Mark Klimek Blue Book Part One
Mark Klimek Blue Book Part One
One. In Abruptio Placenta, the placenta from the uterine wall
Fifteen. Children at highest risk for seizure activity after ingestion are those who have swallowed and
Separates, prematurely
Fourteen. What types of chemicals cause burns to oral mucosa when ingested?
Lye, caustic cleaners
Thirty-three. The AIDS virus invades helper drugs, insecticides
T-lymphocytes (or CD-four cells)
Thirty-four. AIDS is transmissible through what four routes?
blood sexual contact breast feeding across placenta in utero
Forty-five. P I'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.
Fifty-seven. If the AIDS patient has leukopenia they will be on
Fifty-eight. Define Leukopenia
Protective (reverse) Isolation
Decrease in W B C, indicated viral infection
Fluid restriction is number two if edema is severe.
Seventy-five. What are the urinalysis findings on A G N?
Hematuria
Proteinuria plus three to plus four Specific Gravity Up
Two to three weeks after initial infection
Seventy-six. How long after strep infection does A G N develop?
Ninety. Generativity versus Stagnation
Ninety. Generativity versus Stagnation
Erikson's stage of social development in which middle-aged people begin to devote themselves more to fulfilling one's potential and doing public service Ego Integrity versus Despair
One hundred two. To prevent post-op elevated swelling, the stump should be for twelve to twenty-four hours.
Twelve to twenty-four hours
One hundred fourteen. Which vital signs are most important to measure in clients with aneurysm?
One hundred fifteen. An aneurysm will most affect which of the following, the blood pressure or the pulse?
The pulse—many times the aneurysm will rupture and much blood will be lost before the blood pressure starts to change. Bedrest. Do not get these people up.
Crushing substernal chest pain that may radiate
One hundred twenty-eight. What drug treats angina pectoris?
One hundred twenty-nine. How do you tell if a client has angina or an M I?
One hundred forty-two. What is found over the body of lanugo (soft downy hair) the client with anorexia nervosa?
Nitroglycerine
143. What is the top priority in the care of the client with anorexia nervosa?
One hundred forty-four. The best goal to evaluate the progress of the client with anorexia nervosa?
Intake of enough food to keep them alive, have them gain weight An adequate WEIGHT GAIN
One hundred sixty. A newborn receives No movement (limp)
common complication of appendicitis?
One hundred seventy-one. Peritonitis Inflammation of the peritoneum
One hundred seventy-two. What is the first sign of appendicitis?
Right upper quadrant pain
One hundred seventy-three. What follows the right upper quadrant abdominal pain of appendicitis?
Left lower quadrant
One hundred seventy-four. Where does the pain of appendicitis finally end up?
One hundred ninety. Lactose is a sugar found in? Milk
One hundred ninety-one. When the body does not receive protein, fat enough carbs it burns and.
One hundred ninety-two. The most concentrated source of energy for the body is.
Two hundred eight. What temperature is appropriate for the water used to bathe an infant?
Two hundred nine. What is the number one purpose of a tepid sponge bath? Lower body temperature during fever
Two hundred ten. How should the
Dropping water on inside surface of your forearm.
Two hundred twenty-three. Will the patient with Bell's No Palsy be able to close their eye on the affected side?
Two hundred twenty-four. Give three eye interventions for the client with Bell's Palsy.
Two hundred twenty-five. As the prostate enlarges it compresses the and causes urinary.
Two hundred forty. What is the primary purpose of a three way continuous bladder irrigation after T U R P?
Two hundred forty-one. What solution is used for continuous bladder irrigation?
Dark glasses Artificial tears Cover eye at night
Urethra, retention
Normal saline (zero point nine sodium chloride)
Two hundred forty-two. How fast do you run the C B I? At whatever rate it takes to keep the urine flowing and free of clots
Two hundred forty-three. What drug is used to treat bladder spasm?
Two hundred fifty-six. How is the catheter taped in a male client?
Two hundred fifty-seven. How is the catheter taped in a female client?
B and O suppositories
To the lateral thigh or abdomen
To the upper thigh
Two hundred fifty-eight. What urinary pH prevents U T I? Acidity, low pH
Two hundred fifty-nine. Should the drainage bag ever touch the floor?
