QA-100 CORRECT A - Q&A-100% CORRECT) A Mark Klimek Blue Book 1. In...

1 Mark Klimek Blue book (ALL) NCLEX Study Guide (2000 Q&A-100% CORRECT) A Mark Klimek Blue Book

• In Abruptio Placenta, the placenta from the uterine wall .

• Separates; prematurely

• Abruptio Placenta usually occurs in (prima/multi) gravida over the age of .

• Multigravida, 35 (HTN, trauma, cocaine)

• How is the bleeding of Abruptio Placenta different from that in Placenta Previa?

• Usually painful; bleeding is more voluminous in placenta previa

• If you are the nurse starting the IV on the client with Abruptia Placenta, what gauge needle should you

use?

• 18 (in preparation to give blood if necessary)

• How often should you measure the VS, vaginal bleeding, fetal HR during Abruptio Placenta?

• Q5-15 minutes for bleeding,
• maternal VS and continuous fetal Monitoring Deliver baby at earliest sign of fetal distress

• How is an infant delivered when Abruptio Placenta is present?

• Usually C-section

• Is there a higher or lower incidence of fetal death with Abruptio Placenta compared to Placenta Previa?

• Higher

• In what trimester does Abruptio Placenta most commonly occur?

• Third

• At what age are accidental poisonings most common?

• 2 years old

• If a child swallows a potentially poisonous substance, what should be done first?

• Call for medical help

• Should vomiting be induced after ingestion of gasoline?

• No- not for gas or any other petroleum products
• When taking a child to the ER after accidental poisoning has occurred what must accompany the child to

the ER?

• the suspected poison

2

• An elderly client is a (high/low) risk for accidental poisoning? What about a school age child?

• high - due to poor eyesight
• high

• What types of chemicals cause burns to oral mucosa when ingested?

• Lye, caustic cleaners

• Children at highest risk for seizure activity after ingestion are those who have swallowed

and .

• drugs; insecticides

• Can impaired skin integrity ever be an appropriate nursing diagnosis when poisoning has occurred?

• Yes, when Lye or caustic agents have been ingested

• What is the causative organism of acne?

• acnes (propionibacterium acnes)

• What structures are involved in acne vulgaris?

• The sebaceous glands

• Name 3 drugs given for acne?

• Vitamin A
• Antibiotics
• Retinoids

• Dietary indiscretions and uncleanliness are causes of acne?

• False

• What are the 3 causative factors in acne vulgaris?

• Hereditary
• Bacterial
• Hormonal

• Uncleanliness is a cause of acne?

• False

• What is the most common retinoid given to people with acne?

• Accutane

• Accutane is an analog of which vitamin?

• Vitamin A

3

• What is the most common side effect of accutane? And what is the most important in health teaching in

administration?

• Inflammation of the lips;
• Causes birth defects

• What is the antibiotic most commonly given to clients with acne?

• Tetracycline

• How long will it take for the person to see results when acne is being treated?

• 4 to 6 weeks

• Does stress make acne worse?

• Yes

• How often should the client with acne wash his face each day?

• Twice a day

• What instructions do you give to a client taking Tetracycline?

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

• What are comedones?

• Blackheads and white heads

• What virus causes AIDS?

• HIV (Human immunodeficiency virus)

• The AIDS virus invades the helper .

• T-lymphocytes (or CD4 cells)
• AIDS is transmissible through what four routes?

• Blood
• Sexual contact
• Breast feeding
• Across placenta in utero

• HIV is present in all body fluids?

• No; only through blood, semen and breast milk

• Name the 5 risk groups for AIDS

• Homosexual/bisexual men
• IV drug users
• Hemophiliacs
• Heterosexual partners of infected people
• Newborn children of infected women

4

• What is the first test for HIV antibodies?

- ELISA

• What test confirms the ELISA?

• Western Blot

• Which test is the best indicator of the PROGRESS of HIV disease?

• CD4 count

• A CD4 count of under is associated with the onset of AIDS-related symptoms.

• 500

• A CD4 count of under is associated with the onset of OPPORTUNISTIC INFECTIONS.

• 200

• Give 6 symptoms of HIV disease.

• anorexia
• fatigue
• weakness
• diarrhea
• night sweats
• fever

• Which 2 classes of drugs are given in combination for HIV sero-positivity?

• NRTI's (Nucleoside Reverse Transcriptase Inhibitors)

and PI's (Protease Inhibitors)

• They prevent viral replication.

• NRTI (nucleoside reverse transcriptase inhibitors)

• 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

• 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.

• What do NRTIs and PI's do?

• They prevent viral replication.

• What does the physician hope to achieve with NRTIs and PI's for HIV?

• A delayed onset of AIDS for as long as possible (usually can delay onset for 10-15 years)