Blue Book NCLEX Review notes

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BullBOOKNCLEXREVIEW NOTESMURSING*EXAMSvcceti

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Blue BookNUTRITIONName the 5/6 essential nutrientsCarbs, fats, proteins, vitamins, minerals, waterThe major source of energy for the body is...CarbsCarbs provide ____ Kcalories per 1 gram4Sucrose is a sugar found in_______ anc_______Fruits, veggiesLactose is a sugar found in?MilkWhat is glycogen?It is a stored formed of glucose/energy manufactured by the liverIs glycogen eaten in foods?NO ft is a stored form of glucose manufactured by the live fWhen the body does not receive enough carbs, it burns____&___.The most con centrated source of ene rgy for th e body isprotein fatsFats’Fats provide________ Kcalories per 1 gram9Fats carry vitaminsA D E KThe nutrient needed most for growth and repair of tissues isProtein (second best is Vrt C|Proteins provide__________Kcalories per 1 gram.4Vitamins and minerals provide energy for the body. |T/F)False—they are necessary for a body's chemical reactionsWater is present in ALL body tissues. (T/F)True (even bone)tater accounts forto% of an adLilt's tota 1 weig ht50% to 60%fsiName the four basic food groupstater accounts for ___ to ___96 of an infant's total weightMilkcheese meatlegumes vegeta blesfru'rts breadcereal70 75An individual is overweight if they are ___% above the ideal weight16An individual is obese if they weigh __96 above the ideal weight20INFANTSCan you use cotton swabs to dean the eyes, nares or ears ofan infant?No, this is dangerousCan you use the same cotton ball/washckith edge for both eyes?No it would cross contaminateWhat temperature is appropriate for the water used to batheaninfant?100-105How should the temperature of the water be tested is nothermometer is available?1—Dropping wate r on inside surface of yo ur forearmWhen cleansing an infant's eye, cleanse from outer to innercanthus?No, inner to outerShould you retract the foreskin of a 5-week-old male,uncircumcised infant to dear sc the area?—W hen sponge-bathing wit h te oid water the correct te m p isNo, not until foreskin retracts naturally and withoutresistance—then it should be retracted, cleansed & replaced9®6FThe primary reason why an infant is draped during the bath isto provide privacy.T/F)False, the primary purpose of draping is to prevent chilling.You may use friction to remove vernix caseosa from an infant'sskin. (T/F)False, it causes damage/bruisingWhat solution is commonly used for care of umbilical cord?7096 alcohol to promote drying (trend is toward soap fi. water)BELLSPALSYWhat cranial nerve is affected in Bell's Palsy?#7, facial nerveWhat is the #1 symptom of Bell's Palsy?Onesided (unilateral) facial paralysisComp lete recovery from the pa ralysis of Bel I's PaIsy sho uIdoccur intomonths.4 to 61In addition to the facial paralysis, the sense of ___ is also affectedtastetill the patient be able to close their eye on the affected sidenoGive thre e eye inte rventions for t he client wit h Bell 's PaIsyDark glasses, artificial tears, cover eye at night

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MEN'5 PROSTATEAs the prostate enlarges it compresses the______ and causesurln ary______.Urethra, retentionAt what age does BPH occur?Men over 50 y/ oWhat does BPH stand for?Benign Prostatic HypertrophyIN BPH the man has (intreased/decreased) frequency of urinationIncreasedIn BPH the force of the urinary stream is [increased/decreased)DecreasedThe man with BPH has a_________-stream of urineForkedThe man with BPH has hesitancy. What does this mean?Difficulty starting to voidWill the man with BPH have enuresis, nocturia or hematuria?Enuresis—NoNocturia—YesHematuria—MaybeEnuresis1n abi lity to cont ra 1the flow of uline & invo luntary u tin ati onWhat is the best way to screen men forBPH?Digital rectal ExamShould fluids be forced or restricted in BPH?ForcedWhat does TURF stand for?Transurethral resection of the prostateThe most radical prostate surgery is the_____ prostatectomyPerinealWhat type of diet is used in BPH?Acid AshAcid Ash dietDecrease pH I makes urine acid)Chz, eggs, Meat, fish, oysters, poultry, Bread, Cereal, WholeGrains, Pastries, Cranberries, Prunes, Plums, Tomatoes,Peas, Com, Legumes.BLADDER Tx?What is the primary purpose of a 3-way continuous bladderirrigation (CBI) after TURP?To keep the catheter clear of clots and to drain urineW hat solution is used for CBI?Normal saline (0.9 NaCI)How fast do you run the CBI?At whatever rate it takes to keep the urine flowing & free of clotsWhat drug is used to treat bladder spasm?'BSD suppositories (Belladonna & Opiates)PROCTECTOMYShould you take a rectal temp after prostatectomy? Give stoolsofteners?No rectal temperatures, yes stool softenersYou should call the MD after TURP when you see ______ thick______, _____ clots, and_____ urine drainage on the dressing.Bright thick blood, persistent clots, persistent urine on dressing(don't call MD for transitory dots 3. urine on dressing.)If yo u see an increa se in bl ood content of uri ne comi ng out ofthe catheter, you would first___________.Pull caref ully on t he cat hete r to apply loca 1pressure on theprostate with the Foley balloon.If you see clots in the tubing, you would first_________.1ncteas e t he flow-rateWhat exercises should the post proctectomy patient do upondischarge? Why?Perineal exercises, start and stop stream of urine, becausedribbling is a common but temporary problem post opWill the post proctectomy patient be impotent?If TURP, no impotence, if perineal prostatectomy, yes impotenceFOLEY CAREHow often should the drainage bag be emptied?Every S hoursWhat is the most common problem due to catheterization?UTIWhat is the most common organism to cause UTI withcatheterization?E. coliW hat is t he most common route for orga nisms to enter thebladder when a catheterization is used?Up through the inside of the catheter in the days followingcatheterizationName foods that make acid urineCranberry juice, apple juice [avoid citrus juices- they makealkaline urine |What is important about the level of the urinary drainage bag?Never have the bag at a higher level than the bladder.How is the catheter taped in a male client?To the lateral thigh or abdomenHow is the catheter taped in = female client?To the upper thigh

