Blue Book

Question 1

Shock will ____ blood pressure

Answer 1

Decrease

Question 2

Increased intracranial pressure will ____ the pulse pressure

Answer 2

Increase or widen

Question 3

What happens when blood is administered with dextrose IVs?

Answer 3

The cells clump together and don’t flow well

Question 4

S/S of transfusion reaction

Answer 4

Low back pain, wheezing, fever, hives

Question 5

Three types of transfusion reactions that can occur

Answer 5

Hemolytic, allergic, febrile

Question 6

S/S of a hemolytic transfusion reaction
(What does this do to each body system: cardiac, urinary, cns, respiratory)

Answer 6

Shivering, headache, low back pain, increased pulse and respirations, decreasing blood pressure, oliguria, and hematuria

Question 7

S/S of febrile transfusion reaction

Answer 7

Low back pain, shaking, headache, increasing temperature, confusion, hemoptysis

Question 8

S\S of an allergic reaction to a transfusion

Answer 8

Hives, wheezing, pruritus, joint pain (arthralgia)

Question 9

Test to identify Rh factor

Answer 9

Coombs test. Detects antibodies to Rh

Question 10

Universal donor

Answer 10

O

Question 11

Universal recipient

Answer 11

AB

Question 12

In the rule of nines, the head and neck receive ___, each arm receives ___

Answer 12

9%, 9%

Question 13

In the rule of nines, the front trunk gets ___, each leg gets ___, and a genitalia get ___

Answer 13

18%, 18%, 1%

Question 14

What is the only IM given to a burn patient

Answer 14

Tetanus toxoid - if they have a previous immunization

Tetanus antitoxin - if they have never been immunized before (or immunoglobulin)

Question 15

Three phases of burns

Answer 15

Shock, diuretic, recovery

Question 16

Fluid moves from ____ to ____ in the shock phase

Answer 16

Bloodstream, interstitial space

Question 17

During shock phase of a burn, is potassium, increased or decreased

Answer 17

Increased, because of the cells being damaged. The potassium is released from the damaged cells.

Question 18

What acid base and balance is seen in the shock phase of a burn

Answer 18

Metabolic acidosis

Question 19

In the diuretic phase, K+ levels will fall or rise

Answer 19

Fall- remember diuresis always causes hypokalemia

Question 20

What is curlings ulcer? Why is it a problem in burn pts? What drug prevents it?

Answer 20

It’s a stress ulcer, you get these with any severe physical stress

Protonix, Prilosec, Pepcid, Tagamet, Zantac, any H2 receptor antagonist

Question 21

In abruptio placenta the placenta____ from the uterine wall ____

Answer 21

Separates, prematurely

Question 22

How is abruptia placenta different from that in placenta previa; pain, blood loss

Answer 22

Usually painful, bleeding is more voluminous in previa

Question 23

Abruptio placentas birth

Answer 23

C-section

Question 24

Children at highest risk for seizure activity, after ingestion are those who have swallowed ____ and ____

Answer 24

Drugs and insecticides

Question 25

Antibiotic most commonly given to clients with acne

Answer 25

Tetracycline

Question 26

Instructions to give a client taking tetracycline (how to take this and what to avoid)

Answer 26

Take on an empty stomach and avoid sunlight

Question 27

CD4 count of under ___ is associated with the onset of aids related symptoms

Answer 27

500

Question 28

CD4 count of under___ is associated with the onset of opportunistic infections

Answer 28

200

Question 29

Which two classes of drugs are given in combination for HIV sero-positivity

Answer 29

NRTIs and PIs

Question 30

Typical pneumonia of AIDS is caused by

Answer 30

Pneumocystis pneumonia

Question 31

Kaposi’s sarcoma is cancer of the

Answer 31

Skin

Question 32

What organism causes acute glomerulonephritis

Answer 32

Group A beta hemolytic strep

Question 33

What happens to the kidney in AGN?

