Mark Klimek Blue Book Part 1

Mark Klimek Blue Book Part 1

1.In Abruptio Placenta, the placenta from the uterine wall .Separates, prematurely

• Children at highest risk for seizure

activity after ingestion are those who have swallowed and .drugs, insecticides

• Abruptio Placenta usually occurs in Multigravida, 35

(prima/multi) gravida over the age of .(HTN, trauma, cocaine)

• Can impaired skin integrity ever be

an appropriate nursing diagnosis when poisoning has occurred?Yes, when lye or caustic agents have been ingested

• How is the bleeding of Abruptio Usually painful;

Placenta different from that in Placenta Previa?

• 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)

• What is the causative organism of

acne?

• What structures are involved in acne

vulgaris?

• acnes

(propionibacterium acnes) The sebaceous glands you use?

• How often should you measure the

Q5-15 minutes for

• 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

• Dietary indiscretions and

uncleanliness are causes of acne?

• What are the 3 causative factors in

acne vulgaris?False

Hereditary, Bacterial, Hormonal Deliver baby at earliest sign of fetal

• Uncleanliness is a cause of acne? False

• How is an infant delivered when

Abruptio Placenta is present?

• Is there a higher or lower incidence

of fetal death with Abruptio Placenta compared to Placenta Previa?

• In what trimester does Abruptio

Placenta most commonly occur?

• At what age are accidental

poisonings most common?

• If a child swallows a potentially

poisonous substance, what should be done first?distress Usually C-section

Higher

Third

• years old

Call for medical help

• What is the most common retinoid

given to people with acne?

• Accutane is an analog of which

vitamin?

• What is the most common side effect

of accutane? And what is most important in health teaching in adminstration?

• What is the antibiotic most

commonly given to clients with acne?

• How long will it take for the person

to see results when acne is being treated?Accutane

Vitamin A

Inflammation of the lips; Causes birth defects

Tetracycline

• to 6 weeks
• Should vomiting be induced after No- not for gas or any
• Does stress make acne worse? yes

ingestion of gasoline?

• When taking a child to the ER after

accidental poisoning has occurred what must accompany the child to the ER?other petroleum products the suspected poison

• How often should the client with

acne wash his face each day?

• What instructions do you give to a

client taking tetracycline?Twice a day

Take it on an empty stomach and avoid the sunlight (photosensitivity)

• An elderly client is a (high/low) risk

for accidental poisoning? What about a school age child?

• What types of chemicals cause

burns to oral mucosa when high - due to poor eyesight, high

Lye, caustic cleaners

• What are comedones? Blackheads and white heads

• What virus causes AIDS? HIV - Human immunodeficiency virus

ingested?

• The AIDS virus invades helper

.T-lymphocytes (or CD4 cells)

• AIDS is transmissible through

what four routes?

• 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

• 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

• Name the 5 risk groups for Homosexual/bisexual men
• What do NRTI's

and PI's do?They prevent viral replication.AIDS IV drug users

• What is the first test for HIV

antibodies?Hemophiliacs Heterosexual partners of infected people Newborn children of infected women ELISA

• What does the

physician hope to achieve with NRTI's and PI's for HIV?

• 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)

• What test confirms the ELISA? Western Blot
• Which test is the best

indicator of the PROGRESS of HIV disease?

• A CD4 count of under

is associated with the onset of AIDS-related symptoms.

• A CD4 count of under is

associated with the onset of

OPPORTUNISTIC INFECTIONS.

• Give 6 symptoms of HIV

disease.

• Which 2 classes of drugs are

given in combination for HIV sero-positivity?

• NRTI (nucleoside reverse

transcriptease inhibitors) CD4 count

500

200

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 with other drugs

• What is the most challenging aspect

of combination of drug therapy for HIV disease?

• Clients with AIDS (gain/lose) weight?
• The typical pneumonia of AIDS is

caused by .

• What type of oral/esophageal

infections do AIDS patients get?

• What is the #1 cancer that AIDS

patients get?

• Kaposi's sarcoma is a cancer of the

.

55. T/F: AIDS

patients get lymphomas?

• What lab findings are present in

AIDS?

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.

Lose weight

Pneumocystic carinii

Candida

Kaposi's sarcoma

skin

True

Decreased RBC's, WBC's and platelets