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What urinary pH prevents UT1?Acidity, low pHShould the drainage bag ever touch the floor?NOIs it ok to routinely irrigate indwelling catheters?NOWhat agents are best for catheter care?Soap Sc WaterWhat is the most effective way to decrease UTI with catheters?Keep the drainage system closed, do not disconnect junctionof tubingGive some signs of infection in a Foley catheterCloudy urine, foul smelling urine, hematuriaIs urinary incontinence an indication for catheterization?Give 3 appropriate indications for bladder catheterization?NOUrinary retention, to check for residual, to monitor hourlyoutputWhat are the top 2 diagnoses for a client with a catheter?Which is#l?#1- Potential for infection; Potential impairment of urethraltissue integrityBLOOD PRESSUREWhat is systole?The M AXIM AL force of blood o n artery waIlsWhat is diastole?The LOWEST force of blood on artery wallsAccurate blood pressure is obtained by using a cuff that haswidth of_________the arm.Two-thirdsWhich artery Is most commonly used to measure bloodpressure?BrachialCan the thigh EVER be used to obtain a blood pressure?Yes, but this is rareWhen pressure is auscultated the 1st sound heard is the____measurement.SystolicThe change in the character of the sounds is known as the ____1st diastolic soundThe cessation of sounds is known asthe________2nd diastolic soundWhen 2 values are givenina blood pressure th e first is the_ _ _measurement.SystolicWhen 2 values are given in a blood pressure, the bottomnumber stands for the change in sounds or cessation of sounds?Cessation of soundsWhat is the normal adult blood pressure?120/80Abnormally high blood pressure is callee ___________HypertensionWhat is the pulse pressure?The difference between the systolic & diastolic BPIf you deflate a cuff TOO SLOWLY, the reading will be too highor low? Why?High, venous congestion makes the arterial pressure higher(increases resistance;If you use too narrow of a cuff the reading will be too high orlow?HighVasoconstriction wi11 __________blood pressure.IncreaseVasodilation willblood pressure.DecreaseShock will__________blood pressure.DecreaseIncreased intracranial pressure will_____the pulse pressureIncrease or widenIf my blood pressure is 190/1ID, what is my pulse pressure?80 mmHgBLOOD TRANSFUSIONWhatblood test must be done before a transfusion?Type and cross matchWhat does a type and cross match indicate?Whether the client's blood and donor blood are compatible.What should the nurse measure before starting a transfusion?Vital signsWith what solution should blood be transfused?0.9 normal salineHow many nurses are required to check the blood?2 nursesWhat happens when blood is administered with Dextrose IVs?If a transfusion reaction occurs what should the nurse do first?The cells clump together & don't flow wellStop the blood flow Si start running the salineHow long can a unit of blc-od be on the unit before it must oeLess than 1/2 hour

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What should the nurse do with the IV line if transfusionreaction is suspected?Keep it open with salineIf a transfusion reaction is suspected, what two samples arecollected and sent to the lab?Urine 3. bloodIf unit of blood is infused through a centra 1line it mustbe ____warmedWhich of the following are signs of transfusion reaction?Bradycardia, Fever, Hives, Wheezing, Increased BP, Low Back PainLow back pain, wheezing, fever, hivesWhat are 3 types of transfusion reactions that can occur?Hemolytic, febrile, allergicWhat would you do l’xif you suspected transfusion reaction?Stop the blood and start the salineWhat are the signs & symptoms of a hemolytic transfusionreaction?Shivering, HA, low back pain, increased pulse 3 respirations,decreasing BP, oliguria, hematuriaWhat are the signs & symptoms of a febrile transfusionreaction?Low back pain, shaking HA, increasing temperature,confusion, hemoptysisWhat are the signs & symptoms of an allergic reaction to atransfusion?Hives- urticaria, wheezing, pruritus, joint pain, [arthralgia)Give 3 reasons for a blood transfusionRestore blood volume secondary to hemorrhage, maintainhemoglobin in anemia, replace specific blood componentsWhat does blood-typing mean?Check for surface antigen on the red blood cellWhen does typing and cross matching need to be done?Whenever a client gets a blood product. Its only good for 24hoursWhat does blood cross matching mean?Mixing a little of the client's blood with the donor blood andlooking for agglutination.When are hemolytic transfusion reactions likely to occur?In the first 10 to 15 minutesWhen is a febrile reaction likely to occur?Within 30 minutes of beginning the transfusionWhat test identifies Rh factor?Coombs test detects antibodies to RhWhat's the difference between whole blood & packed cells?Packed cells don't have nearly as much plasma or volume aswhole blood doesWhat would you do if the client had an increasing temperature3. was to get blood?Call the MD because blood is often held with an elevatedtemperatureHow long should it take for one unit of blood to infuse?From one hour to three hoursHow long should you stay with the patient after beginning atransfusion?At least 15 to 30 minutesWhat blood type is the universal recipient?ABWhat blood type is the universal donor?□What is the routine for vital sign measurement with atransfusion?Once before administrationQL5 x 2 after administration is begunQ I x l after transfusion has stopoedWhat IV solution is hung with a blood transfusion?0.9 normal saline (No glucose)What gauge needle is used with a blood transfusion?Large gauge, IS gaugeWhat other things are appropriate after a reaction?Call MD, get a blood sample, get urine sample, monitor vitals,send blood to labCan blood be given immediately after removal from refrigeration?No, it has to be warm ed first for only abo ut 20 to 30 m inBREASTFEEDINGWith what solution 3. when should a breast-feeding mothercleanse the areola?Plain water, before £ after each feedingFor a woman who doesn't have retracted nipples, is toweldrying or air drying better?Air drying of nipples is bestThe goal is for the infant to breast feed for_____ min per side.20How does the mother break the suction of the breast feedinginfant?She inserts her little finger into the side of the infant'smouthWhen should the breastfeeding infant be burped?After feeding from each breastAssuming no mastitis, on which side should the breastfeedingbegin?Begin nursing on the side that the baby finished on the lastfeeding

