Written by students who passed Immediately available after payment Read online or as PDF Wrong document? Swap it for free 4.6 TrustPilot
logo-home
Exam (elaborations)

Mark-Klimek-Blue-Nclex-Resources

Rating
-
Sold
-
Pages
59
Grade
A+
Uploaded on
18-01-2023
Written in
2022/2023

Mark-Klimek-Blue-Nclex-Resources

Institution
Course

Content preview

Mark Klimek Blue book (ALL) NCLEX Study Guide
Study online at quizlet.com/_1vribj

1. Name the five/six essential carbs, fats, proteins, 20. An individual is obese if 20
nutrients vitamins, minerals, water they weigh ________%
above the ideal weight.
2. The major source of energy for carbs
the body is 21. What solution and material Plain water, cotton balls,
are used to cleanse the washcloths
3. carbs provide ____________ 4
eyes of an infant?
Kcalories per 1 gram
22. Can you use cotton swabs No, this is dangerous
4. Sucrose is a sugar found in fruits, veggies
to clean the eyes, nares or
____________ and
ears of an infant?
_____________.
23. Can you use the same No, it would cross contaminate
5. Lactose is a sugar found in ? milk
cotton ball/washcloth edge
6. What is glycogen? It is a stored formed of for both eyes?
glucose/energy
24. Should you cover an No, fold the diaper down.
manufactured by the
unhealed umbilical site
liver
with the diaper?
7. Is glycogen eaten in foods? NO! It is a stored form of
25. What temperature is 100 to 105
glucose
appropriate for the water
MANUFACTURED by the
used to bathe an infant?
liver.
26. What is the #1 purpose of a Lower body temperature during
8. When the body does not receive protein, fat
tepid sponge bath? fever.
enough carbs it burns
___________ and _____________. 27. How should the Dropping water on inside
temperature of the water be surface of your forearm.
9. The most concentrated source of fats
tested if no thermometer is
energy for the body is
available?
___________.
28. With which body part do Eyes always
10. Fats provide ___________ 9
you begin when bathing an
Kcalories per 1 gram.
infant?
11. Fats carry vitamins A,D,E,K (Remember
29. When cleansing an infant's No, inner to outer
FADE K!)
eye, cleanse from outer to
12. The nutrient needed most for protein (second best is inner canthus?
growth and repair of tissues is Vit C)
30. Should you retract the No, not until foreskin retracts
_____________.
foreskin of a 5 week old naturally and without
13. Proteins provide __________ 4 male, uncircumcised infant resistance- then it should be
Kcalories per 1 gram. to cleanse the area? retracted, cleansed and
14. Vitamins and minerals provide False- they are replaced.
energy for the body. (T/F) necessary for a body's 31. When sponge-bathing with 98.6 F
chemical reactions. tepid water the correct
15. Water is present in ALL body True (even bone) temp is _____________.
tissues. (T/F) 32. How long does it take for 7 to 14 days
16. Water accounts for ________ to 50 to 60% the umbilical stump to fall
___________% of an adult's total off?
weight? 33. The primary reason why an False, the primary purpose of
17. Name the four basic food groups Milk & Cheese, Meat & infant is draped during the draping is to prevent chilling.
Legumes, Veggies & bath is to provide privacy.
Fruits, Bread & Cereal (T/F)

18. Water acounts for __________ to 70 to 75% 34. You may use friction to False, it causes
_________% of an infant's total remove vernix caseosa damage/bruising
weight? from an infant's skin. (T/F)

19. An individual is overweight if they 10 35. What solution is commonly 70% alcohol to promote drying
are ________% above the ideal used for care of umbilical (trend is toward soap and water)
weight. cord?
36. What cranial nerve is #7, facial nerve
affected in Bell's Palsy?