Answer 33

It becomes clogged with antigen antibody complexes, which then cause inflammation and loss of function

Question 34

Will the patient have hypo or hyper tension with AGN?

Answer 34

Hypertension because of fluid retention

Question 35

Age range and developmental task for early adulthood

Answer 35

19-36 Intimacy versus isolation

Question 36

Age range and developmental task for middle adulthood

Answer 36

35-64 Generatively vs. Stagnation.

Question 37

Age range and developmental task for later adulthood

Answer 37

64- death Ego integrity versus despair

Question 38

#1 contracture problem after BKA

Answer 38

Flexion of the knee

Question 39

What artery is widened in a thoracic aneurysm?

Answer 39

Aorta

Question 40

An aneurysm can result from ___ and from ___

Answer 40

Infection and syphilis

Question 41

What aneurysm is known as the silent aneurysm?

Answer 41

The abdominal aneurysm

Question 42

An aneurysm will most affect which of the following the blood pressure or the pulse

Answer 42

The pulse. Many times the aneurysm will rupture and blood will be lost before the blood pressure starts to change.

Question 43

What class of drugs is the client with an aneurysm most likely to be on

Answer 43

Antihypertensives

Question 44

How would you know if an aneurysm has ruptured

Answer 44

Decreased LOC, restlessness, tachycardia, htn (a sign of shock)

Question 45

What causes angina pectoris?

Answer 45

Decreased blood supply to the myocardium, resulting in ischemia and pain

Question 46

What is the action of nitro?

Answer 46

Dilates coronary arteries to increase blood supply and reduce preload

Question 47

Top two side effects of nitro

Answer 47

Hypotension and headache

Question 48

Pulse rate of anorexics is tachycardic or bradycardic

Answer 48

Bradycardic

Question 49

Five criteria recorded on an Apgar scale

Answer 49

Cardiac status, respiratory affect, muscle tone, neuromuscular irritability, and color

Question 50

Acrocyanosis

Answer 50

Temporary cyanotic condition usually in newborns resulting in a bluish color around the lips, hands and fingernails feet and toenails. May last for a few hours and disappear with warning.

Question 51

Most common complication of appendicitis

Answer 51

Peritonitis

Question 52

What is the name of the RLQ abdominal pain where appendicitis pain finally localizes

Answer 52

McBurney’s point

Question 53

To lessen pain place (appendicitis pt) in ___ position

Answer 53

Fowlers

Question 54

Pt with calcium nephrolithiasis diet should be

Answer 54

Acid ash

Question 55

Primary diet for tx of Utica acid nephrolithiasis (low—)

Answer 55

Low purine

Question 56

In general, cancer drugs have side effects in which three body systems

Answer 56

GI Hematologic Integumentary

Question 57

3 hematologic side effects of chemo

Answer 57

Thrombocytopenia Leukopenia Anemia

Question 58

3 objective s/s of thrombocytopenia (P.E.E)

Answer 58

Petechiae Epistaxis Ecchymosis

Question 59

3 most common drugs given to women with CD in pregnancy

Answer 59

Diuretics Heprin Digitalis

Question 60

Why is dig given to women with CD in pregnancy

Answer 60

To increase the strength of a heart, and decrease the rate, Rest the Heart while making it more efficient

Question 61

Why is heparin given to women with CD in pregnancy

Answer 61

To prevent thrombophlebitis due to venous congestion, usually in legs

Question 62

What causes cast syndrome; s/s

Answer 62

Anxiety and stress leading to sympathoadrena (shut-down of the bowels) from being in a full body cast. Nausea and vomiting due to bowel obstruction.

