NCLEX Mark Klimek Blue Book | Contains Over 2000 Q&A

Mark Klimek Blue Book 1. In Abruptio Placenta, the placenta ____________ from the uterine wall ____________. - Separates; prematurely 2. Abruptio Placenta usually occurs in (prima/multi) gravida over the age of ______ ...

Mark Klimek Blue Book 1. In Abruptio Placenta, the placenta ____________ from the uterine wall ____________. - Separates; prematurely 2. Abruptio Placenta usually occurs in (prima/multi) gravida over the age of ____________. - Multigravida, 35 (HTN, trauma, cocaine) 3. How is the bleeding of Abruptio Placenta different from that in Placenta Previa? - Usually painful; bleeding is more voluminous in placenta previa 4. 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) 5. 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 6. How is an infant delivered when Abruptio Placenta is present? - Usually C-section 7. Is there a higher or lower incidence of fetal death with Abruptio Placenta compared to Placenta Previa? - Higher 8. In what trimester does Abruptio Placenta most commonly occur? - Third 9. At what age are accidental poisonings most common? - 2 years old 10. If a child swallows a potentially poisonous substance, what should be done first? - Call for medical help 11. Should vomiting be induced after ingestion of gasoline? - No- not for gas or any other petroleum products 12. When taking a child to the ER after accidental poisoning has occurred what must accompany the child to the ER? - the suspected poison 113. An elderly client is a (high/low) risk for accidental poisoning? What about a school age child? - high - due to poor eyesight - high 14. What types of chemicals cause burns to oral mucosa when ingested? - Lye, caustic cleaners 15. Children at highest risk for seizure activity after ingestion are those who have swallowed _____________ and ______________. - drugs; insecticides 16. Can impaired skin integrity ever be an appropriate nursing diagnosis when poisoning has occurred? - Yes, when Lye or caustic agents have been ingested 17. What is the causative organism of acne? - P. acnes (propionibacterium acnes) 18. What structures are involved in acne vulgaris? - The sebaceous glands 19. Name 3 drugs given for acne? 1. Vitamin A 2. Antibiotics 3. Retinoids 20. Dietary indiscretions and uncleanliness are causes of acne? - False 21. What are the 3 causative factors in acne vulgaris? 1. Hereditary 2. Bacterial 3. Hormonal 22. Uncleanliness is a cause of acne? - False 23. What is the most common retinoid given to people with acne? - Accutane 24. Accutane is an analog of which vitamin? - Vitamin A