Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Complex 1 > Complex Test 2: Sexuality > Flashcards

Complex Test 2: Sexuality Flashcards

1
Q

PAD (peripheral arterial disease) classified as

A

inflow (distal aorta and iliac arteries) or outflow (femoral, popliteal, and tibial arteries) and can range from mild to severe. Tissue damage occurs below the arterial obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Erectile Dysfunction risk factors:

A

morbid obesity, diabetes, use of HTN’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Erectile Dysfunction Health Promo:

A

-maintain a healthy diet
-avoid heart disease, diabetes, penile trauma
-NO use of drugs inappropriately
-NO excessive alcohol
-NO smoking
-exercise regularly
-healthy coping/stress management
Assess: medications: antihypertensives, antihistamines, antidepressants, tranquilizer, appetite suppressant, cimetidine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Erectile Dysfunction Management of Care:

A

no Sildenifil and Nitrates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Erectile Dysfunction Pharm Interventions:

A

nitrate drugs, hydrochloride, isosorbide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Erectile Dysfunction Patient Education:

A

severe HYPOtensive crisis. If a PT takes viagra and then takes an antihypertensive medication, can cause HYPOtensive crisis b/c viagra and HTN medications are both vasodilators.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Erectile Dysfunction Complications S/S:

A
  • diagnosis dependent on problem occurring at least 3 months
  • priapism w/med therapy
  • disturbed self image and depression
  • sexual complications
  • loss of satisfaction and libido
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Erectile Dysfunction Nursing Interventions:

A

Discuss Sexual Dysfunction:

  • provide up-to-date education
  • discuss previous methods of coping
  • treatment options
  • promote self-esteem: may feel “less than a man” and implants may disturb body image

If the man has had a penile implant, teach him and partner how to use the pump, including how to inflate and deflate the device:

  • wear snug underwear w/penis placed in an upright position on the abdomen and loose trousers
  • sex activity may resume within 6-8 weeks following surgery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Genital Herpes agent

A

sexual contact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Genital Herpes Patho

A

still transmit even if no symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Genital Herpes Manifestation

A

pain, itching, small red bumps, blisters, ulcers, scabs, flu like symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Genital herpes teaching

A

dont rub

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Genital herpes Pharm/Treatment

A

NO CURE, antivirals (acyclovir)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

HPV agent

A

vaginal, anal, oral, genital contact. breaks in skin/mucosal lining

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

HPV manifestations

A

genital warts, asymptomatic normally, common warts, plantar warts, not painful warts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

HPV teaching

A

can get cervical cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

HPV Pharm/treatment

A

NO CURE, remove wart by freezing, vaccines given to males up to 21 and females 26

  • Gardasil and cervarix vaccine
  • pap smear check for cancer
  • warts can be removed by cryo probes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Chlamydia agent

A

sexual contact, enters cell and reproduces only within the host cell, bacteria that causes this is C. trachomatis. most commonly reported bacterial STI in US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Chlamydia Patho

A

assess sexual history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Chlamydia Manifestation

A
  • females often ASYMPTOMATIC but carry
  • painful urination, lower abdomen pain, vaginal/penile d/c pain, sexual intercourse,dysuria, urinary frequency discharge
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Chlamydia Management of Care and Complications

A

no sex 7 days when treated

-complications: chronic pelvic pain, scaring of fallopian tubes, infertility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Chlamydia Teaching

A

no sex 7 days when treated, no treatment= infertile!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Chlamydia Pharm/Treatment

A
  • antibiotics (azithromycin) (doxycycline)
  • partner treated at same time
  • 7 days oral antibiotics or single dose oral
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Gonorrhea Agent/Prevention

A
  • sexual contact

- targets cervix in females/urethra in males

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Gonorrhea Patho

A

-kramer had s/s of seinfeld

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Gonorrhea manifestation

A
  • dysuria, d/c of milky
  • men: pain, swelling
  • women: pain intercourse, abnormal menses, 80% of women are ASYMPTOMATIC
27
Q