No indwelling catheters?
Two hundred sixty. Is it okay to routinely irrigate
Two hundred seventy-six. When two values are given in a blood pressure, the bottom number stands for the change in sounds or cessation of sounds?
Cessation of sounds
Two hundred seventy-seven. What is the normal adult blood pressure?
Two hundred ninety-five. What should the nurse do with the I V line if transfusion reaction is suspected?
Keep it open with saline
296. If a transufsion reaction is suspected, what two samples are collected and sent to the lab?
Urine and blood
Warmed
Three hundred seven. What does blood cross matching mean?
Mixing a little of the client's blood with the donor blood and looking for agglutination.
In the first ten to fifteen minutes
Three hundred twenty-three. For a woman who does not have retracted nipples, is towel drying or air drying better?
Air drying of the nipples is best
Males
Three hundred thirty-seven. Which sex does Buerger's Disease affect the most often?
Three hundred thirty-eight. The group with the highest incidence of Buerger's disease is
Smokers
Three hundred thirty-nine. Upon walking, the patient with Buerger's experiences
Intermittent Claudication
Three hundred forty. What is intermittent claudication?
Pain in calf upon walking
Three hundred fifty-seven. Name the three phases of burn Shock Diuretic Recovery
Three hundred fifty-eight. Fluid moves from the to the in the SHOCK phase.
Three hundred seventy-four. When using silver nitrate, Wet the dressings must be kept.
Three hundred seventy-five. What is Curling's ulcer? Why is it a problem in burn patients? What drug prevents it?
It is a stress G I ulcer, you get these with any severe physical stress. Tagamet, Zantac, Pepcid (any H two receptor antagonist), Protonix Prilosec
Three hundred eighty-eight. Which cells are low in thrombocytopenia?
Platelets
Three hundred eighty-nine. What drug should not be given to the patient with chemotherapeutic thrombocytopenia?
A S A (aspirin)
Three hundred ninety. When should the nurse withhold I M injections in the client on chemotherapy?
Four hundred eight. What will you hear when Murmurs you auscultate the heart of the client with CD of pregnancy?
Four hundred nineteen. Is a C-section mandatory for No delivery of a woman with CD of pregnancy?
Four hundred twenty. Second to rest, what is very important treatment for CD of pregnancy? Four hundred twenty-one. How long must the woman with CD of pregnancy be on bed rest after delivery?
Weight control
Four hundred twenty-two. What nutrients should be supplied in the diet of the pregnant woman with CD?
Four hundred thirty-four. Should pregnant staff care for a client with a cesium implant?
Four hundred thirty-five. Can the woman with a cesium implant have the H O B elevated? Yes, only forty-five degrees maximum
Four hundred thirty-six. From where should the nurse talk to the client?
The entrance to the room
Yes, absolute bed rest
Anxiety and stress leading to sympathoadrenal shutdown of the bowel
Four hundred fifty-two. What is the number one symptom of cast syndrome?
Nausea and vomiting due to bowel obstruction
Four hundred fifty-three. What is the number one treatment of cast syndrome?
N P O and N G tube for decompression
Four hundred fifty-four. A dry cast is gray or white? White
No, they usually wait until it interferes with A D L S.
Four hundred seventy-one. What three most common visual defects occur
Four hundred eighty-one. What positions are okay after cataract surgery?
Cloudiness Diplopia (double vision) Photophobia (sensitivity to light)
Laser, surgical removal. Surgery called intraocular or extraocular lens
Four hundred eighty-two. Should you use talcum powder with a post-operative cataract client?
Four hundred eighty-three. What are the three signs of increased intraocular pressure?
No, it may cause sneezing; also should avoid pepper.
Pain (moderate to severe) Restlessness Increased pulse rate
Four hundred ninety-nine. Veggies are allowed or not Allowed allowed in diet of client with Celiac's disease?
Allowed
Five hundred one. Grains of all kinds are False prohibited. (T/F)
Five hundred seventeen. A CVA is a ofthe Destruction; blood flow and oxygen brain cells due to decreased and
Five hundred eighteen. Women have a Lower
(higher/lower) incidence of stroke than men?