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How long can breast milk be refrigerated?24 hoursHow long can breast milk be frozen?S monthsIn what type of contai ner sho uId breast mi Ik b e stored?Sealed plastic bagsCanya u m icrowave frozen bre ast m ilk to warm/thaw it?NeverWhich two nutrients is breast milk lower in?Fluoride and ironWhat should you tell a breast-feeding mother about her milksupply when she goes home from the hospital?Milk should come in postpartum day 3. Breastfeed every 2-3hours to establish good milk supply.Canawoman onoral contraceptives breastfed?Should not use OCP during the first 5 wks after birth becausethe hormones may decrease milk supply.Estrogen is not recommended. Non-horrroral methods arerecommended. Remember, breastfeeding is an unreliablecontraceptive.BUERGERSWhat is another name for Buerger's disease?Thromboangltis obliteransWhich extremities are affected byIt?Lower onlyWhich sex does it affect the most often?MalesThe group with the highest incidence of Buerger's disease isSmokersUpon walking the patient with buerger's experiences _______Intermittent ClaudicationWhatis intermittent claudication?Pain in calf upon walkingBURNSAfirst-degree burn is pale or red?RedA first-degree burn has vesicles [T/F)?FalseA second-degree burn is pale or red?RedA second-degree burn is dull or shiny?ShinyA second-degree burn has vesides. (T/F)TrueA second-degree burn is wet or dry?WetA third-degree burn is white or red?WhiteA third-degree burn is wet or dry?DryA third-degree burn is hard or soft?hardOf lrt, 2r iand 3rddegree burns which has less pain? Why?Third degree burns, nerve damage has occurredFdr what purpose do you use the ru le of ni nes ?Toestimate the percentage of body surface burned; is NOTused for children.In the rule of nines, the head and neck receive ____: each armrece ives _______.9%, 9%In the rule of nines, the front trunk gets _______, the posteriortrunk gets ____, each leg gets ____andthe genitalia gets ____.18%, 18%, 18%, 1%What is the only IM given to a burn patient?Tetanus toxoid- if they had a previous Immunization; tetanusantitoxin- if they have never been Immunized before [orimmune globulin)In the emergent phase do you cover burns? (in the field)Ves, with anything clean and dry.Should you remove adhered clothing?NoName the 3 phases of burnShock, diuretic, recoveryFluid moves from the _____tothe______intheSHOCK phase.Bloodstream, interstitial spaceThe shock phase lasts for the T:___ to ____ hours afteraburn.24 to 48 hoursDuring shock phase of a burn is potassium increased ordecreased? Why?Increased, because of all the cells damaged- the K+ isreleased from damaged cells.What acid-base disorder is seen in the shock phase of a bum?PJetabolic AcidosisWhat is the #1 therapy In the shock phase?Fluid repla cement/resuscitati onW hat is t he sim pie formula for caleulatin g fl uid repla ceme ntneedsinthe first 24 hours?3ccXKgX %burned per day

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If the MD orders 2,B00 co of fluid in the first 24 hours after abum, one-_______of it must be infused in the first 8 hours.Half (or 1,430 cc)What blood value will dictate IV flow rate?The hematocritHow will you know the patient has entered the fluidmobilization or diuretic phase?The urine output will increaseHow long does the fluid mobilization or diuretic phase of abum last?2 to S daysIn the diuretic phase, K+ levels fall or rise?Fall- remember diuresis always causes hypokalemiaIf the nurse accidentally runs the IVs at the shock phase rateduring the diuretic phase the patient will experience?Pulmonary edemaThe burn patient will be on____urine output & dally_____.Hourly, weightSulfamyon cream __________.BurnsSilver nitrate cream__________the_______Stains, skinPain medications should be administered __________ before__________ care.30 minutes, wound careWhen using silver nitrate, the dressings must be kept______.WetWhat is Curlings ulcer? Why is it a problem in burn patients?What drug prevents it?It is a stress Gl ulcer; you get these with any severe physicalstress. Tagamet, Zantac, Pepcid (any H2 receptor antagonist),Protonix PrilosecABRUPTION PLACENTAIn Abruptio Placenta, the placenta________from the uterinewall ___________.Separates, prematurelyAbruptio Placenta usually occurs in (prima/multi) gravida overthe age of___________Multigravida, 35 (HTN, trauma, cocaine)How is t he bleeding of Abrupti o Placenta diffe rent from that inplacenta previa?usually pain; bleeding is more voluminous in previaIf you are the nurse starting the IV on the client with AbruptiaPlacenta, what gauge needle should you use?IB (in preparation to give blood if necessary)How often should you measure the vital signs, vaginalbleeding, fetal heart rate during Abruptio Placenta>?Q5-15 minutes for bleeding and maternal VS, continuousfetal monitoring, deliver at earliest sign of fetal distressHow is an infant delivered when Abruptio Placenta is present?Usually C-sectlonIs there a higher or lower incidence of fetal death withAbruptio Placenta compared to Placenta Previa?Higher1n what tri mester does Abruptio Placenta most commonlyoccur?3rdPOSIONINGAt what age are accidental poisonings most common?2 years oldIf a chilld swallows a potentially poisonous substance, whatshould be done first?Call medical helpShould vomiting be induced after ingestion of gasoline?No- not for gas or any other petroleum productsWhen taking a child to the ER after accidental poisoning hasoccurred what must accompany the child to the ER?the suspected poisonAn elderly d ent is a (high/low) risk for accidental poisoning?What aoout a schoo1age chi Id?high - due to poor eyesight, highWhat types of chemicals cause burns to oral mucosa wheningested?Lye, cauStic clear ersChildren at highest risk for seizure activity after ingestion arethose who have swallowed________and_________drugs, insecticidesCan Impaired skin integrity ever be an appro priate nursln gdiagnosis when poisoning has occurred?Yes, when lye or caustic agents have been ingested