Gonorrhea Management of Care

A

dont culture if on period, eye cream on baby, not blood culture

28
Q

Gonorrhea Teaching and Complications

A

safe sex, check (test) before sex

-complications: inflammatory pelvic disease in women, infection in blood

29
Q

Gonorrhea Pharm/Treatment

A

general antibiotics, ceftriaxone IM

30
Q

Syphilis Agent

A

lymph system/blood, bacteria that causes this is spirochete Treponema pallidum

31
Q

Syphilis Manifestations: Primary

A

enlarged lymph nodes, cankers, achy (4-6 weeks), if UNTREATED leads to secondary

32
Q

Syphilis Manifestations: secondary

A

rash on palms, sore throat, swelling lymph nodes, flu symptoms (2-6weeks), if UNTREATED leads to Latent stage

33
Q

Syphilis Manifestations: Latent

A

no S/S but spread (1 year to life)

34
Q

Syphilis Manifestations: Tertiary

A

late S/S, tumors bone/liver; near syphilis (worst stage)

35
Q

Syphilis Management of Care

A

Test: RPR, VDRL

-citz baths

36
Q

Syphilis Teaching

A

sex from S/S begin until 10 days after all lesions healed

37
Q

Syphilis Pharm/Teaching

A

Penicillin G IM, can give tetracycline if allergic to Penicillin

-Jarish herxheimer can occur with Penicillin, S/S fever, tacky, HTN

38
Q

What is BPH (benign prostatic hyperplasia)?

A

As an adult male ages, the prostate gland enlarges. When the enlargement of the gland begins to cause urinary dysfunction, it is called benign prostatic hyperplasia (BPH). BPH is a very common condition of the older adult male

39
Q

BPH Risk Factors

A
  • increased age
  • smoking, chronic alcohol use
  • sedentary lifestyle, obesity
  • western diet (high fat, protein, carbs; low fiber)
  • diabetes mellitus, heart disease
40
Q

BPH expected findings

A
  • urinary frequency, urgency, hesitancy or incontinence
  • incomplete emptying of the bladder
  • dribbling post-voiding
  • nocturia
  • diminished force of urinary stream
  • straining with urination
  • hematuria
  • urinary stasis and persistent urinary retention leads to frequent UTI’s
  • If BPH persists, back flow of urine into the ureters and kidney can lead to kidney damage
41
Q

BPH Patient Centered Care

A
  • frequent ejaculation releases retained prostatic fluids, thereby decreasing the size of the prostate
  • tell the client to avoid drinking large amounts of fluids one time, and to urinate when the urge is initially felt
  • avoid bladder stimulates, such as caffeine and alcohol
  • avoid medications that cause decreased bladder tone, such as anticholinergics, decongestants, and antihistamines
  • medication is used for conservative treatment of BPH
42
Q

BPH Medications

A

Dihydrotestosterone (DHT)-lowering medications (like finasteride)

  • finasteride is TERATOGENIC TO A MALE FETUS
  • women who are pregnant or who could become pregnant should avoid contact with tablets that are crushed or broken and with the semen of a client currently taking this medication

Alpha-blocking agents: tamulosin

  • orthostatic hypotension can occur
  • concurrent use w/cimetidine canpotentiate the hypotensive effect
43
Q

BPH Surgical procedure: Postoperative nursing actions:

A

Transurethral resection of the prostate (TURP):

  • postop treatment for a TURP usually includes placement of an indwelling three-way catheter
  • if the catheter becomes obstructed (bladder spasms, reduced irrigation outflow), turn off the CBI and irrigate with 50 mL irrigation solution using a large piston syringe or per facility or surgeon protocol
  • monitor for bleeding (persistent bright-red bleeding unresponsive to increase in CBI and traction on the catheter or reduced HGB levels) and report to the provider
44
Q

BPH Surgical Procedure: Administer Medications PostOp

A
  • analgesics (surgical manipulation or incisional discomfort)
  • antispasmodics (bladder spasms)
  • antibiotics (prophylaxis)
  • stool softeners (avoid straining)
45
Q

BPH Surgical Procedure client education

A

tell the client to avoid nonsteroidal anti-inflammatory medications due to increased risk for bleeding, also avoid anticholinergic meds like antihistamines b/c of urinary retention

46
Q

Menopause Assessment/Expected Findings

A

hot flashes and irregular menses, decreased vaginal secretions, decreased HDL and increased LDL, decreased skin elasticity, loss of hair on the head and pubic area

47
Q

Menopause Medication

A

Menopausal hormone therapy (HT)

-HT places women at risk for a number of adverse conditions, Coronary heart disease, MI, DVT, Stroke, breast cancer

