exam 6 Flashcards
what side effect should the nurse educate the patient who is taking danazol (danocrine), an androgenic seroid, on for the treatment of menorrhagia.
masculine side effects
at what age a woman should have an annual mammogram
50
know what teaching for a patient with endometriosis should include (s/s of common complications)
obstruction of the bowel and ureters
how can the nurse minimize the problem of lymphedema after a patient has a mastectomy
keep it elevated
If a patient tells a nurse they are afraid of getting cervical cancer, because their mother died of cervical cancer, what would be the best response by the nurse.
regular pap smears screen for it
if a nurse is caring for a patient after a modified radical mastectomy, for a breast tumor that is positive for estrogen receptor (ER+) and the patient is placed on “Tamoxifen”. if the patient asks, should I take this medications, which response by the nurse is most appropriate?
yes because of the type of tumor it was ER+
If a female patient has a vaginal discharge, that is cottage cheese like in appearance, what is this a common sign of.
candida albicans
know on self breast exams, the most common area for breast tumors to occur
upper outer quadrant
if after months of infertility, the physician informs a 32 year old patient that she will never conceive and the patient states, I guess I am a failure as a woman, what would the most appropriate nursing diagnosis be?
ineffective coping
know what has to be present for a woman to be diagnosed with primary infertility
inability to conceive within 1 year of regular unprotected sex
if a patient is admitted with a possible cancer of the ovary, know what the nurse should know about malignant tumors of the ovary
because there are no symptoms frequently advanced and inoperable by the time it is diagnosed
a mastectomy care plan should address psychosocial problems of the patient. know what that should be directed toward
give support talk about it
know what medication is used to stimulate or mimic actions of natural pituitary gonadotropins in the treatment of infertility
clomid
if a nurse reads that the patients breast tumor is a stage 2 know what the nurse realized about the tumor
2.5 diameter
0-1 lymph nodes
no metastases
if a nurse is reviewing drugs taken by a 50 year old male the nurse would recognize what drug was most probably causing ED
vasodilators for hypertension
if a young male is being treated for infertility,. know what semen analysis will show
sperm count # of sperm and motility
know what the purpose of an urethral smear is
STD
know what a patients home instructions should include after a vasectomy
should be considered permanent
if a 65 year old male patient has a “transillumination test” on the left testicle, that glows red, know what that would indicate
hydrocele
if the mother of a newborn with cryptorchidism asks the nurse if the condition is permanent, know what the nurse should say
should be corrected after 1rst birthday
if a 50 year old patient has been taking nilutamide (nilandron) a testosterone blocker, know what the patient should expect while on the drug
liver function needs to be monitored
if a 60 year old man who had a prostatectomy 3 weeks earlier asks the nurse if the ongoing incontinence will ever stop, know what the nurses best response would be
usually subsides within 6 months
after an accident at a track meet, a young male runner comes into the ER c/o intense pain in his scrotum and nausea and vomiting. Based on these findings, know what the nurse should suspect
testicular torsion
a 30 year male has just been diagnosed with testicular cancer, then the patient covers his face with both hands and sighs. Know what the nurses most therapeutic intervention at this time would be. what would the nurse say?
tell me what your fears are regarding this diagnosis
know what the nurse should take into account in making a teaching plan for a patient with acute prostatitis. what will the treatment include?
antibiotic and anti inflammatory
after a patient has surgery to correct a testicular torsion, know what the nurse should caution the patient about.
possibility of infertility
if a man has suffered a spinal cord injury with resultant ED, know what prosthetic device the man can use to be able to have sexual intercourse
penile implant
if a nurse is assessing a young man who is being treated for sterility, which common childhood disease would the nurse want to inquire about?
mumps
know what an elevation in PSA (prostatic-specific antigen) from 4ng/L to 6ng/L would indicate?