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IACNEWhat is the causative organism of acne?P. acnes (Prop ion ibacterium acres)W hat structures are involved! In acne vulgaris?The sebaceous glandsName 3 drugs given for acne?Vitamin A, Antibiotics, Retinoids□ieta ry ir*discrations and unclean liness are causes of acne ?FalseWhat are the 3 causative factors in acne vulgaris?Heredity,. Bacterial, HormonalUncleanliness is a cause of acne?FalseWhat is the most common retinoid given to people with acne?AccutaneAccuta ne is an analog of w hlch vitam in ?Vitamin AWhat is most common side effect of Accutane? And what Ismost important in health teaching in administration?Inflammation of the lips; Causes birth defectsWhat is the antibiotic most commonly given to clients with acne?TetracyclineHow long will it take for the person to see results when acne isbeing treated?4 to 5 weeksDoes stress make acne worse?YesHow often should the client with acne wash his face each day?Twice a dayWhat instructions do you give to a client taking tetracycline?Take it on an empty stomach 3. avoid sunlight(photosensitivity)What are comedones?Blackheads and white headsHIV/AIDSW hat viru s causes Al DS?HIV - Human immunodeficiency virusThe AIDS virus invades helpep____________.T-lymphocytes (or CD4 cells)AIDS is transmissible through what four routs?blood, sexual contact, breast feeding, across placenta in uteroHIV is present in all body fluids?Yes, but rot transmitted by all, only blood, semen & breast milkName the 5 risk groups for AIDSHomo/bisexual men, IV drug users, hemophiliacs, heterosexualpartners of infected people, newborn children of infected womenWhat is the first test for HIV antibodies?EUSAWhat test confirms the ELISA?Western BlotWhich test is the best indicator of the progress of HIV disease?CD4 countA CD4 count of under________Is associated with the onset ofAl DS-related symptoms.500A CD4 count of under________Is associated with the onset ofo pportu nistlc infections.200Give 5 symptoms of HIV disease.Anorexia, fatigue, weakness, night sweats, fever, diarrheaWhich 2 classes of drugs are given in combination for HIV sero-positivity?NRTl's (nucleoside reverse transcriptase inhibitors) and Pl's(protease inhibitors)They prevent viral replication.NRTI (nucleoside reverse transcriptase Inhibitors)ar antiviral drug used against HIV (is incorporated into the DNAof the virus and stops the building process; results in incompleteDNA that cannot create a new virus; often used in combinationwith other drugs)Pl's (Protease inhibitors)most potent of antiviral meds, inhibit cell protein synthesis thatinterferes with viral replication, does not cure but slowsprogression of AIDS and prolongs life, used prophylactically, usedin AIDS to decrease viral load and opportunistic infectionsWhat do NRTl's and Pl's do?They prevent viral replicationWhat does the physician hope to achieve with NRTl's and Pl'sfor HIV?A delayed onset of AIDS for as long as possible (usually candelay onset for 10-15 years)What is the most common NRTI used?AZT (zidovudine)What is the most challenging aspect of combination of drugtherapy for HIV disease?The number of pills that must be taken in 24 hrs can beoverwhelming. The frequency also makes it hard to ramember-an alarm wristwatch is used.Clients with AIDS Igain/lose) weight?lose

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The typical pneumonia of AIDS is caused by ________________.Pneumocystic carinliWhat type of oral/esophagea infections do AIDS patients get?CandidaWhat is the #1 cancer that AIDS patients get?Kaposi's sarcomaKaposi's sarcoma is a cancer of the___________.SkinT/F: AIDS patients get lymphomas?TrueWhat lab findings are present in AIDS?Decreased RBC's, WBC's and plateletsIf the AIDS pati ent has leukopenia they will be on__________protective (reverse) isolationDefine Leukopeniadecrease in wbc, indicated viral infectionW i t h o u t leukopenia the AIDS patient will be on__________precautions.Standard precautions or blood and body fluid precautionsWhen the AIDS patient has a low platelet count, what is indicated?bleeding precautions; No IM's, no rectal temperatures, otherbleeding precautionsDoes AIDS require a single room?Yes - if WBC counts are lowWhen do you need a gownwithAIDS?If you are going to get contaminated with secretionsWhen do you need a mask with AIDS?Not usually unless they have an infection caused by anairborne bugWhen do you need goggles with AIDS?Suctioning, central line start, arterial proceduresIf an AIDS patient's blood contaminates a co unte r-to p, withwhat do you clean?1:10 solution of bleach and waterAre all articles used by AIDS patients double-bagged?no - only those contaminated with secretionsCan AIDS patients leave the floor?Yes, unless WBC's are very lowACUTEGLOMERULONEPHRITISIs dietary protein limited in AGN?Not usually, however if there is severe azotemia then it may berestrictedDefine azotemia?nitrogenous wastes in the blood (increased creatinine, BUN)What is the best indicator of renal function?The serum creatinineDo people recover from AGN?Yes, the vast majority of all clients recover completely from itHow can AGN be prevented?By ha ving aII sore t hroats cultured fo r stre p and treati ng anystrep infectionsWhat is the most important intervention in treating AGN?Bedrest - they can walk if hematuria, edema & hypertension aregone.What is the most common dietary restriction for AGN?Moderate sodium restriction. Fluid restriction is #2 if edema issevere.What are the urinalysis findings on AGN?HematuriaProteinuria +3 to +4Specific gravity UpHow long after strep infection does AGN develop?2 to 3 weeks after initial infectionHow do you assess fluid excess in the child with AGN?Daily weightWhat organism causes acute glomerular nephritis?Group A beta hemolytic strepWhat happens to the kidney in AGN?It becomes clogged with antigen-antibody complexes whichthen cause inflammation and loss of function.How often are vital sign measurements taker in AGN?Q4 hours with blood pressureWill the client have hypo Dr hypertension with AGN? Why?Hypertension, because of fluid retentionWhat are the first signs of AGN?Puffiness of face, dark urineCHILDHOOD DEVELOPMENTWhat are the three adult stages of development calledearly adulthood, middle adulthood and later adulthoodWhat is the age range for early adulthood?19 to 35 years of ageWhat is the age range for middle adulthood?35 to 64 years of ageWhat is the age range for late adulthood?64 years of age to deathWhat is the developmental task for early adulthood?Intimacy vs. IsolationW hat is t he deve lopm enta 1ta sk for middle adulthood?Generativity vs. stagnation.

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Intimacy vs. IsolationErikson's stage in which individuals form deeply personalrelationships, marry, begin familiesGenerativity vs. StagnationErikson's stage of social development in which middle-agedpeo ple begin to devote the mseIves m ore to fulfilling one 'spotential and doing public serviceWhat is the developmental task for later adulthood?Ego Integrity vs. DespairEgo Integrity vs. Despair(Erikson; People in late adulthood either achieve a sense ofintegrity of the self by accepting the lives they have lived oryield to despair that their lives cannot be relivedTime is too short to start another life, though 1 wish 1could,"is an example of ___________.despair“If 1had to do it over aga'rrI'd life my life just about thesame," is an example of_____________Ego IntegrityAMPUTATIONSWhat does AKA mean?Above the knee amputationWhat does BKA mean?Below the knee amputationIf the patient had an AKA they should lie_ _several times per dayProne (to prevent flexion contracture|The #1 contracture problem in AKA is______of the_____Flexion, hipWhat will prevent hip flexion contracture after AKA?Lying prone several times a dayWhat is the £*1contracture problem after BKA?Flexion of the kneeHow do you prevent flexion contracture of the knee after B<A?Remind the patient to straightentheir knee constantly whilestandingTo prevent post-op swelling, the stump should be_____.elevatedHow long should the stump be elevated to prevent post opswelling?12—24 hoursHow often should a stump be washed?DailyWhen a stump is wrapped, the bandage should be tightest____and loosest ______.distally (far from the center), proximally (neareast to the point)If after a right BKA, the client c/o pain in his right tow, he isexperiencing ____________.phantom limb sensation (which is normal)When will phantom limb sensation subside?1n a few mont hsName ways to toughen a stump so it will not breakdown due tothe wear of the prosthetic leg?push the stump against the wall, hitting it with a pillowANEURYSMAn aneurysm is an abnormal ___ of the wall of a|nJ artery.widening (it is also weakening)What artery is widened in a thoracic aneurysm?the aortaAn aneurysm can result from an____and from_____.infection, syphilisThe most common symptom of abdominal aneurysm is:a pulsating mass above the umbilicusWhich aneurysm is most likely to have no symptoms?the abdominal is most often "silent"Which vital signs are most important to measure in clientswith aneurysm?The pulse and blood pressureAn aneurysm will most affect which of the following, the bloodpressure or the puIse?the pulse (many times the aneurysm will rupture, and muchblood will be lost before the blood pressure starts to change.What activity order is the client with an aneurysm supposed tohave?Bedrest, do not get these people upIf the client with aneurysm is physically unstable, should youencourage turning, coughing and deep breathing?no, bedrest until the client is stable!What class of drugs is the client with an aneurysm most likelyto be on?AntihypertensivesWhat is the BIG danger with aneurysms of any type?Rupture, leads to shock and deathIf an aneurysm is ruptured how would you know it?1_____________________________________________________decreased LOG (restlessness), tachycardia, hypotension - allsigns of shock

