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Mark Klimek Blue Book With Complete Solution
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Mark Klimek Blue Book With CompleteSolution
Water accounts for ________ to ___________% of an adult's total weight? - 50 to 60%
Name the four basic food groups - Milk & Cheese, Meat & Legumes, Veggies & Fruits,
Bread & Cereal
Water acounts for __________ to _________% of an infant's total weight? - 70 to 75%
An individual is obese if they weigh ________% above the ideal weight. - 20
Should you retract the foreskin of a 5 week old male, uncircumcised infant to cleanse
the area? - No, not until foreskin retracts naturally and without resistance- then it should
be retracted, cleansed and replaced.
How long does it take for the umbilical stump to fall off? - 7 to 14 days
What cranial nerve is affected in Bell's Palsy? - #7, facial nerve
What is the #1 symptom of Bell's Palsy? - One sided (unilateral) facial paralysis
Complete recovery from the paralysis of Bell's Palsy should occur in _______ to ______
months. - 4 to 6
In addition to the facial paralysis, the sense of ______ is also affected in Bell's Palsy. -
taste
Will the patient be able to close their eye on the affected side? (Bell's Palsy) - no
Give three eye interventions for the client with Bell's Palsy. - Dark glasses, artificial
tears, cover eye at night
As the prostate enlarges it compresses the ___________ and causes urinary
________. - Urethra, rentention
At what age does BPH occur? - men over 50 years of age
What does BPH stand for? - Benign Prostatic Hypertrophy
IN BPH the man has (increased/decreased) frequency of urination - increased
,The man with BPH has a _________-stream of urine - forked
Will the man with BPH have enuresis, nocturia or hematuria? - Enuresis-No, Nocturia-
Yes, and Hematuria-Maybe
Enuresis - inability to control the flow of urine and involuntary urination
What is the best way to screen men for BPH? - Digital rectal exam
What type of diet is used in BPH? - Acid Ash
Acid Ash diet - Decrease pH (makes urine acid)
Chz, eggs, Meat, fish, oysters, poultry, Bread, Cereal, Whole Grains, Pastries,
Cranberries, Prunes, Plums, Tomatoes, Peas, Corn, Legumes.
What is the primary purpose of a 3 way continuous bladder irrigation (CBI) after TURP?
- To keep the catheter clear of clots and to drain urine
What solution is used for continuous bladder irrigation? - Normal saline (0.9 NaCl)
How fast do you run the continuous bladder irrigation? - At whatever rate it takes to
keep the urine flowing and free of clots
What drug is use to treat bladder spasm? - B&O suppositories (Belladonna & Opiates)
You should call the MD after TURP when you see _________ thick ________,
_____________ clots, and ____________ urine drainage on the dressing. - Bright thick
blood, persistent clots, persistent urine on dressing (don't call MD for transitory clots and
urine on dressing.)
If you see an increase in blood content of urine coming out of the catheter, you would
first ___________. - Pull carefully on the catheter to apply local pressure on the
prostate with the Foley balloon.
If you see clots in the tubing you would first ____________. - Increase the flow-rate.
How often should the drainage bag be emptied? - Every 8 hours
What is the most common route for organisms to enter the blader when a
catheterization is used? - Up through the inside of the catheter in the days following
catheterization
Name foods that make acid urine - Cranberry juice, apple juice (avoid citrus juices- they
make alkaline urine)
How is the catheter taped in a male client? - To the lateral thigh or abdomen
,How is the catheter taped in a female client? - To the upper thigh
What urinary pH prevents UTI? - Acidity, low pH
Should the drainage bag ever touch the floor? - No
Is it ok to routinely irrigate indwelling catheters? - No
What agents are best for catheter care? - Soap and water
What is the most effective way to decrease UTI with catheters? - Keep the drainage
system closed, do not disconnect junction of tubing
Give some signs of infection in a Foley catheter - Cloudy urine, foul smelling urine,
hematuria
Is urinary incontinence an indication for catheterization? - No
Give three appropriate indications for bladder catheterization? - Urinary retention, to
check for residual, to monitor hourly output
What are the top 2 diagnoses for a client with a catheter? Which is #1? - #1- Potential
for infection; Potential impairment of urethral tissue integrity
What is systole? - The MAXIMAL force of blood on artery walls
What is diastole? - The LOWEST force of blood on artery walls
Accurate blood pressure is obtained by using a cuff that has width of __________ of the
arm. - Two-thirds
Which artery is most commonly used to measure blood pressure? - Brachial
Can the thigh EVER be used to obtain a blood pressure? - Yes, but this is rare.
When pressure is auscultated the first sound heard is the ____________ measurement.
- Systolic
The change in the character of the sounds is known as the ________ - First diastolic
sound
The cessation of sounds is known as the _________ - Second diastolic sound
When 2 values are given in a blood pressure the first is the __________measurement. -
Systolic
, When 2 values are given in a blood pressue, the bottom number stands for the change
in sounds or cessation of sounds? - Cessation of sounds
What is the normal adult blood pressure? - 120/80
Abnromally high blood pressure is called____________. - Hypertension
What is the pulse pressure? - The difference between the systolic and the diastolic
blood pressure
If you deflate a cuff TOO SLOWLY, the reading will be too high or low? Why? - High,
venous congestion makes the arterial pressure higher (increases resistance)
If you use too narrow of a cuff the reading will be too high or low? - High
Vasoconstriction will ___________ blood pressure. - Increase
Vasodilation will ____________ blood pressure. - Decrease
Shock will ___________ blood pressure. - Decrease
Increased intracranial pressure will _________ the pulse pressure. - Increase or Widen
If my blood pressure is 190/110, what is my pulse pressure? - 80 mmHg
What blood test must be done before a transfusion? - Type and cross match
What does a type and cross match indicate? - Whether the client's blood and donor
blood are compatible.
What should the nurse measure before starting a transfusion? - Vital signs
With what solution should blood be transfused? - 0.9 normal saline
How many nurses are requried to check the blood? - 2 nurses
What happens when blood is administered with Dextrose IVs? - The cells clump
together & don't flow well
If a transfusion reaction occurs what should the nurse do first? - Stop the blood flow &
start running the saline
How long can a unit of blood be on the unit before it must be started? - Less than 1/2
hour
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