"If I had to do it over again, I'd life my life Ego Integrity

just about the same," is an example of

____ ____________

"Time is too short to start another life, despair

though I wish I could," is an example of
___________.

A 0 on the apgar means the is stillborn

baby

A 10 on the apgar means the in terrific health

baby is

A CD4 count of under _______ is

200
associated with the onset of opportunistic
infections.

A CD4 count of under __________ is

500
associated with the onset of AIDS-related
symptoms.

A major mental/emotional nursing Altered body image

diagnosis seen in anorexia nervosa is
___________.

Abruptio Placenta usually occurs in Multi, 35 (HTN, trauma,

(prima/multi) gravida over the age of
____________. cocaine)

Accutane is an analog of which Vitamin A

vitamin?

Temporary cyanotic condition, usually in newborns

Acrocyanosis resulting in a bluish color around the lips, hands and
fingernails, feet and toenails. May last for a few hours
and disappear with warming.
 After appendectomy, document in the bowel sounds (peristalsis)
nurses notes the return of __________

AIDS is trasmissible through blood, sexual contact, breast

what four routs? feeding, across placenta in utero

An aneurysim is an abnormal widening (it is also weakening)

_______________ of the wall of a(n)
artery.

An aneurysm can result from an

infection, syphilis
_____________ and from
____________.

An aneurysm will most affect which of the the pulse (many times the aneurysm will
following, the blood pressure or the pusle? rupture and much blood will be lost before
the blood pressure starts to change.

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

high - due to poor eyesight,
accidental poisoning? What about a school
age child? high

Anorexics are usually __________ females, 25

under the age of _____.

Apendicitis is an _________ of the inflammation, obstruction

appendix due to __________.

Apendicitis occurs most in what 15 to 35

age group?

Are all articles used by AIDS no - only those contaminated

patients double-bagged? with secretions
 At what age are accidental 2 years old
poisonings most common?

Before the client with suspected pain meds, enemas, laxatives,

appendicitis sees the physician what
should be avoided? food! NPO

By what route do you take sublingual

nitro?

Can AIDS patients leave the Yes, unless WBC's are very low
floor?

Can impaired skin integrity ever be an

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

Children at highest risk for seizure activity drugs, insecticides

after ingestion are those who have swallowed
_____________ and ______________.

Clients with AIDS (gain/lose) lose

weight?

Define azotemia? nitrogenous wastes in the blood

(increased creatinine, BUN)

Define Leukopenia decrease in wbc, indicated viral

infection

Describe the pain of angina crushing substernal chest pain

pectoris that may radiate
 Dietary indiscretions and NO
uncleanliness are causes of acne?

Do people recover from AGN? Yes, the vast majority of all clients
recover completely from it

Does AIDS require a single Yes - if WBC counts are low

room?

Does stress make acne worse? yes

(Erikson) People in late adulthood either achieve a

Ego Integrity vs. Despair sense of integrity of the self by accepting the lives
they have lived or yield to despair that their lives
cannot be relived

Everyone with angina needs False

bypass surgery? t/f

Erikson's stage of social development in which

Generativity vs. Stagnation middle-aged people begin to devote themselves more
to fulfilling one's potential and doing public service

Give 6 symptoms of HIV Anorexia, fatigue, weakness,

disease. night sweats, fever, diarrhea

HIV is present in all body Yes, but not transmitted by all,

fluids? only blood, semen and breast milk

How can AGN be prevented? By having all sore throats cultured for
strep and treating any strep infections
How do you assess fluid excess Daily weight
in the child with AGN?

How do you prevent flexion Remide the patient to straighten their

contracture of the knee after BKA? knee constantly while standing

the pain of the two is similar, the way to tell the

How do you tell if a client has difference is if nitro and rest relieve the pain. For
angina or an MI? angina, nitro and rest relieve the pain, for MI, nitro
and rest do not relieve the pain

How is an infant delivered when Usually C-section

Abruptio Placenta is present?

How is the bleeding of Abruptio Placenta pain and less voluminous in

different from that in placenta previa?
abruptio

How long should the stump be 12-24 hours

elevated to prevent post op swelling?

How long will it take for the person to see 4 to 6 weeks

results when acne is being treated?

How many minutes should lapse 5 minutes - take one nitro tab every 5
between the nitro pills you take? minutes 3 times, if no relief, call MD

How many nitro tabs can you 3

take before you call the doctor?

How often are vital sign Q4 hours with blood pressure

measurements taken in AGN?
 How often should a stump be daily
washed?

How often should the client with twice a day

acne wash his face each day?

How often should you measure the vital Q5-15 minutes for bleeding and maternal
signs, vaginal bleeding, fetal heart rate VS, continuous fetal monitoring, deliver at
during Abruptio Placenta>? earliest sign of fetal distress

If a child swallows a potentially poisonous call medical help

substance, what should be done first?