,37. What is the #1 symptom of Bell's One sided (unilateral) 56. Acid Ash diet Decrease pH (makes urine
Palsy? facial paralysis acid)
Chz, eggs, Meat, fish,
38. Complete recovery from the 4 to 6
oysters, poultry, Bread,
paralysis of Bell's Palsy should
Cereal, Whole Grains,
occur in _______ to ______ months.
Pastries, Cranberries,
39. In addition to the facial paralysis, the taste Prunes, Plums, Tomatoes,
sense of ______ is also affected. Peas, Corn, Legumes.
40. Will the patient be able to close their no 57. What is the primary purpose of To keep the catheter clear
eye on the affected side? a 3 way continuous bladder of clots and to drain urine
41. Give three eye interventions for the Dark glasses, irrigation (CBI) after TURP?
client with Bell's Palsy. artificial tears, cover 58. What solution is used for CBI? Normal saline (0.9 NaCl)
eye at night
59. How fast do you run the CBI? At whatever rate it takes to
42. As the prostate enlarges it Urethra, rentention keep the urine flowing and
compresses the ___________ and free of clots
causes urinary ________.
60. What drug is use to treat B&O suppositories
43. At what age does BPH occur? men over 50 years of bladder spasm? (Belladonna & Opiates)
age
61. Should you take a rectal temp No rectal temperatures, yes
44. What does BPH stand for? Benign Prostatic after prostatectomy? Give stool softeners
Hypertrophy stool softeners?
45. IN BPH the man has increased 62. You should call the MD after Bright thick blood,
(increased/decreased) frequency of TURP when you see _________ persistent clots, persistent
urination thick ________, urine on dressing (don't call
46. In BPH the force of the urinary decreased _____________ clots, and MD for transitory clots and
stream is (increased/decreased). ____________ urine drainage urine on dressing.)
on the dressing.
47. The man with BPH has a _________- forked
stream of urine 63. If you see an increase in blood Pull carefully on the
content of urine coming out of catheter to apply local
48. The man with BPH has hesitancey. Difficulty starting to the catheter, you would first pressure on the prostate
What does this mean? void ___________. with the Foley balloon.
49. Will the man with BPH have Enuresis-No, 64. If you see clots in the tubing Increase the flow-rate.
enuresis, nocturia or hematuria? Nocturia-Yes, and you would first ____________.
Hematuria-Maybe
65. What exercises should the post Perineal exercises, start
50. Enuresis inability to control the prostectomy patient do upon and stop stream of urine,
flow of urine and discharge? Why? because dribbling is a
involuntary urination common but temporary
51. What is the best way to screen men Digital rectal exam problem post op
for BPH? 66. Will the post prostectomy If TURP, no impotence, if
52. Should fluids be forced or restricted forced patient be impotent? perineal prostatectomy, yes
in BPH? impotence
53. What does TURP stand for? Transurethral 67. How often should the drainage Every 8 hours
resection of the bag be emptied?
prostate 68. What is the most common UTI
54. The most radical prostate surgery is Perineal problem due to
the ____________ prostatectomy. catheterization?
55. What type of diet is used in BPH? Acid Ash 69. What is the most common E. coli
organism to cause UTI with
catheterization?
70. What is the most common Up through the inside of the
route for organisms to enter catheter in the days
the blader when a following catheterization
catheterization is used?
71. Name foods that make acid Cranberry juice, apple juice
urine (avoid citrus juices- they
make alkaline urine)

,72. What is important about the level Never have the bag at a 93. When 2 values are given in a blood Cessation of sounds
of the urinary drainage bag? higher level than the pressue, the bottom number stands
bladder. for the change in sounds or
cessation of sounds?
73. How is the catheter taped in a To the lateral thigh or
male client? abdomen 94. What is the normal adult blood 120/80
pressure?
74. How is the catheter taped in a To the upper thigh
female client? 95. Abnromally high blood pressure is Hypertension
called____________.
75. What urinary pH prevents UTI? Acidity, low pH
96. What is the pulse pressure? The difference between
76. Should the drainage bag ever No
the systolic and the
touch the floor?
diastolic blood
77. Is it ok to routinely irrigate No pressure
indwelling catheters?
97. If you deflate a cuff TOO SLOWLY, High, venous
78. What agents are best for catheter Soap and water the reading will be too high or low? congestion makes the
care? Why? arterial pressure higher
79. What is the most effective way to Keep the drainage (increases resistance)
decrease UTI with catheters? system closed, do not 98. If you use too narrow of a cuff the High
disconnect junction of reading will be too high or low?
tubing
99. Vasoconstriction will ___________ Increase
80. Give some signs of infection in a Cloudy urine, foul blood pressure.
Foley catheter smelling urine, hematuria
100. Vasodilation will ____________ Decrease
81. Is urinary incontinence an No blood pressure.
indication for catheterization?
101. Shock will ___________ blood Decrease
82. Give three appropriate Urinary retention, to pressure.
indications for bladder check for residual, to
102. Increased intracranial pressure Increase or Widen
catheterization? monitor hourly output
will _________ the pulse pressure.
83. What are the top 2 diagnoses for #1- Potential for infection;
103. If my blood pressure is 190/110, 80 mmHg
a client with a catheter? Which is Potential impairment of
what is my pulse pressure?
#1? urethral tissue integrity
104. What blood test must be done Type and cross match
84. What is systole? The MAXIMAL force of
before a transfusion?
blood on artery walls
105. What does a type and cross match Whether the client's
85. What is diastole? The LOWEST force of
indicate? blood and donor blood
blood on artery walls
are compatible.
86. Accurate blood pressure is Two-thirds
106. What should the nurse measure Vital signs
obtained by using a cuff that has
before starting a transfusion?
width of __________ of the arm.
107. With what solution should blood be 0.9 normal saline
87. Which artery is most commonly Brachial
transfused?
used to measure blood pressure?
108. How many nurses are requried to 2 nurses
88. Can the thigh EVER be used to Yes, but this is rare.
check the blood?
obtain a blood pressure?
109. What happens when blood is The cells clump
89. When pressure is auscultated the Systolic
administered with Dextrose IVs? together & don't flow
first sound heard is the
well
____________ measurement.
110. If a transfusion reaction occurs Stop the blood flow &
90. The change in the character of First diastolic sound
what should the nurse do first? start running the saline
the sounds is known as the
________ 111. How long can a unit of blood be on Less than 1/2 hour
the unit before it must be started?
91. The cessation of sounds is known Second diastolic sound
as the _________ 112. What should the nurse do with the Keep it open with
IV line if transfusion reaction is saline
92. When 2 values are given in a Systolic
suspected?
blood pressure the first is the
__________measurement. 113. If a transfusion reaction is Urine & blood
suspected, what two samples are
collected and sent to the lab?

