Mark Klimek Blue Book Study Guide

What does a score of 0 on the APGAR mean?

The baby is stillborn.

What is the #1 contracture problem in AKA?

Flexion of the hip.

What is the #1 danger in both Myasthenic and Cholinergic crisis?

Respiratory arrest.

What is the #1 danger when using the dorsogluteal site for IM injection?

Damage to the sciatic nerve.

How many mg are in 1 g?

1000 mg.

How many grains are in 1 gm?

15 gr.

What is the #1 goal in emergency treatment of spinal cord injury?

Immobilization of the spine.

How many mg are in 1 gr?

60 mg.

How many cm are in 1 inch?

2.5 cm.

How many cc are in 1 kg?

1000 cc.

How many lbs are in 1 kg?

2.2 lbs.

How many cc are in 1 L?

1000 cc.

How many cc are in 1 ml?

1 cc.

How many cc are in 1 oz?

30 cc.

What is the #1 problem with central lines?

Infection.

What is the #1 sign of Myasthenia Gravis?

Severe muscle weakness.

How many tsp are in 1 tbs?

3 tsp.

How many cc are in 1 tbs?

15 cc.

How many cc are in 1 tsp?

4 to 5 cc.

What are the two most common surgeries used to treat spinal cord injury?

Laminectomy and spinal fusion.

What does the 2nd stage of labor and delivery accomplish?

Delivery of the infant.

What does the 2nd stage of labor and delivery begin with and end with?

Begins with full dilation and ends with delivery of the infant.

How long does the 2nd stage of labor last for a primagravida and multigravida?

1 1/2 hours for primagravida and 1/2 hour for multigravida.

What does the 3rd stage of labor and delivery accomplish?

Expulsion of the placenta.

How long does the 3rd stage of labor last?

Less than one hour.

What weeks does the 3rd trimester go from and to?

From week 28 to week 40.

What age range is considered a preschooler?

3 to 6 years.

What age range is considered school age?

6 to 12 years.

What does a score of 10 on the APGAR mean?

The baby is in terrific health.

What age range is considered an adolescent?

12 to 20 years.

What age range is considered a toddler?

18 months to 3 years.

What age range is considered a young adult?

18 to 25 years.

What percentage of single-parent families are headed by females?

90%.

What is the abnormal hemoglobin produced by people with sickle cell anemia called?

Hgb S.

What is abnormally high blood pressure called?

Hypertension.

In which gravida does Abruptio Placenta usually occur over the age of 35?

Multigravida.

What is the width of the cuff used to obtain accurate blood pressure?

Two-thirds of the arm.

Accutane is an analog of which vitamin?

Vitamin A.

What does the Acid Ash diet do?

Decreases pH (makes urine acid).

What is acrocyanosis?

Temporary cyanotic condition in newborns.

What is the activity order in early management of CVA?

Absolute Bed Rest.

Are adolescents at low or high risk for suicide?

High.

What do adolescents fear when hospitalized?

Separation from peers and loss of independence.

What is Adriamycin known for?

Cardiotoxicity.

What defines an aerobe?

Micro-organisms requiring free oxygen to live.

After administration of a vaginal drug, how long should the client remain supine?

10 minutes.

After advancing a Penrose drain, should you cut off the excess drain?

Should.

What should be documented in the nurses notes after appendectomy?

Return of bowel sounds (peristalsis).

What device will the baby wear after cleft lip repair?

A Logan bow.

How should a client be turned after corrective surgery in a body cast?

Log rolled.

How is contact maintained with a rape victim after discharge?

Via telephone.

What must the nurse check in the mouth of a CVA client after meals?

For food in the cheek.

Does endometriosis increase or decrease after menopause?

Decreases.

What follow-up exam/test does a woman need after rape?

For sexually transmitted diseases (STDs).

After receiving ear drops, how long should the client remain in side lying position?

5 minutes.

Is the infant allowed to cry or breastfeed after cleft lip repair?

No, the infant should be held to prevent crying and is not allowed to breastfeed.

How long after surgery to remove an ovarian cyst can a woman return to normal activities?

4-6 weeks.

How long should you inspect for lice after treatment?

For 2 weeks.

After using nose drops, how long should the client remain supine?

5 minutes.

What must you do before putting on a sterile dressing?

Wash your hands and put on sterile gloves.

Does aging decrease the risk of hypertension?

False, it increases the risk.

Through what four routes is AIDS transmissible?

Blood, sexual contact, breast feeding, across placenta in utero.

What type of cells does the AIDS virus invade?

T-lymphocytes (or CD4 cells).

How do airborne microorganisms travel?

On dust or water particles.

What should Aldactone be given with?

Meals (K-sparing diuretic).

What should Allopurinol be given with?

Meals and lots of water.

Is amniotic fluid acidic or alkaline?

Alkaline.

What color does amniotic fluid turn nitrazine paper?

Deep blue.

What defines an anaerobe?

Micro-organisms that do not require free oxygen to live.

What is an aneurysm?

An abnormal widening of the wall of an artery.

What can cause an aneurysm?

Infection and syphilis.

What does an aneurysm most affect, blood pressure or pulse?

The pulse.

Who are anorexics usually?

Females under the age of 25.

What is another name for medical asepsis?

Clean technique.

What is another name for surgical asepsis?

Sterile technique.

When should antacids be given?

On an empty stomach, 1 hour before meals and at bedtime.

What does the prefix 'ante-' mean?

Before in time or place.

What is an antibiotic?

A drug that destroys or inhibits growth of micro-organisms.

Are antibiotics used to treat breast engorgement?

False.

What type of side effects will anticholinesterases have?

Cholinergic.

What do cholinergic drugs mimic?

The parasympathetic nervous system.

What is an example of an anticholinergic drug?

Atropine.

What effect do anticholinergic drugs have on pupils?

They dilate pupils.

What is an antiseptic?

A substance used to destroy or inhibit the growth of pathogens but not necessarily their spores.

What are anxiety-producing thoughts called?

Obsessions.

What is appendicitis?

An inflammation of the appendix due to obstruction.

In which age group does appendicitis most commonly occur?

15 to 35 years.

In which hemisphere of the brain does aphasia most commonly occur after a stroke?

Dominant hemisphere.

What is the preferred treatment for breast engorgement?

Ice packs to decrease swelling.

What should be done with articles used by AIDS patients?

Only contaminated articles should be double-bagged.

Are anticholinesterases sympathetic or parasympathetic?

Parasympathetic.

Are diuretics used for women with pre-eclampsia?

Yes.

Are eggs allowed on a gluten-free diet?

Yes.

Are enemas common before a hysterectomy?

Yes.

Are enemas required before cystoscopy?

No, but may be ordered.

Are fats a normal constituent of feces?

Yes, but it should be within normal limits.

Are foods made with wheat, oat, or rye flour allowed?

No.

Are Heberden's nodes painful?

Not in the beginning, can be later as swelling occurs.

Are meats allowed on a gluten-free diet?

Yes, but watch for breaded meats.

Are migraine headaches usually unilateral or bilateral?

Unilateral.