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If an aneurysm ruptures what is the #1 priority?Get them to the operating room ASAPIs there anything that can be done for the client with a rupturedaneurysm before they get to the operating room?Th e post op thoracic ane ury sm is most 1ikely to have wh ichty oe of tube?Yes, if avallab le you can get them into antishock tro users butnot if this causes a delay in getting them to the ORChest tube, because the chest wa s open edTh e post op abdominal aneu rysm repair client is most likely tohave which type of tube?NG tube for decompression of bowelIf you care for a client who is post-op for a repair of a femorapopliteal resection what assessment must you make every hourfor the first 24 hours?check the distal extremity (far from center) for color,temperature, pain & PULSE, also MUST documentCHEST PA1N/M.1.What causes angina pectoris?Decreased blood supply to myocardium, resulting in ischemia& painDescribe the pain of ar gin a pectoriscrushing substernal chest pain that may radiateWhat drug treats angina pectoris?NitroglycerineHow do you tell if a client has angina or an Ml?the pain of the two is similar, the way to tell the difference isif nitro & rest relieve the pain. For angina, nitro & restrelieve the pain, for Ml, nitro S. rest do not relieve the painHow many nitro tabs can you take before you call the doctor?3How many mins should lapse between the nitro pills you take?5mi n s - ta ke one nit ro tab every 5 mins 3 tim es, if n o relief,call MDBy what route do you take nitro?sublingualWhat is the action of nitro?dilates coronary arteries to increase blood supply (02supply) and reduces preload.What are the top 2 side effects of nitro?headache and hypotensionWhat precaution must the nurse take when administeringtopical nitro paste?wear gloves, nurse may get a dose of the medEveryone with angina needs bypass surgery? t/fFalseEATING DISORDERSAnorexics are usually _______ under the age of _____.females, 25The diagnosis is made when there is a wt loss of ____%or moreof body weight.15 (weigh < 35% of normal body wt), hospitalize if 30% wt lossA major mental/emotional nursing diagnosis seen in anorexianervosa is ___________Altered body imageThe pulse rate of anorexics is tachycardic or bradycardic?List the most common gynecologic symptom of anorexia nervosa?BradycardicamenorrheaWhat is found over the body of the client with anorexia nervosa?lanugo (soft downy hair)What is the top priority in the care of the client with anorexianervosa?intake of enough food to keep them alive, have them gain wtThe best goal to evaluate the progress of the client with anorexianervosa?an adequate weight gainNEWBORN CAREW hat is the apgar seale?quick objective way to evaluate the vital functions of thenewbornWhen is apgar scaring performed on infants?at one minute and again at 5 minutes after the birthName the 5 criteria that are recorded on an apgar scaleCardiac status, respiratory effort, muscle tone,neuromuscular irritability & colorTh e tota 1 apgar sco re can range fromOto IDThe maximum scone an infant can receive on any one of thecriteria is2A 10 on the apgar means the baby isin terrific healthA 3 ontheapgar meansthebabyis stillborn

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On heart rate ar cardiac status, a 2 means that the HR Is above_______BPM.100On the HR criteria an Infant score a "1“ if their HR is _______tha n D and____________100greater, less thanIn order to score a 0 on HR the infant must have a rate of_ZeroA h1gh score of 2 is given fa r respi rato ny effo rt if the new bornCries vigorouslyAn infant is given a score of 1 if their respirations are_______or________.Slow or irregularAn infant is given a score of 0 for respiratory effort if________They do not breatheIn order to get a score of 2 on muscle tone the infant mustMove spontaneously (actively)To get a seare of l o a t h e APGAR for m usele tone the newbornmust place their extremities in____________FlexionA newborn receives a score of 0 on muscle tone when there isNo movement (limp)To scare the maximum af 2 paints an neuromuscular reflexirritability the infant must______________.CryIf the neonate________, they will score a 1 on neuro muscularirritability.GrimacesTo receive a 0 on reflex (neuromuscular: irritability the neonatemust exhibit____________.No responseTo score a ma ximum seare of 2 on colo r t he child m u st be ____.Totally pinkIf the child's _______ are ______ and the trunk -face abdomenare________, the child scores 1 an colorExtremities are blue (cyanotic), PinkTo get a 0 on color the i r f a n t isTotally blue, paleAcrocyanosisTemporary cyanotic condition, usually in newborns resultingin a bluish color around the lips, hands & fingernails, feet 3toenails. May last for a few hours & disappear with warming.APPENDICITISAppendicitis is an__________of the appendix due to_______.inflammation, obstructionAppendicitis occurs most in what age group?15 to 35What is the most common complication of appendicitis?PeritonitisPeritonitisinflammation of the peritan sumWhat is the first sign of appendicitis?right upper quadrant painWhat follows the RUQ. abd pain of appendicitis?N/VWhere does the pain of appendicitis finally end up?RLQWhat is the name of the RLQ abd pain where appendicitis painfinally localizes?McBurney's pointWhat is present when rebound tenderness is present?Peritoneal inflammationWhat is the highest that the temp will be in appendicitis?102 FWhat blood count is elevated in appendicitis?WBCWhat is the name for an elevated WBC?LeukocytosisW ha t is t he only tre atm ent reco m m ended fo r appen diciti s?surgery - appendectomyBefore the client with suspected appendicitis sees thephysician, what should be avoided?pain meds, enemas, laxatives, food ! NPOTo lessen pain, place the client in___________position.fowlers (a sitting position) (also use post op)Never apply__________to the area of the appendix.heat (it causes rupture)