If after a right BKA, the client c/o pain in phantom limb sensation (which
his right tow, he is experiencing
_____________. is normal)

If an AIDS patient's blood contaminates a 1:10 solution of bleach and

counter top, with what di you clean?
water

If an aneurysm is ruptured how decreased LOC (restlessness), tachycardia,

hypotension - all signs of shock
would you know it?

If an aneurysm ruptures what Get them to the operating room

is the #1 priority? ASAP

If the AIDS patient has leukopenia they

protective (reverse) isolation
will be on _____________
________________.

If the client with aneurysm is physically

no, bedrest until the client is
unstable, should you encourage turning,
coughing and deep breathing? stable!
 If the patient had an AKA they should lie prone (to prevent flexion
____________ several times per day.
contracture

If you are the nurse starting the IV on the 18 (in preparation to give blood
client with Abruptia Placenta, what guage
needle should you use? if necessary)

If you care for a client who is post-op for a repair check the distal extremity (far from center)
of a femoral popliteal resection what assessment for color, temperature, pain and PULSE,
must you make every hour for the first 24 hours? also document

In Abruptio Placenta, the placenta Separates, prematurely

_______________ from the uterine
wall ____________.

In what trimester does Abruptio Third

Placenta most commonly occur?

Erikson's stage in which individuals form

Intimacy vs. Isolation
deeply personal relationships, marry, begin
families

Is dietary protein limited in Not usually, however if there is severe

AGN? azotemia then it may be restricted

Is there a higher or lower incidence of fetal

Highter
death with Abruptio Placenta compared to
Placenta Previa?

Is there anything that can be done for the Yes, if available you can get them into
client with a ruptured aneurysm before antishock trousers but not if this causes a
they get to the operating room? delay in getting them to the operating room

Kaposi's sarcoma is a cancer of skin

the ___________.
List the most common gynecologic amenorrhea
symptom of anorexia nervosa?

Name 3 drugs given for acne? Vitamin A, Antibiotics,

Retinoids

Name the 5 criteria that are Cardiac status, respiratory effort, muscle
tone, neuromuscular irritability, and color
recorded on an apgar scale

Homosexual/bisexual men, IV drug users,

Name the 5 risk groups for hemophiliacs, heterosexual partners of infected
AIDS people, newborn children of infected women

Name ways to toughen a stump so it will

push the stump against the
not breakdown due to the wear of the
prosthetic leg? wall, hitting it with a pillow

Never apply __________ to heat (it causes rupture)

the area of the appendix.

an antiviral drug used against HIV (is incorporated into

NRTI (nucleoside reverse the DNA of the virus and stops the building process;
transcriptease inhibitors) results in incomplete DNA that cannot create a new virus;
often used in combination with other drugs)

On heart rate or cardiac status, a 2 means 100

that the HR is above _______ BPM.

On the HR criteria an infant scores a "1" if greater, less than

their HR is _________ than 0 and
____________ 100

Peritonitis inflammation of the

peritoneum
 most potent of antiviral meds, inhibit cell protein synthesis that
PI's (Protease inhibitors) interferes with viral replication, does not cure but slows
progression of AIDS and prolongs life, used prophylactically, used
in AIDS to decrease viral load and opportunistic infections

T/F: AIDS patients get True

lymphomas?

The #1 contracture problem in AKA is

flexion, hip
____________ of the
_____________

The AIDS virus invades helper T-lymphocytes (or CD4 cells)

____________.

The best goal to evaluate the progress an adequate weight gain

of the client with anorexia nervosa?

The diagnosis is made when there is a 15 (weigh < 85% of normal body weight),
weight loss of _______% or more of body hospitalize if 30% weight loss
weight.

The maximum score and infant can receive 2

on any one of the criteria is

The most common symptom of a pulsating mass above the

abdominal aneurysm is: umbilicus

The post op abdominal aneurysm repair

NG tube for decompression of
client is most likely to have which type of
tube? bowel

The post op thoracic aneurysm is most Chest tube, because the chest
likely to have which type of tube?
was opened
 The pulse rate of anorexics is Bradycardic
tachycardic or bradycardic?

The total apgar score can range 0 to 10

from

The typical pneumonia of AIDS is caused Pneumocystic carinii

by ___________ ____________.

To lessen pain place the client in fowlers (a sitting position) (also

___________ position. use post op)

To prevent post-op swelling, the elevated

stump should be __________.

What activity order is the client with an Bedrest. do not get these people
aneurysm supposed to have?
up

What are comedones? Blackheads and white heads

What are the 3 causative factors Heredity, Bacterial, Hormonal

in acne vulgaris?

What are the first signs of Puffiness of face, dark urine

AGN?

What are the three adult stages early adulthood, middle

of development called adulthood and later adulthood
What are the top 2 side effects headache and hypotension
of nitro?

What are the urinaysis findings 2 to 3 weeks after initial

on AGN? infection

What artery is widened in a the aorta

thoracic aneurysm?

What blood count is elevated in WBC

appendicitis?

What causes angina pectoris? Decreased blood supply to myocardium,

resulting in ischemia and pain

What class of drugs is the client with an Antihypertensives

aneurysm most likely to be on?

