 10-15 years) What is the most common NRTI used? AZT (zidovudine) What is the most challenging aspect of combination of drug therapy for HIV disease? The number of pills that must be taken in 24 hours can be overwhelming. The frequency also makes it hard to remember-an alarm wristwatch is used. We have an expert-written solution to this problem! Clients with AIDS (gain/lose) weight? Lose weight The typical pneumonia of AIDS is caused by ___________ ____________. Pneumocystic carinii What type of oral/esophageal infections do AIDS patients get? Candida What is the #1 cancer that AIDS patients get? Kaposi's sarcoma