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Blue Book NCLEX Review notes - Page 13 preview image

After appendectomy, document in the nurses notes the returnof_________bowel sounds (peristalsis)NEPHROLITHIASISWhat is the primary dietary prescription for calciumnephrolithiasis?Low calcium dietFor the client with calcium nephrolithiasis the diet should be________ash.AcidIf the kidney stone is calcium phosphate the diet must be lowin _____ too.PhosphorousThe primary diet treatment for uric add nephrolithiasis isLow pruineThe client with uric acid nephrolithiasis should have a diet lowin____________.MethionineWhat is methionine?The precursor of the amino acid cystine [precursor = materialout of which something Is made)Name two foods high in methionine.Milk, eggsClients with cystine nephrolithiasis should have a(n)_______ash diet.AlkalineIncreasing fluids to over SOOOcc per day is more effective intreating renal calculi (kidney stones) than any dietarymodification. (T/F)True. It's more important to flush the urinary tract thanworry about what you're eating.CANCERNeoplasm refers to benign and malignant tumors. [T/F)TrueWhich type of tumor is more malignant? Differentiated orundifferentiated?Undifferentiated is worse to have [highly differentiated isbetter to have)When cancer spreads to a distant site it is called?MetastasisThe cause of cancer is known. [T/F)FalseA person should have a yearly work up eKam for cancerdetection over the age of_________.43In general, cancer drugs have side effects in which 3 bodysystems?Gl, Hematologic |blood), IntegumentaryWhat are the 3 most common chemotherapeutic <31sideeffects?N/VrDiarrhea, Stomatitis [oral sores)Clients receiving chemotherapy must be NPO. (T/F)FalseIs it permissible to give lidocaine viscous ac (befo re meaIs) ifthe patient has chemotherapeutic stomatosis? [T/F)TrueWith what solution should the client with chemotherapeuticstomatitis rinse pc [after meals)?H2O2 - hydrogen peroxideWhat lubricant can safely be applied to the cracked lips ofchemotherapy stomatitis?K-YJellyName the 3 hematologic side effects of chemotherapy.Thrombocytopenia, Leukopenia, AnemiaWhich cells are low in thrombocytopenia?PlateletsWhat drug should NOT be given to the patient withchemotherapeutic thrombocytopenia?ASA (aspirin)When should the nurse WITHHOLD IM injections in the clienton chemotherapy?Only when their PLATELET count is down.What are the 3 abjective symptoms/signs ofthrombocytooenia? Hint: P.E.E.Petechiae, Epistaxis, EcchymosisWhat is epistaxis?Nose bleedsWhat is ecchymosis?BruisingWhat is petechiae?Small dot like pinpoint hemorrhages on the skin.

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What blood cell is low in leukopenia?White blood cellsWhen the ANC is below_ _the person on chemotherapy willbe placed on reverse isolation.500What is the #1 integumentary side effect of chemotherapy?AlopeciaWhat is alopecia?Hair lossThe hair loss due to chemotherapy is usually temporary? wrjTrueCan scalp tourniquets prevert chemotherapy alopecia?In some cases, yesCan ice packs to the scalp prevent chemotherapy alopecia?In some cases, yesCARDIOVASCULAR DISEASE IN PREGNANCYCD ranks_ _ _among the leading cause of maternal death.FourthWhat is the #1 cause of CD of pregnancy?Rheumatic heart diseasePregnancy requires aincrease in the cardiac output.30-50%What is the #1 cause of maternal death in CD of pregnancy?DecompensationWhat is meant by decompensation?Failure of the heart to maintain adequate circulation.What will you see when you observe the neck of a client withCD of pregnancy?Distended neck veins -JVDWhat will you hear when you auscultate the heart of the clientwith CD of pregnancy?M urmursWhat will you hear when you auscultate the lungs of the clientwith CD of pregnancy?Crackles-ralesIf the client with CD of pregnancy experiences sudden heartfailure what is the MOST common thing you will see?Sudden onset of SOB (dyspneaJ.What is the #1 treatment of CD during pregnancy?RestWhat are the three most common drugs given to women withCD in pregnancy?Diuretics, Heparin, DigitalisWhy are diuretics given to women with CD of pregnancy?To promote diuresis which will:-lower circulating blood volume-decrease preload-decrease the amount of blood the heart pumps.Why are anticoagulants (heparin only) given to women withCD of pregnancy?To prevent thrombophlebitis due to venous congestion,usually in legs.Why is digitalis given to women with CD of pregnancy?To increase the strength of the heart and to decrease therate, rest the heart while making it mare efficientCan a woman with CD of pregnancy be given analgesics duringlabor?Yes, in fact they should be given analgesics, may get tooanxious which is bad for the patientCan morphine be given to a woman with CD during labor?Yes,even though it negatively affects the fetus, remembermorphine decreases preload and pain which rests the heart.What is the most common dietary modification for the womanwith CD who shows signs of decompensation?Decreased sodium, decreased water (restriction)Is a C-section mandatory for delivery of a woman with CD ofpregnancy?NoSecond to nest, what is very important treatment for CD ofpregnancy?Weight controlHow long must the woman with CD of pregnancy be on bedrest after delivery?At least ore weekWhat nutrients should be supplied in the diet of the pregnantwoman with CD?IronFolic acidPrevent anemia Ianemia always makes the heart work more)What are the two most common subjective complaints of thewoman who is decompensating during labor?SOBPalpitations