What do NRTI's and PI's do? They prevent viral replication

What does AKA mean? Above the knee amputation

What does BKA mean? Below the knee amputation

What does the physician hope to achieve A delayed onset of AIDS for as long as
with NRTI's and PI's for HIV? possible (usually can delay onset for 10-15
years)
 What drug treates angina Nitroglycerine
pectoris?

What follows the RUQ abd pain N/V

of appendicitis?

What happens to the kidney in It becomes clogged with antigen-antibody

complexes which then cause inflammation
AGN? and loss of function.

What instructions do you give to a Take it on an empty stomach and

client taking tetracycline? avoid the sunlight (photosensitivity)

What is found over the body of the lanugo

client with anorexia nervosa?

What is present when rebound Peritoneal inflammation

tenderness is present?

What is the #1 cancer that AIDS Kaposi's sarcoma

patients get?

What is the #1 contracture Flexion of the knee

problem after BKA?

What is the action of nitro? dilates coronary arteries to increase blood

supply (O2 supply) and reduces preload.

What is the age range for early 19 to 35 years of age

adulthood?
What is the age range for late 64 years of age to death
adulthood?

What is the age range for 35 to 64 years of age

middle adulthood?

What is the antibiotic most commonly Tetracycline

given to clients with acne?

What is the apgar scale? quick objective way to evaluate the

vital functions of the newborn

What is the best indicator of The serum creatinine

renal function?

What is the BIG danger with Rupture, leads to shock and

aneurysms of any type? death

What is the causative organism P. acnes (propionibacterium

of acne? acnes)

What is the developmental task Intimacy vs. Isolation

for early adulthood?

What is the developmental task Ego Integrity vs. Despair

for later adulthood?

What is the developmental task Generativity vs. stagnation.

for middle adulthood?
 What is the first sign of right upper quadrant pain
appendicitis?

What is the first test for HIV ELISA

antibodies?

What is the hightes that the 102 F

temp will be in appendicitis?

What is the most challenging aspect of The number of pills that must be taken in 24 hours
combination of drug therapy for HIV can be overwhelming. The frequency also makes it
disease? hard to remember-an alarm wristwatch is used.

What is the most common Peritonitis

complication of appendicitis?

What is the most common Moderate sodium restriction. Fluid

dietary restriction for AGN? restriction is #2 if edema is severe.

What is the most common AZT (zidovudine)

NRTI used?

What is the most common retinoid Accutane

given to people with acne?

What is the most common side effect birth defects

of accutane and Tetracycline?

What is the most important Bedrest - they can walk if hematuria,

intervention in treating AGN? edema and hypertension are gone.
 What is the name for an Leukocytosis
elevated WBC?

What is the name of the RLQ abd pain McBirney's point

where appendicitis pain finally localizes?

What is the only treatment surgery - appendectomy

recommended for appendicitis?

What is the top priority in the care of the intake of enough food to keep
client with anorexia nervosa?
them alive, have them gain weight

What lab findings are present Decreased RBC's, WBC's and

in AIDS? platelets

What organism causes acute Group A beta hemolytic strep

glomerular nephritis?

What precaution must the nurse take wear gloves, nurse may get a
when administering topical nitro paste?
dose of the med

What structures are involved in The sebaceous glands

acne vulgaris?

What test confirms the ELISA? Western Blot

What type of oral/esophageal Candida

infections do AIDS patients get?
What types of chemicals cause burns Lye, caustic cleaners
to oral mucosa when ingested?

What virus causes AIDS? HIV - Human

immunodeficiency virus

What will prevent hip flexion Lying prone several times a day
contracture after AKA?

When a stump is wrapped, the bandage distally (far from the center),
should be tightest _____________ and
loosest _____________.
proximally (neareast to the point)

When do you need a gown with If you are going to get

AIDS? contaminated with secretions

When do you need a mask with Not usually unless they have an
AIDS? infection caused by an airborne bug

When do you need goggles with Suctioning, central line start,

AIDS? arterial procedures

When is apgar scoring at one minute and again at 5

performed on infants? minutes after the birth

When taking a child to the ER after the suspected poison

accidental poisoning has occurred what
must accompany the child to the ER?

When the AIDS patient has a low bleeding precautions; No IM's, no rectal
platelet count, what is indicated? temperatures, other bleeding precautions
 When will phantom limb in a few months
sensation subside?

Where does the pain of RLQ

appendicitis finally end up?

Which 2 classes of drugs are given in NRTI's (nucleoside reverse transcriptease

combination for HIV sero-positivity? inhibitors) and PI's (protease inhibitors)

Which aneurysm is most likely the abdominal is most often

to have no symptoms? "silent"

Which test is the best indicator of the CD4 count

progress of HIV disease?

Which vital signs are most important to The pulse and blood pressure
measure in clients with aneurysm?

Will the client have hypo or Hypertension, because of fluid

hyper tension with AGN? Why? retention

Without leukopenia the AIDS patient will Standard precautions or blood

be on ____________ precautions.
and body fluid precautions