48
Q

Menopause Medication Client Education

A
  • no smoking
  • teach client how to prevent and assess the development of venous thrombosis:
  • avoid wearing knee-high stockings and clothing or socks that are restrictive
  • take short walks throughout day to promote circulation
  • not and report manifestations of unilateral leg pain, edema, warmth, and redness
  • oral medications cause nausea, so take with food
  • avoid using vaginal creams or suppositories of estrogen compounds prior to intercourse b/c partner can absorb some of the product
  • atrophic vaginitis S/S: vaginal bleeding and burning, pruritus, and painful intercourse, can improve with HT
49
Q

Menopause Client Education for Older Adults

A

-can decrease the risk of osteoporosis by performing regular weight-bearing exercises, increase intake of high protein and high calcium foods, avoid alcohol, caffeine, and tobacco, and take calcium with vitamin D supplements

50
Q

Menopause alternative therapies

A
  • black cohosh, ginseng, and red clover help relieve the effects of menopause.
  • Vitamins E and B6 are reported to decrease hot flashes in some women
  • Phytoestrogens interact with estrogen receptors in the body, which can result in a decrease in the manifestations of menopause. Vegetables such as, dandelion greens, alfalfa sprouts, black beans, and soy beans contain phytoestrogens.
51
Q

Fibrocystic breast condition risk factors

A

premenopausal status and postmenopausal hormone replacement therapy

52
Q

Fibrocystic breast condition expected findings

A

breast pain, tender lumps, commonly in upper, outer quadrant

53
Q

Fibrocystic breast condition Nursing Care

A
  • suggest that the client reduce the intake of salt before menses, wear a supportive bra, and apply either local heat or cold to temporarily reduce pain
  • condition DOES NOT increase risk of breast cancer
54
Q

Fibrocystic breast condition Medications

A
  • OTC analgesics like acetaminophen or ibuprofen
  • oral contraceptives or hormonal medication therapy if manifestations are severe to suppress estrogen/progesterone secretion
  • diuretics to decrease breast engorgement
  • decrease caffeine
  • vitamin E helps with pain
55
Q

What is Cystocele?

A

is a protrusion of the POSTERIOR bladder through the anterior vaginal wall. It is caused by weakened pelvic muscles and/or structures

56
Q

Cystocele risk factors

A
  • obesity
  • advanced age (loss of estrogen)
  • family history
  • multiparity
  • increased abdominal pressure during pregnancy
  • strain and injury during vaginal childbirth
57
Q

Cystocele Expected Findings

A
  • urinary frequency and/or urgency
  • stress incontinence
  • history of frequent urinary tract infections
  • sense of vaginal fullness
  • dyspareunia
  • fatigue
  • back and pelvic pain
58
Q

Cystocele specific therapeutic procedure

A

Anterior colporrhaphy: using a vaginal or laparoscopic approach, the pelvic muscles are shortened and tightened, resulting in increased bladder support

59
Q

What is Rectocele?

A

is a protrusion of the ANTERIOR rectal wall through the posterior vaginal wall. It is caused by a defect of the pelvic structures, a difficult delivery, or a forceps delivery.

60
Q

Rectocele risk factors

A
  • pelvic structure defects
  • obesity
  • aging
  • constipation
  • family history
  • difficult vaginal childbirth necessitating repair of a tear
61
Q

Rectocele expected findings

A
  • constipation and/or the need to place fingers in the vagina to elevate the rectocele to complete evacuation of feces
  • Sensation of a mass in the vagina
  • pelvic/rectal pressure or pain
  • dyspareunia
  • fecal incontinence
  • uncontrollable flatus
  • hemorrhoids
62
Q

Rectocele specific therapeutic procedure

A

posterior colporrhaphy: using a vaginal/perineal approach, the pelvic muscles are shortened and tightened, resulting in a reduction of rectal protrusion into the vaginal canal

63
Q

Cystocele and Rectocele therapeutic procedures

A

Kegal exercises, anterior-posterior repair, hysterectomy

64
Q

Cystocele and Rectocele Client Education

A
  • instruct the client to notify the provider about indications of infection (elevated temperature, pulse, or respirations; foul-smelling or purulent vaginal discharge; or consistent pain)
  • posto: avoid strenuous activity, lifting anything weighing greater than 5 lb, and sexual intercourse for 6 weeks

Complex 1 (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions