Mark Klimek Blue Book
Name the five/six essential nutrients - Answer carbs, fats, proteins, vitamins, minerals,
water
The major source of energy for the body is - Answer carbs
carbs provide ____________ Kcalories per 1 gram - Answer 4
Sucrose is a sugar found in ____________ and _____________. - Answer fruits,
veggies
Lactose is a sugar found in ? - Answer milk
What is glycogen? - Answer It is a stored formed of glucose/energy manufactured by
the liver
Is glycogen eaten in foods? - Answer NO! It is a stored form of glucose
MANUFACTURED by the liver.
When the body does not receive enough carbs it burns ___________ and
_____________. - Answer protein, fat
The most concentrated source of energy for the body is ___________. - Answer fats
Fats provide ___________ Kcalories per 1 gram. - Answer 9
Fats carry vitamins - Answer A,D,E,K (Remember FADE K!)
The nutrient needed most for growth and repair of tissues is _____________. - Answer
protein (second best is Vit C)
Proteins provide __________ Kcalories per 1 gram. - Answer 4
Vitamins and minerals provide energy for the body. (T/F) - Answer False- they are
necessary for a body's chemical reactions.
Water is present in ALL body tissues. (T/F) - Answer True (even bone)
Water accounts for ________ to ___________% of an adult's total weight? - Answer 50
to 60%
Name the four basic food groups - Answer Milk & Cheese, Meat & Legumes, Veggies &
Fruits, Bread & Cereal
Water acounts for __________ to _________% of an infant's total weight? - Answer 70
to 75%
,Mark Klimek Blue Book
An individual is overweight if they are ________% above the ideal weight. - Answer 10
An individual is obese if they weigh ________% above the ideal weight. - Answer 20
What solution and material are used to cleanse the eyes of an infant? - Answer Plain
water, cotton balls, washcloths
Can you use cotton swabs to clean the eyes, nares or ears of an infant? - Answer No,
this is dangerous
Can you use the same cotton ball/washcloth edge for both eyes? - Answer No, it would
cross contaminate
Should you cover an unhealed umbilical site with the diaper? - Answer No, fold the
diaper down.
What temperature is appropriate for the water used to bathe an infant? - Answer 100 to
105
What is the #1 purpose of a tepid sponge bath? - Answer Lower body temperature
during fever.
How should the temperature of the water be tested if no thermometer is available? -
Answer Dropping water on inside surface of your forearm.
With which body part do you begin when bathing an infant? - Answer Eyes always
When cleansing an infant's eye, cleanse from outer to inner canthus? - Answer No,
inner to outer
Should you retract the foreskin of a 5 week old male, uncircumcised infant to cleanse
the area? - Answer No, not until foreskin retracts naturally and without resistance- then
it should be retracted, cleansed and replaced.
When sponge-bathing with tepid water the correct temp is _____________. - Answer
98.6 F
How long does it take for the umbilical stump to fall off? - Answer 7 to 14 days
The primary reason why an infant is draped during the bath is to provide privacy. (T/F) -
Answer False, the primary purpose of draping is to prevent chilling.
You may use friction to remove vernix caseosa from an infant's skin. (T/F) - Answer
False, it causes damage/bruising
,Mark Klimek Blue Book
What solution is commonly used for care of umbilical cord? - Answer 70% alcohol to
promote drying (trend is toward soap and water)
What cranial nerve is affected in Bell's Palsy? - Answer #7, facial nerve
What is the #1 symptom of Bell's Palsy? - Answer One sided (unilateral) facial paralysis
Complete recovery from the paralysis of Bell's Palsy should occur in _______ to ______
months. - Answer 4 to 6
In addition to the facial paralysis, the sense of ______ is also affected. - Answer taste
Will the patient be able to close their eye on the affected side? - Answer no
Give three eye interventions for the client with Bell's Palsy. - Answer Dark glasses,
artificial tears, cover eye at night
As the prostate enlarges it compresses the ___________ and causes urinary
________. - Answer Urethra, rentention
At what age does BPH occur? - Answer men over 50 years of age
What does BPH stand for? - Answer Benign Prostatic Hypertrophy
IN BPH the man has (increased/decreased) frequency of urination - Answer increased
In BPH the force of the urinary stream is (increased/decreased). - Answer decreased
The man with BPH has a _________-stream of urine - Answer forked
The man with BPH has hesitancey. What does this mean? - Answer Difficulty starting to
void
Will the man with BPH have enuresis, nocturia or hematuria? - Answer Enuresis-No,
Nocturia-Yes, and Hematuria-Maybe
Enuresis - Answer inability to control the flow of urine and involuntary urination
What is the best way to screen men for BPH? - Answer Digital rectal exam
Should fluids be forced or restricted in BPH? - Answer forced
What does TURP stand for? - Answer Transurethral resection of the prostate
The most radical prostate surgery is the ____________ prostatectomy. - Answer
Perineal
, Mark Klimek Blue Book
What type of diet is used in BPH? - Answer Acid Ash
Acid Ash diet - Answer 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?
- Answer To keep the catheter clear of clots and to drain urine
What solution is used for CBI? - Answer Normal saline (0.9 NaCl)
How fast do you run the CBI? - Answer At whatever rate it takes to keep the urine
flowing and free of clots
What drug is use to treat bladder spasm? - Answer B&O suppositories (Belladonna &
Opiates)
Should you take a rectal temp after prostatectomy? Give stool softeners? - Answer No
rectal temperatures, yes stool softeners
You should call the MD after TURP when you see _________ thick ________,
_____________ clots, and ____________ urine drainage on the dressing. - Answer
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 ___________. - Answer 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 ____________. - Answer Increase the flow-
rate.
What exercises should the post prostectomy patient do upon discharge? Why? -
Answer Perineal exercises, start and stop stream of urine, because dribbling is a
common but temporary problem post op
Will the post prostectomy patient be impotent? - Answer If TURP, no impotence, if
perineal prostatectomy, yes impotence
How often should the drainage bag be emptied? - Answer Every 8 hours
What is the most common problem due to catheterization? - Answer UTI
What is the most common organism to cause UTI with catheterization? - Answer E. coli
Name the five/six essential nutrients - Answer carbs, fats, proteins, vitamins, minerals,
water
The major source of energy for the body is - Answer carbs
carbs provide ____________ Kcalories per 1 gram - Answer 4
Sucrose is a sugar found in ____________ and _____________. - Answer fruits,
veggies
Lactose is a sugar found in ? - Answer milk
What is glycogen? - Answer It is a stored formed of glucose/energy manufactured by
the liver
Is glycogen eaten in foods? - Answer NO! It is a stored form of glucose
MANUFACTURED by the liver.
When the body does not receive enough carbs it burns ___________ and
_____________. - Answer protein, fat
The most concentrated source of energy for the body is ___________. - Answer fats
Fats provide ___________ Kcalories per 1 gram. - Answer 9
Fats carry vitamins - Answer A,D,E,K (Remember FADE K!)
The nutrient needed most for growth and repair of tissues is _____________. - Answer
protein (second best is Vit C)
Proteins provide __________ Kcalories per 1 gram. - Answer 4
Vitamins and minerals provide energy for the body. (T/F) - Answer False- they are
necessary for a body's chemical reactions.
Water is present in ALL body tissues. (T/F) - Answer True (even bone)
Water accounts for ________ to ___________% of an adult's total weight? - Answer 50
to 60%
Name the four basic food groups - Answer Milk & Cheese, Meat & Legumes, Veggies &
Fruits, Bread & Cereal
Water acounts for __________ to _________% of an infant's total weight? - Answer 70
to 75%
,Mark Klimek Blue Book
An individual is overweight if they are ________% above the ideal weight. - Answer 10
An individual is obese if they weigh ________% above the ideal weight. - Answer 20
What solution and material are used to cleanse the eyes of an infant? - Answer Plain
water, cotton balls, washcloths
Can you use cotton swabs to clean the eyes, nares or ears of an infant? - Answer No,
this is dangerous
Can you use the same cotton ball/washcloth edge for both eyes? - Answer No, it would
cross contaminate
Should you cover an unhealed umbilical site with the diaper? - Answer No, fold the
diaper down.
What temperature is appropriate for the water used to bathe an infant? - Answer 100 to
105
What is the #1 purpose of a tepid sponge bath? - Answer Lower body temperature
during fever.
How should the temperature of the water be tested if no thermometer is available? -
Answer Dropping water on inside surface of your forearm.
With which body part do you begin when bathing an infant? - Answer Eyes always
When cleansing an infant's eye, cleanse from outer to inner canthus? - Answer No,
inner to outer
Should you retract the foreskin of a 5 week old male, uncircumcised infant to cleanse
the area? - Answer No, not until foreskin retracts naturally and without resistance- then
it should be retracted, cleansed and replaced.
When sponge-bathing with tepid water the correct temp is _____________. - Answer
98.6 F
How long does it take for the umbilical stump to fall off? - Answer 7 to 14 days
The primary reason why an infant is draped during the bath is to provide privacy. (T/F) -
Answer False, the primary purpose of draping is to prevent chilling.
You may use friction to remove vernix caseosa from an infant's skin. (T/F) - Answer
False, it causes damage/bruising
,Mark Klimek Blue Book
What solution is commonly used for care of umbilical cord? - Answer 70% alcohol to
promote drying (trend is toward soap and water)
What cranial nerve is affected in Bell's Palsy? - Answer #7, facial nerve
What is the #1 symptom of Bell's Palsy? - Answer One sided (unilateral) facial paralysis
Complete recovery from the paralysis of Bell's Palsy should occur in _______ to ______
months. - Answer 4 to 6
In addition to the facial paralysis, the sense of ______ is also affected. - Answer taste
Will the patient be able to close their eye on the affected side? - Answer no
Give three eye interventions for the client with Bell's Palsy. - Answer Dark glasses,
artificial tears, cover eye at night
As the prostate enlarges it compresses the ___________ and causes urinary
________. - Answer Urethra, rentention
At what age does BPH occur? - Answer men over 50 years of age
What does BPH stand for? - Answer Benign Prostatic Hypertrophy
IN BPH the man has (increased/decreased) frequency of urination - Answer increased
In BPH the force of the urinary stream is (increased/decreased). - Answer decreased
The man with BPH has a _________-stream of urine - Answer forked
The man with BPH has hesitancey. What does this mean? - Answer Difficulty starting to
void
Will the man with BPH have enuresis, nocturia or hematuria? - Answer Enuresis-No,
Nocturia-Yes, and Hematuria-Maybe
Enuresis - Answer inability to control the flow of urine and involuntary urination
What is the best way to screen men for BPH? - Answer Digital rectal exam
Should fluids be forced or restricted in BPH? - Answer forced
What does TURP stand for? - Answer Transurethral resection of the prostate
The most radical prostate surgery is the ____________ prostatectomy. - Answer
Perineal
, Mark Klimek Blue Book
What type of diet is used in BPH? - Answer Acid Ash
Acid Ash diet - Answer 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?
- Answer To keep the catheter clear of clots and to drain urine
What solution is used for CBI? - Answer Normal saline (0.9 NaCl)
How fast do you run the CBI? - Answer At whatever rate it takes to keep the urine
flowing and free of clots
What drug is use to treat bladder spasm? - Answer B&O suppositories (Belladonna &
Opiates)
Should you take a rectal temp after prostatectomy? Give stool softeners? - Answer No
rectal temperatures, yes stool softeners
You should call the MD after TURP when you see _________ thick ________,
_____________ clots, and ____________ urine drainage on the dressing. - Answer
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 ___________. - Answer 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 ____________. - Answer Increase the flow-
rate.
What exercises should the post prostectomy patient do upon discharge? Why? -
Answer Perineal exercises, start and stop stream of urine, because dribbling is a
common but temporary problem post op
Will the post prostectomy patient be impotent? - Answer If TURP, no impotence, if
perineal prostatectomy, yes impotence
How often should the drainage bag be emptied? - Answer Every 8 hours
What is the most common problem due to catheterization? - Answer UTI
What is the most common organism to cause UTI with catheterization? - Answer E. coli
