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Blue Book > 1 > Flashcards

1 Flashcards

1
Q

Name the five/six essential nutrients:

A

carbs, fats, proteins,

vitamins, minerals, water

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2
Q

The major source of energy for the body

A

Carbs

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3
Q

Carbs provide 4 kcalories per 1 gram

A

Carbs provide 4 kcalories per 1 gram

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4
Q

Sucrose is a sugar found in

A

Veggies and fruits

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5
Q

What is glycogen?:

A

it is a stored formed of glucose/energy

manufactured by the liver

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6
Q

Is glycogen eaten in foods?

A

no! It is a stored form of glucose

manufactured by the liver.

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7
Q

When the body does not receive enough carbs

A

it burns protein and fat.

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8
Q

The most concentrated source of energy for the body is

A

Fats

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9
Q

Fats carry vitamins:

A

A , D , E, K

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10
Q

Vitamins and minerals provide energy for the body. True or false?

A

(t/f): false- they are necessary for a body’s chemical reactions.

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11
Q

What solution and material are used to cleanse the eyes of an infant?:

A

Plain water, cotton balls, washcloths

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12
Q

Can you use cotton swabs to clean the eyes, nares or ears of an infant?:

A

No, this is dangerous

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13
Q

Can you use the same cotton ball/washcloth edge for both

eyes?:

A

No, it would cross contaminate

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14
Q

Should you cover an unhealed umbilical site with the diaper?:

A

No, fold the diaper down.

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15
Q

What temperature is appropriate for the water used to bathe an infant?:

A

100 to 105

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16
Q

What is the #1 purpose of a tepid sponge bath?

A

Lower body temperature during fever.

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17
Q

How should the temperature of the water be tested if no thermometer is available?

A

Dropping water on inside surface of your forearm

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18
Q

With which body part do you begin when bathing an infant?

A

Eyes always

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19
Q

When cleansing an infant’s eye, cleanse from outer to inner canthus?

A

No, inner to outer

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20
Q

Should you retract the foreskin of a 5 week old male,

uncircumcised infant to cleanse the area?

A

No, not until
foreskin retracts naturally and without resistance- then it
should be retracted, cleansed and replaced.

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21
Q

When sponge-bathing with tepid water the correct temp is

A

98.6

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22
Q

How long does it take for the umbilical stump to fall off?

A

7 to 14 days

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23
Q

The primary reason why an infant is draped during the bath is to provide privacy. True or False?

A

(T/F): False, the primary purpose of

draping is to prevent chilling.

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24
Q

You may use friction to remove vernix caseosa from an infant’s skin.

A

(T/F): False, it causes damage/bruising

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25
Q

What solution is commonly used for care of umbilical cord?

A

70% alcohol to promote drying (trend is toward soap and water

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26
Q

What cranial nerve is affected in Bell’s Palsy?

A

7, facial nerve

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27
Q

What is the #1 symptom of Bell’s Palsy?

A

One sided

(unilateral) facial paralysis

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28
Q

Complete recovery from the paralysis of Bell’s Palsy should occur in

A

4 to 6 months.

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29
Q

In addition to the facial paralysis, the sense of

A

taste is also affected.

30
Q

Will the patient be able to close their eye on the affected side?

A

No

31
Q

Give three eye interventions for the client with Bell’s Palsy.

A

Dark glasses, artificial tears, cover eye at night

32
Q

As the prostate enlarges it compresses the “Urethra” and causes:

A

Urinary retention

33
Q

At what age does BPH occur?

A

men over 50 years of age.

34
Q

What does BPH stand for?

A

Benign Prostatic Hypertrophy

35
Q

In BPH the man has (increased/decreased) frequency of urination:

A

increased

36
Q

In BPH the force of the urinary stream is

increased/decreased

A

Decreased

37
Q

The man with BPH has hesitancy. What does this mean?

A

Difficulty starting to void

38
Q

Will the man with BPH have enuresis, nocturia or hematuria?

A

Enuresis-No, Nocturia-Yes, and Hematuria- Maybe

39
Q

Enuresis:

A

inability to control the flow of urine and

involuntary urination

40
Q

What is the best way to screen men for BPH?

A

Digital rectal exam

41
Q

Should fluids be forced or restricted in BPH?

A

Forced

42
Q

What does TURP stand for?

A

Transurethral resection of the

prostate

43
Q

The most radical prostate surgery

A

is the perineal prostatectomy.

44
Q

What is the primary purpose of a 3 way continuous bladder irrigation (CBI) after TURP?:

A

To keep the catheter clear of clots and to drain urine

45
Q

What solution is used for CBI?

Continuous bladder irrigation

A

Normal saline (0.9 NaCI)

46
Q

What drug is use to treat bladder spasm?:

A

B&0 suppositories (Belladonna & Opiates)

47
Q

Should you take a rectal temp after prostatectomy? Give

stool softeners?

A

No rectal temperatures, yes stool softeners.

48
Q

You should call the MD after TURP

A

when you see
bright thick blood, persistent clots, and persistant urine drainage
on the dressing.: (don’t call MD for transitory clots and urine on dressing.)

49
Q

If you see an increase in blood content of urine coming out of the catheter, you would first

A

Pull carefully on the catheter to apply local pressure on the prostate with the Foley balloon.

50
Q

If you see clots in the tubing you would first

A

Increase the flow-rate.

51
Q

What exercises should the post proctectomy patient do upon discharge? Why?

A

Perineal exercises, start and stop

stream of urine, because dribbling is a common but temporary problem post op

52
Q

Will the post proctectomy patient be impotent?

A

If TURP, no Impotence. Yes, if perineal prostatectomy

53
Q

How often should the drainage bag be emptied?

A

Every 8 hours

54
Q

What is the most common problem due to catheterization?

A

UTI

55
Q

What is the most common organism to cause UTI with catheterization?

A

E. Coli

56
Q

What is the most common route for organisms to enter the

bladder when a catheterization is used?

A

Up through the

inside of the catheter in the days following catheterization.

57
Q

Name foods that make acid urine

A

Cranberry juice, apple

juice (avoid citrus juices- they make alkaline urine)

58
Q

What is important about the level of the urinary drainage bag?

A

Never have the bag at a higher level than the bladder.

59
Q

How is the catheter taped in a male client?

A

To the lateral thigh or abdomen

60
Q

How is the catheter taped in a female client?

A

To the upper thigh.

61
Q

Is it ok to routinely irrigate indwelling catheters?

A

No

62
Q

What agents are best for catheter care?

A

Soap and water

63
Q

What is the most effective way to decrease UTI with

catheters?

A

Keep the drainage system closed, do not disconnect junction of tubing

64
Q

Give some signs of infection in a Foley catheter:

A

Cloudy urine, foul smelling urine, hematuria

65
Q

Is urinary incontinence an indication for catheterization?

A

No

66
Q

Give three appropriate indications for bladder catheterization?:

A

Urinary retention, to check for residual, to

monitor hourly output.

67
Q

What are the top 2 diagnoses for a client with a catheter?

Which is #1?:

A

1- Potential for infection; Potential impairment of urethral tissue integrity

68
Q

Accurate blood pressure is obtained by using a cuff that has width of

A

Two-thirds of the arm

69
Q

Which artery is most commonly used to measure blood pressure?

A

Brachial

70
Q

Can the thigh EVER be used to obtain a blood pressure?

A

Yes, but this is rare.

71
Q

When pressure is auscultated the first sound heard is the

A

Systolic measurement.

72
Q

The change in the character of the sounds is known as the

A

First diastolic sound

Blue Book (3 decks)

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