, 114. If a unit of blood is infused Warmed 131. How long should you stay with At least 15 to 30 minutes
through a central line it the patient after beginning a
must be__________. transfusion?
115. Which of the following are Low back pain, wheezing, 132. What blood type is the AB
signs of transfusion fever, hives universal recipient?
reaction? Bradycardia,
133. What blood type is the O
Fever, Hives, Wheezing,
universal donor?
Increased Blood Pressure,
Low Back Pain 134. What is the routine for vital Once before administration
sign measurement with a Q15 x 2 after administration
116. What are three types of Hemolytic, febrile, allergic
transfusion? is begun
transfusion reactions that
Q1 x1 after transfusion has
can occur?
stopped
117. What would you do first if Stop the blood and start the
135. What IV solution is hung with a 0.9 normal saline (No
you suspected transfusion saline
blood transfusion? glucose)
reaction?
136. What gauge needle is used Large gauge, 18 gauge
118. What are the signs and Shivering, HA, low back pain,
with a blood transfusion?
symptoms of a hemolytic increased pulse & respirations,
transfusion reaction? decreasing BP, oliguria, 137. What other things are Call MD, get a blood
hematuria appropriate after a reaction? sample, get urine sample,
monitor vitals, send blood
119. What are the signs and Low back pain, shaking HA,
to lab
symptoms of a febrile increasing temperature,
transfusion reaction? confusion, hemoptysis 138. Can blood be given No, it has to be warmed
immediately after removal first for only about 20 to 30
120. What are the signs of Hives- uticaria, wheezing,
from refrigeration? minutes.
symptoms of an allergic pruritus, joint pain, (arthralgia)
reaction to a transfusion? 139. With what solution & when Plain water, before & after
should a breast feeding mother each feeding
121. Give three reasons for a Restore blood volume
cleanse the areola?
blood transfusion secondary to hemorrhage,
maintain hemoglobin in anemia, 140. For a woman who doesn"t have Air drying of the nipples is
replace specific blood retracted nipples, is towel best
components drying or air drying better?

122. What does blood-typing Check for surface antigen on 141. The goal is for the infant to 20
mean? the red blood cell breast feed for __________
minutes per side.
123. When does typing and Whenever a client is to get a
cross matching need to be blood product. It is only good 142. How does the mother break the She inserts her little finger
done? for 24 hours. suction of the breast feeding into the side of the infant's
infant? mouth
124. What does blood cross Mixing a little of the client's
matching mean? blood with the donor blood and 143. When should the breast After feeding from each
looking for agglutination. feeding infant be burped? breast

125. When are hemolytic In the first 10 to 15 minutes 144. Assuming no mastitis, on Begin nursing on the side
transfusion reactions which side should the that the baby finished on
likely to occur? breastfeeding begin? the last feeding

126. When is a febrile reaction Within 30 minutes of beginning 145. How long can breast milk be 24 hours
likely to occur? the transfusion refrigerated?

127. What test identifies Rh Coombs test detects antibodies 146. How long can breast milk be 6 months
factor? to Rh frozen?

128. What is the difference Packed cells don't have nearly 147. In what type of container Sealed plastic bags
between whole blood and as much plasma or volume as should breast milk be stored?
packed cells? whole blood does 148. Can you microwave frozen Never
129. What would you do if the Call the MD because blood is breast milk in order to
client had an increasing often held with an elevated warm/thaw it?
temperature and was to temperature 149. Which two nutrients is breast Fluoride and iron
get blood? milk lower in?
130. How long should it take for From one hour to three hours
one unit of blood to infuse?

Written for

Course

Document information

Uploaded on
January 18, 2023
Number of pages
59
Written in
2022/2023
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

$18.49
Get access to the full document:

Wrong document? Swap it for free Within 14 days of purchase and before downloading, you can choose a different document. You can simply spend the amount again.
Written by students who passed
Immediately available after payment
Read online or as PDF

Get to know the seller
Seller avatar
Lansky

Get to know the seller

Seller avatar
Lansky Chamerlain University
Follow You need to be logged in order to follow users or courses
Sold
1
Member since
3 year
Number of followers
0
Documents
372
Last sold
10 months ago

0.0

0 reviews

5
0
4
0
3
0
2
0
1
0

Recently viewed by you

Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Working on your references?

Create accurate citations in APA, MLA and Harvard with our free citation generator.

Working on your references?

Frequently asked questions