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Blue Book - Mark Klimek notes

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Blue Book - Mark Klimek notes Mark Klimek Blue Book Part 1 Study online at 1. In Abruptio Placenta, the placenta ____________ from the uterine wall ____________. Separates, prematurely 15. Children at highest risk for seizure activity after ingestion are those who have swallowed and ______________. drugs, insecticides 2. Abruptio Placenta usually occurs in Multigravida, 35 (prima/multi) gravida over the age of _. (HTN, trauma, cocaine) 16. Can impaired skin integrity ever be an appropriate nursing diagnosis when poisoning has occurred? Yes, when lye or caustic agents have been ingested 3. How is the bleeding of Abruptio Usually painful; Placenta different from that in Placenta Previa? 4. If you are the nurse starting the IV on the client with Abruptia Placenta, what guage needle should bleeding is more voluminous in placenta previa 18 (in preparation to give blood if necessary) 17. What is the causative organism of acne? 18. What structures are involved in acne vulgaris? P. acnes (propionibacterium acnes) The sebaceous glands you use? 5. How often should you measure the Q5-15 minutes for 19. Name 3 drugs given for acne? Vitamin A, Antibiotics, Retinoids VS, vaginal bleeding, fetal HR during Abruptio Placenta? bleeding, maternal VS and continuous fetal monitoring 20. Dietary indiscretions and uncleanliness are causes of acne? 21. What are the 3 causative factors in acne vulgaris? False Hereditary, Bacterial, Hormonal Deliver baby at earliest sign of fetal 22. Uncleanliness is a cause of acne? False 6. How is an infant delivered when Abruptio Placenta is present? 7. Is there a higher or lower incidence of fetal death with Abruptio Placenta compared to Placenta Previa? 8. In what trimester does Abruptio Placenta most commonly occur? 9. At what age are accidental poisonings most common? distress Usually C-section Higher Third 2 years old 23. What is the most common retinoid given to people with acne? 24. Accutane is an analog of which vitamin? 25. What is the most common side effect of accutane? And what is most important in health teaching in adminstration? 26. What is the antibiotic most commonly given to clients with acne? Accutane Vitamin A Inflammation of the lips; Causes birth defects Tetracycline 27. How long will it take for the person 4 to 6 weeks 10. If a child swallows a potentially poisonous substance, what should be done first? Call for medical help to see results when acne is being treated? 28. Does stress make acne worse? yes 11. Should vomiting be induced after ingestion of gasoline? 12. When taking a child to the ER after accidental poisoning has occurred what must accompany the child to No- not for gas or any other petroleum products the suspected poison 29. How often should the client with acne wash his face each day? 30. What instructions do you give to a client taking tetracycline? Twice a day Take it on an empty stomach and avoid the sunlight (photosensitivity) the ER? 31. What are comedones? Blackheads and 13. An elderly client is a (high/low) risk high - due to poor white heads for accidental poisoning? What about a school age child? eyesight, high 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) 34. AIDS is transmissible through what four routes? 35. HIV is present in all body fluids? blood sexual contact breast feeding across placenta in utero Yes, but it is not transmitted by all, only blood, semen 45. PI'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. and breast milk 36. Name the 5 risk groups for Homosexual/bisexual men 46. What do NRTI's and PI's do? They prevent viral replication. AIDS IV drug users 37. What is the first test for HIV antibodies? Hemophiliacs Heterosexual partners of infected people Newborn children of infected women ELISA 47. What does the physician hope to achieve with NRTI's and PI's for HIV? 48. What is the most common NRTI used? A delayed onset of AIDS for as long as possible (usually can delay onset for 10-15 years) AZT (zidovudine) 38. What test confirms the ELISA? Western Blot 39. Which test is the best indicator of the PROGRESS of HIV disease? 40. A CD4 count of under __________ is associated with the onset of AIDS-related symptoms. CD4 count 500 49. What is the most challenging aspect of combination of drug therapy for HIV disease? The number of pills that must be taken in 24 hours can be overwhelming. The frequency also makes it hard to remember-an alarm wristwatch is used. 50. Clients with Lose weight 41. A CD4 count of under is associated with the onset of OPPORTUNISTIC INFECTIONS. 200 AIDS (gain/lose) weight? 51. The typical Pneumocystic carinii 42. Give 6 symptoms of HIV disease. 43. Which 2 classes of drugs are given in combination for HIV sero-positivity? 44. NRTI (nucleoside reverse transcriptease inhibitors) anorexia fatigue weakness diarrhea night sweats fever NRTI's (Nucleoside Reverse Transcriptease Inhibitors) and PI's (Protease Inhibitors) They prevent viral replication. An antiviral drug used 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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lOMoAR cPSD| 21646696




Blue Book - Mark Klimek notes

, lOMoAR cPSD| 21646696




Mark Klimek Blue Book Part 1
Study online at quizlet.com/_1rpbwc


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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