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Inaddition to the th ings you assess fo r in every wo man duri nglabor, what additia na1assessment must you make for awoman with CD?You must assess lungs sounds frequentlyHow often must you assess the lung sounds during the I11stageof labor? During active labor? During transition labor?Every 30 to 10 minutesIn which position should a woman with CD in labor be?Semi recumbent, HOB upThe nurse should limit the client's efforts to _____ duringlabor when CDIs present.Beer downCE5IUM IMPLANTWhat is the big danger to staff when caring for a client withcesium implant?Radiation hazardWhat are the three principles to protect yourself fromradiation hazard?Distance, Shielding, TimeWill the woman with a cesium implant have a foley?YesFrom where the nurse should provide care to the client withcesium implant?The head of the bedHow can the woman with cesium implant move in bed?Only from side to sideWhat four symptoms in a patient with a cesium implant shouldbe reported to the physician?Profuse vaginal dischargeElevated tempNauseaVomiting(these indicate infection and perforation)Should pregnant staff care for a client with a cesium implant?NoCanthe woman with = cesium implant have the HOB elevated?Yes, only 45 degrees maximumFrom where should the nurse talk to the client?The entrance to the roomIs bed rest necessary when a woman has cesium implant inplace?Yes, absolute bed restWhat type of diet is tfi is wornan with acesiumimplanton?Low residue (decrease bowel motility)No nurse should attend the client with a cesium implant morethan_ _ _ per day.1/2 hourWhat woul d you do if th e cesium implant cameo ut?Pick it up with forceps only - never touch with hand even ifyou are wearing gloves.Should the nurse provide perineal care for the client with acesium implant?No, risk of radiation hazardCAST CARE AMD MAINTENANCEWhat part of your hand do you use to handle a wet cast?The palmUpon what do you support a cast while it dries?Pillows |no plastic covers)How long does it take a cast to dry?24 hoursShould you cover a wet cast?NOShould you use a heat lamp or hair dryer or fan to help dry acast?No heat lamp and hair dryerYes fanWhat signs or symptoms would you report if they werepresent after cast application?Numbness/Tingling, Burning, Pallor, Unequal ar absentpulses, Unequal coolnessIf there is inflammation under a cast, it will be evident in a______spot.HotTo prevent irritation of theskinnear the edges of a cast theedges should be___________.PetaledWhat type of cast causes cast syndrome?A body castWhat causes cast syndrome?Anxiety S. stress leading to sympathoadrenal shut down ofthe bowelWhat is the #1 symptom of cast syndrome?Nausea and vomiting due to bowel obstructionWhat is the #1 treatment of cast syndrome?NPO and NG tube far decompression

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Blue Book NCLEX Review notes - Page 16 preview image

A dry cast is gray ar white?WhiteA d ry cast is dul 1or shlny?ShinyA dry cast is dull or resonant to percussion?ResonantTRACTIONTraction is used to_______&_______a fracture, relieve________________and prevent ________.Reduce and immobilize, muscle spasm; deformitiesCan skin traction be removed for skin care?YesCan the client be removed from skeletal traction?NoName 3 types of skin tractionBucks, Bryants, PelvicName 3 types of skeletal tractionCranial tongsThomas splints with Pearson attachments9-3 degrees to 90 degreesWhat type of traction is most commonly used for hip fractureinadults?BucksWhat type of traction is most commonly used for hip fracturesinchildren?BryantsIn what position should the bed be if the patient Is in pelvictraction?Semi-fowlers with knee gatch edTo ensure that Bryant's tractionisworking the child's hip/sacrum should be_________Off the bed enough to slip a hand between the sacram & the bed.What is the advantage of balanced counteraction?You car easily move the patient around in bedPatients in Russell's traction are particularly prore toThrombophlebitisWhena patle nt isina Buck's t radio n they m ay tu rn tothe_________side.UnaffectedCATARACTSDefine cataractOpacity of the crystallire lensIs surgery done immediately upon diagnosis of cataract?No, they usually wait until it interferes with AD.sWhat 3 most common visual defects occur with cataract?CloudinessDiplopia (double vision)Photophobia (sensitivity to light)What are the two common treatments of cataract?Laser, surgical removal. Surgery called intraocular orestraocular lens extractionWhat does the eye look like when a client has cataracts?Cloudy, milky-white pupilWhat will the client be wearing after cataract surgery?A protective patch/shield on the operative eye for 24 hours,then a metal shield (ATNIGHTonly) far 3 weeksWhen the client asks about the use of glasses or contacts aftercataract surgery what would you say?If an intraocular lens is implanted they will NOT need glasses.If no lens is implanted, then contacts will be fitted for 3months post-op, temporary thick glasses given immediatelybut will get a different prescription in 2 to 3 monthsWhat will be a high priority nursing diagnosis for a client postcataract surgery?SafetyShould the client ambulate independently after cataractsurgery?No, the patient should not ambulate independently, depthperception is altered.Whatpositions are to be avoided after cata ract surgeny?Lying face down. Also, do not lie on operative side foramonth.What are the post-operative signs of hemorrhage into the eye?Severe painRestlessnessWhatmovements are to be avoided afte r cata ract surgery?Coughing, Sneezing, bending at the waist, Straining at stoolRubbing or touching eyes, Rapid head movementsWhat positions are okay after cataract surgery?Do not lie on operative side; do not lie on backShould you use talcum powder with a post-opcataractclient?No, it may cause sneezing; also, should avoid pepper.W hat are t he three signs of increa sed int raocular pressure?Pain (moderate to severe), Restlessness, Increased pulse rate

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Blue Book NCLEX Review notes - Page 17 preview image

W hat is t he majo r a bjectwe in caring for a die nt after surgica1cataract removal?To prevent pressure in or on the eyesWhen the lens is to be extracted for cataracts., what drugs aregiven preoperatrvely?Mydriatics, Dilators, Antibiotic drugs Igtts)What three drugs are given post-operatively for surgicalcataract removal?Stool softeners, Antierr etics, Analgesics |mild to moderate)Give five causes of cataracts?Injury, Congenital, Exposure to heat, Heredity, AgeCEUAC'S DISEASECellac's d isease is adiseaseMalabsorptionThe client with celiacs cannot tolerate ___________.GlutenGluten is aPrateinW hat does gl ute n do to the intestines of the die nt w ith celi ac'sdisease?It destroys the lining of the intestine.The stools of a client with celiac's disease are ______, ______and _____- _____.Large, Greasy, Foul-smellingClients with celiac's disease do not absorb what mineral?IronClients with celiac's disease don't absorb fats; therefore, theydon't absorbFat soluble vitaminsWhat are the four fat-soluble vitamins?A,□, E, KMalabsorption of which vitamin leads to bleeding disorder?Vitamin K, remember do not mix up potassium with VitaminKWhat will the abdomen of clients with celiac's disease look like?What is the #1 treatment of celiac's disease?Distended with flatusGluten-free dietVeggies are allowed or notallowed in diet of client with Celiac'sdisease?AllowedFruits are allowed or not allowed?AllowedGrains of all kinds are prohibited. (T/F)FalseWhat grains are allowed in a gluten -free diet?Rice and cornWhat grains are notallowed in a gluten-free diet?Wheat, Oats, Rye, Alfalfa, EarleyAre foods made with wheat, oat, or rye flour allowed?NOIs milk allowed on a gluten-free diet?YESAre meats allowed on a gluten-free diet?Yes, but watch for breaded meatsand hot dogs/lunchmeats- may have grain in them and are rot allowedAre eggs allowed on a gluten-free diet?YESIs commercial ice cream allowed on a gluten-free diet?No, even though it is a milk product, commercial ice creamhas GRAIN in it.Are puddings allowed on a gluten-free diet?No, for the same reason ice cream isn'tWhich soups are not allowed on a gluten free diet?Creamed soups- these often have flourCENTRAL LINESThe #1 problem with central lines___________?InfectionHow often should central line dressings be changed?QOD- every other dayWhat type of dressing is applied to a central line insertion site?Sterile occlusiveCan drugs be piggy backed into central —TPN?When changing central line tubing the patient should be toldto _________?No, use another lumen.Turn his head away from the site, hold breath, and performthe Valsalva maneuverIf a central line is found accidentally open the patient shouldbe positioned on his____________.Left sideSTROKEA CVA is a __________ of the brain cells due to decreased__________an d ______.Destruction; blood flow and oxygenWomen have a (higher/lower) incidence of stroke th ar men?Lower