Five hundred thirty-three. The CVA patient should be False, the patient should not be turned onto his paralyzed on their paralyzed side for more than twenty minutes. side no longer than two hours. (T/F)
Five hundred thirty-four. ROM exercises should occur every two False -- every four hours hours in CVA patients. (T/F)
Five hundred thirty-five. To prevent urinary incontinence; the CVA patient should be catheterized. (T/F)
or three times a day is enough
Both receptive and expressive
Five hundred forty-eight. Aphasia is most Dominant common if the stroke occurred in the (dominant/non- dominant) hemisphere of the brain.
Five hundred sixty. The infant fears most when hospitalized.
Separation from love object
Five hundred sixty-one. The toddler fears most Separation from family when hospitalized.
Five hundred sixty-two. The preschooler fears separation
Mutilation- remember preschoolers have vivid imaginations ... fantasy as well as when hospitalized.
Five hundred sixty-three. The toddler and preschooler will think that illness is caused by
Something they did wrong.
Five hundred seventy-nine. Is cholesterol a triglyceride? No
Five hundred eighty. Do plant foods contain any cholesterol?
Five hundred eighty-one. What is otitis media? Chronic infectious/inflammatory disease of the middle ear
No, not many
Feeding is easier after repair and appearance after repair is more acceptable to parents.
Five hundred ninety-eight. Describe the nipples on bottles used to feed babies with cleft lip?
Five hundred ninety-nine. The infant with cleft lip/palate needs more frequent .
Six hundred thirteen. Can cleft lip /palate babies sleep on their backs?
Large-holed, soft nipples
Bubbling, burping
Six hundred fourteen. What position is contraindicated after cleft lip repair?
Six hundred fifteen. What will be used to feed the infant after cleft lip repair?
Six hundred twenty-seven. By what day post-op should the client begin to take care of their own stoma?
NEVER lie on their abdomen
A dropper/syringe with rubber tip to discourage sucking
By the third to fourth day, they should be looking at it and asking questions by day two.
Six hundred twenty-eight. The MORE colon is removed the more the stool.
Six hundred twenty-nine. What technique is used to remove feces and flatus from the bowel through a colostomy?
Six hundred thirty-seven. CHF can be right-sided, left sided or both-sided. (T/F)
Liquid
Colostomy irrigation
True- left sided usually comes FIRST
Six hundred thirty-eight. What does right sided CHF mean?
what action must you take?
Right ventricle has decompensated
Dependent Edema (legs and sacrum) Jugular venous distention
Six hundred fifty-one. If the adult client's apical pulse is below sixty, what should you do?
Do not give digitalis For a child don't give for a pulse under seventy For an infant don't give for a pulse under ninety Daily weight
False, they only amplify -- make it louder, they do not clarify
Six hundred sixty-six. Can you use alcohol on the earmold of a hearing aid?
No, it dries and cracks it
Six hundred sixty-seven. The connecting tube of a hearing aid can be cleansed with
A pipe cleaner
Six hundred sixty-eight. What is the most common complication of malpositioned lenses in the comatose or confused patient?
Corneal ulceration
Six hundred ninety-one. The Cushings syndrome patient will have a on their upper back.
Increased viscosity of the secretions of exocrine glands lead to obstruction.
Seven hundred six. The most common intervention for the CF client with a diagnosis of decreased airway clearance is
Seven hundred seven. What vitamins need to be replaced in CF?
Postural drainage
Fat soluble in water soluble form -- A,D,E,K
faintness food cravings pica (craving no-food items such as starch, dirt, clay)
Seven hundred twenty-seven. The goal of nursing intervention in the care of the violent client is to prevent loss of or to restore
Control, control
Increases
Seven hundred twenty-eight. Use of alcohol and/or drugs (decreases/increases) risk of violent behavior.
True, as in any other form of increased motor activity
Seven hundred twenty-nine. Pacing can be a warning sign of potential violence. (T/F)
Seven hundred forty. The best staff approach to control impulsive outbreaks of violence is....