Question 63

Traction is used to ___ and ___ a fracture, relieve ____ ___ and prevent ___

Answer 63

Reduced and immobilize Muscle spasm Deformities

Question 64

Define cataracts

Answer 64

Opacity of the lens

Question 65

Three most common visual defects occurring with cataracts

Answer 65

Cloudiness Double vision Photophobia

Question 66

Avoid what movements after cataract surgery

Answer 66

Coughing Sneezing Bending at the waist Straining at stool Rubbing or touching eyes Rapid head movements

Question 67

What drugs are given preoperatively for cataracts surgery

Answer 67

Mydriatics Dilators Antibiotics

Question 68

Pts with celiacs don’t absorb which mineral

Answer 68

Iron

Question 69

Pts with celiac don’t absorb fats, so they don’t absorb ___ ____ ____

Answer 69

Fat soluble vitamins, A, D, E, K

Question 70

Malabsorption of which vit leads to a bleeding disorder

Answer 70

Vit K

Question 71

Central line dressings to be changed

Answer 71

Every other day

Question 72

3 types of CVA

Answer 72

Embolus Thrombus Hemmorrage

Question 73

What is hemianopsia

Answer 73

Not being able to see one half of the field of vision

Question 74

Pt doesn’t understand incoming language they have ___ aphasia

Answer 74

Receptive

Question 75

What is global aphasia

Answer 75

Both expressive and receptive

Question 76

What is apraxia

Answer 76

The loss of the ability to perform purposeful, skilled acts (brushing teeth)

Question 77

Three most common reasons for a colostomy

Answer 77

Cancer Diverticulitis Ulcerative Colitis

Question 78

R sided CHF means; s/s

Answer 78

Right ventricle has decompensated Dependent edema JVD Hepatomegaly Splenomegaly Anorexia and nausea Weight gain Nocturia diuresis Swelling of fingers and hands Increased blood pressure

Question 79

When cardiac output fails, three ways to heart will try to compensate

Answer 79

Ventricle hypertrophy Dilate Heart rate will increase

Question 80

What does cardiac decompensation mean

Answer 80

That the compensatory mechanisms (hypertrophy, dilation, tachycardia) are not working and the heart has failed

Question 81

When do you hold digitalis: Adult Child Infant

Answer 81

<60 <70 <90

Question 82

What complication is common in CHF?

Answer 82

Pulmonary edema

Question 83

Four most common toxic affects of digitalis

Answer 83

Anorexia Nausea and vomiting Yellow vision Arrhythmias

Question 84

Cushing syndrome is ____ secretion of _____, ______ and ______ ______ by the _____ ______

Answer 84

Over of glucocorticoids Mineralocorticoids, androgenic hormones Adrenal glands

Question 85

Cush man

Answer 85

Moon face with infection Buffalo hump Big trunk Thin extremities Loses potassium Keeps glucose and salt Has striations on abdomen and breasts Gynecomastia Hyrsutism Amenorrhea (if F)

Question 86

Pts with Cushing will have ____natremia ____kalemia ____glycemia

Answer 86

Hyper Hypo Hyper

Question 87

Glands affected in CF

Answer 87

Exocrine

Question 88

Top two nursing dx for pts with CF

Answer 88

Decreased airway clearance Altered nutrition or absorption

Question 89

Iontophoresis- sweat test’s for

Answer 89

CF

Question 90

What two systems/organs are the most problematic in CF

Answer 90

Lungs Pancreas

Question 91

How to evaluate activity pancreas in pt with CF

Answer 91

Observe stool for steatorrhea (oily, smelly, floating stool)

Question 92

Major problem in CF

Answer 92

Increased viscosity of the secretions of exocrine glands leading to obstruction

Question 93

Most common intervention for CF pt with a dx of decreased airway clearance is

Answer 93

Postural drainage

Question 94

Child with CF probably had hx of ____ ____ at birth

Answer 94

Meconium ileus - bowel obstruction due to thickness of stool

Question 95

Structures in brain most affected by Parkinson’s

Answer 95

Basal ganglia

Question 96

What drugs can cause a Parkinson’s-like syndrome

Answer 96

Haldol Major tranquilizers Drugs that end in -azine

Question 97

Four drugs used to teat Parkinson’s

Answer 97

Levodopa Carbidopa- levodopa (sinement) Selegiline Amantadine