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Blue Book NCLEX Review notes - Page 18 preview image

Name the three types of CVAEmbolus, Thrombus, HemorrhageUse of oral contraceptives increases the risk of CVA (T/F)TrueChronic abuse of alcohol increases risk of CVA. (T/FJFalseObesity increases risk of CVA (T/F)TrueSmoking increases the risk of CVA. (T/F)trueAtrial fibrillation increases the risk of CVA (T/F)True, emboli particularlyWhat is a TlA?Transient Ischemic AttackWarning sign of impending CVA (transient neurologic deficitsof any kind can last 30 seconds to 24 hours)Do patients experiencing a CVA have a headache?yesThe first sign of CVA is usually a __________.Change in LOCThe activity order in early management of CVA is ________.Absolute Bed RestThe patient with a recent CVA Is most likely to have fluidsrestricted or forced?RestrictedHow far should the HOB be up after CVA?30 degreesCan the stroke victim be turned side-to-side?YesHow often should the CVA patient be turned or repositioned?Every 2 hoursThe CVA patient should be turned onto his paralyzed side no| longer than 2 hours. (T/F)False, the patient should not be on their paralyzed side formore than 20 minutes.ROM exercises should occur Q 2 hours in CVA patients. (T/F)False- every 4 hours or 3 times a day is enoughTo prevent urinary incontinence; the CVA patient should becatheterized. (T/F)False- remember incontinence will never be allowed as areason for catheterizationWhich type of paralysis is typical of CVA- paraplegia,hemiplegia or qu=dri olegia?HemiplegiaWhat anatomical fact accounts for the left side of the bodybeing controlled by the right brain?The motor-pyramidal-tracts cross over to the other side(decussate in the medulla)If the patient has right hemiplegia, he cannot move his____&_ _ _& the stroke was on the_ _ _side of the brain.Right arm and right leg, leftWhat is hemianopsia?Not being able to see one half of the field of vision.The client with hemianopsia should be taught to______ScanWhat is scanning?Moving the head from side to side to see the whole field ofvision.If the client has right homonymous hemianopsia, the food onthe_ _ _side ofthetray may be ignored.RightAfter meals, the nurse must always check _______ of the CVAclientfor________.Mouth (cheek), foodShould a CVA patient have all four side rails up at all times?Should they be restrained?Side rails yes. Restraints- no, unless they are a danger tothemselves or othersWhen a patient does not understand INCOP.ilNG language, heissaid to have ______ aphasia.ReceptiveWhen the CVA client understands your question but can'trespond verbally correctly, he is said to have_ _ _aphasia.ExpressiveWhat is global aphasia?Both receptive and expressiveAphasia is most common if the stroke occurred in the(dominant/non-dominant) hemisphere of the brain.DominantHow do you tell which side of the person's brain is dominant?It is the side that controls their dominant hand, ie, a left-handed person has a dominant right hemisphere andconversely a right-hand person has a dominant lefthemisphere

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Far which type of aphasia are slow, short, simple directionsmost useful?ReceptiveFar which type aphasia is caref u1listenlng and needsanticipation most useful?ExpressiveThe lass of the ability to perform purposeful, skilled acts, ie.brushing teeth, is called_________.Cytoxan cyclophosphamideCisplatinApraxiaHemorrhagic cystitisPeripheral neuropathy, constipation, ototoxicityBleomycinPulmonary fibrosisAdriamycinCardiotoxic'rtyVincristinePeripheral neuropathy |foot drop, numbress/tingling,hoarseness, jaw pain}constipation (adynamic ileus due to neurotoxicity)DTIC- domeFlu-like symptomsChemo-therapeutic Agent ToxicitiesMethotrexateThe infant f ears____________m ost w hen hospita lized.Toxicto just about every organ except to heart, toxicitymade worse with aspirinSeparation from love objectThe toddler fears___________mast when hospitalized.Separation from familyThe preschaalet fears separati on as we lias________whenhospitalized.Mutilation- remember preschoolers have vividimaginations...fantasyThe toddler and preschooler will think that illness is causedby ____________■Something they did wrongThe school-aged hospitalized child is afraid of separation fromAge groupThe school-aged child perceives the cause of illness to beexternal ar internal?Externa1, she knows that iIIness is not a resuIt of badbehavior.The adolescent who is hospitalized fears separation from__________and loss of ___________.Preschoolers may require physical restraint during painfulprocedures. (T/F)Peers,independenceTrueWhich age group engages in stalling tactics before painfulprocedures most?School-AgeWhich age groups are most likely to physically resist the nurseduring procedures?Toddlers may require physical restraint for painful procedures.|-/FiThe meats that are highest In cholesterol are_______meats.School-age, adolescentsTrueOrgan meatsliver, heart, brains, kidneysThe meats that are second highest In cholesterol are theShell seafood- shrimp, crab, lobsterEgg white is (high/low) in cholesterol?LowEgg yolk is (high/low} in cholesterol?HighThe three meats lowest in cholesterol are_______._______&________Chicken, pork, muttonMilk is (high/low} in cholesterol.LOWIs cheese high in cholesterol?Only moderate, not really that high

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