Seven hundred forty-one. Purpose of defense Anxiety mechanism is to reduce
Seven hundred forty-two. When a person is consciously choosing to disbelieve the truth, they are using.
Denial
Seven hundred fifty-three. What is the most important
Bedrest thing to do immediately when retinal detachment is suspected?
Seven hundred fifty-four. Define detached retina
Separation of the retina from the back of the eye -per minute
Seven hundred seventy-one. Which are the first teeth to erupt? Lower central incisors
Seven hundred seventy-two. When does infant's teeth first erupt?
Seven hundred seventy-three. What age can infant follow an two months object with its head?
Seven hundred seventy-four. What age are children first afraid of six to seven months strangers?
Seven hundred ninety-two. What is the therapeutic blood level of theophylline?
Seven hundred ninety-three. Digitalis is a cardiac used to contraction of cardiac
Seven hundred ninety-four. Theophylline toxicity exists when the blood level is above
Glycoside, increase
Eight hundred eight. What conditions does ECT Depression primarily treat?
Eight hundred nine. Is an informed consent Yes necessary for ECT?
Eight hundred ten. Name the three most common complications of ECT?
Aspiration of emesis (most common) into the lung Dislocations of joints Fractures due to convulsion -- rare today
Eight hundred twenty-five. Should sedatives be given before an EEG?
Only if ordered as a pre-test medication.
Eight hundred twenty-six. How much sleep should the client get the night before an EEG?
At least four to five hours -- unless it is a sleep deprivation EEG
Eight hundred forty-three. The development of emphysema is most associated with a history of.
Smoking
Eight hundred forty-four. In emphysema, the appetite the weight and the anterior- post diameter of the chest
Decreases, decreases, increases
Eight hundred forty-five. What is the increase in anterior- posterior diameter of emphysema called?
Eight hundred sixty-five. What is the major complication of endometriosis?
Eight hundred sixty-six. What diagnostic procedure confirms Laparoscopy the diagnosis of endometriosis?
Eight hundred sixty-seven. What class of drugs is used to conservatively treat endometriosis?
Androgens
Eight hundred sixty-eight. Which androgen drug is most commonly used to treat endometriosis?
Danazol
Eight hundred eighty-three. Children with epiglottitis often need a tracheotomy. What behavior would indicate the need for a tracheotomy?
Eight hundred eighty-four. What is recommended for the prevention of epiglottitis?
Nine hundred nine. What pre-test activities must be performed before the EGD?
All children two months and over should receive an H. influenza B vaccine.
Remove dentures and eyeglasses Sign consent NPO after midnight
Nine hundred ten. When can an EGD client begin to eat after the test?
Nine hundred eleven. Is an EGD a fasting procedure?
Nine hundred twelve. What drug is given to anesthetize the pharynx?
Nine hundred twenty-four. Which of these classes of drugs causes contact dermatitis?
When gag reflex returns (knocked out with xylocaine) Yes, after midnight
Xylocaine (a local anesthetic)
Female
Nine hundred forty-three. Ninety percent of single-parent families are headed by a.
Assessment phase
Nine hundred forty-four. In what step of the nursing process does the nurse ask the family about their beliefs on illness?
Nine hundred forty-five. What is the first thing a nurse must do to help families in crisis?
Nine hundred forty-six. Increasing dietary fiber lowers the risk of of the.
Nine hundred sixty-four. The client should keep the lesions (dry/moist)
Nine hundred sixty-five. What precautions should the person with herpes take in regard to sexual intercourse?
Nine hundred sixty-six. When is C-section delivery indicated if the mother is infected with herpes?
Nine hundred sixty-seven. How long will it take for the vesicles to heal?
No intercourse while vesicles are evident
If the vesicles are present, then C-section is indicated
Two to four weeks
Nine hundred eighty-one. What do you do if the patient complains of severe ocular pain after surgery?
Nine hundred ninety-seven. How is the penicillin given (what route)?
Call the MD -- hemorrhage into eye is most likely.
Nine hundred ninety-eight. What is pelvic inflammatory disease?
One thousand twelve. Growth and development occurs first in body parts and progresses to body parts.
Infection of the reproductive tract in the female, usually but not always an advanced stage of gonorrheal infection.