Blue Book - Mark Klimek notes
Mark Klimek Blue Book Part 1
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1. In Abruptio Placenta, the placenta
____________ from the uterine wall
____________.
Separates, prematurel...
Mark Klimek Blue Book Part 1
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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
, lOMoAR cPSD| 21646696
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)
, lOMoAR cPSD| 21646696
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 with other drugs pneumonia of AIDS is caused by
disease. fatigue ___________
weakness ____________.
diarrhea
52. What type of oral/esophageal infections
night sweats
do AIDS patients get?
fever
53. What is the #1 cancer that AIDSpatients
43. Which 2 classes of drugs are NRTI's (Nucleoside Reverse
get?
given in combination for HIV Transcriptease Inhibitors)
sero-positivity? and PI's (Protease 54. Kaposi's sarcoma is a cancer of the
Inhibitors) ___________.
55. T/F: AIDS patients get lymphomas?
They prevent viral
56. What lab findings are present in AIDS?
replication.
44. NRTI (nucleoside reverse An antiviral drug used
transcriptease inhibitors) 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
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