prostate cancer
if a patient has a prostatectomy 1 year earlier and now has elevations in serum alkaline phosphatase and calcium, know what that would be indicators
metastatic cancer
if a nurse is giving instructions about taking Sildenafil (Viagra), know what instruction the nurse would give concerning on when to take the medication
1 hour before sexual activity
if a patient who has been taking opioid medication for post operative pain, exhibits pin point pupils, know what anatomic portion of the eye has been affected by the medication
choroid
know what portion of the eye makes it possible for a person to see in a dark environment
rods
know how vision changes from near to far occur
accommodation - shape of the lens of the eye changes when ciliary muscles relax and contract
if a patient had their eyes tested and their vision was 20/50 know what that means
a person can read at 20 feet what a person with normal vision can read at 50 ft
know how a nurse would know that a patient being evaluated for a visual impairment, does not have glaucoma, related to the tonometry test measurement of intraocular pressure
within 10-20 is normal, above that would be glaucoma
know what a pneumatonometric study of the eye is
a puff of air directed at the surface of the eye
know how a nurse would perform an eye irrigation
inner canthus to outer canthus
know what information to give a patient who is using topical eye medications
pull conjunctiva down, drop it down in that sack
know what electroretinography is supposed to measure
test for retinal response
know what a nurse should tell a patient about protecting vision
regular eye exams every two years after 40
know how a nurse would instruct a family member of a visually impaired person, to guide the patient when ambulating
let them grab you behind the arm
know the correct term for a patient with a vision disorder
visually impaired
know what nursing implementations are appropriate for a visually impaired person
announce yourself
know what a patient with glaucoma, who is taking a beta-adrenergic blocking agent, Timolol (timoptic) should be monitored for
wheezing
if a patient complains that they must hold a piece of paper further and further away to see it, know what the nurses most informative response would be
presbyopia - need glasses
if a patient tells a home health nurse that they are having cloudy vision and seeing spots and halos around lights, know what the nurse would evaluate for
cataracts
if a patient in the ER complains of severe pain in his eye and is seeing halos around lights and feeling nauseous, what do these s/s indicate
angle closure glaucoma
know what surgical implementation is most effective for retinal detachment
scleral bucking
know what Otaglia is
ear pain
if a nurse is assisting with a caloric test and the specific patient response indicates that the hearing disorder is with the labyrinth, what s/s would indicate that
nystagmus
know what normal age-related changes in the ear are
dry and wrinkled skin, dry cerumen, hair in ear
when making an initial assessment on a patient with a hearing deficit, if the patient often feels off balance and dizzy when they stand up, what could explain those s/s
sinus infection
if a 75 year old patient complains to the nurse, that although she has cleaned her ears with cotton-tipped applicators for weeks, she still cannot hear her television unless the volume is loud and she misses out on a great deal of conversations, on ear exam what would the nurse anticipate?
wax is dryer so its not coming out, dry cerumen across the canal
if a patient reports a hearing loss has become more severe over the last 3 months, what professional would the patient need evaluation by
audiologist
if a patient has a suspected vestibular disorder and the physician orders an electronystagmography, what nursing instruction before the test would be given to the patient
NPO for 3 hours
know what the results of a rinne test would be that was as follows BC>AC
conductive hearing loss
if a patient is undergoing a Weber test and says that the sound is louder in the left ear, know what that would indicate
conductive hearing loss in the left ear
if a patient with diabetes says that he needs a hearing aid because he cannot hear well and everything sounds garbled and distant. the nurses most informative response would be that a hearing aid may not help him. why
sensory neural hearing loss
for the patient with menier’s disease, which nursing diagnosis would take priority
risk for injury related to falls
for the patient self administering ear drops what do you tell the patient
tilt the head to the side for a few minutes
if a patient is being discharged after ear surgery what do you tell them
do not blow your nose.
know how to teach a patient with Meniere’s disease about managing the disorder, what should the nurse stress
no tobacco or alcohol
if an 85 year old has had age related changes in the cochlea, what intervention should the nurse provide
assistance with ambulation
if a patient comes in to a clinic c/o a head cold and ear pain, what should the nurse suspect
acute otitis media
if a young woman being admitted to a clinic service states that all the members of her family have been hard of hearing and states her hearing loss would this be (ie. what caused the hearing loss)
otosclerosis
know what patient teaching for a patient with Meniere’s disease includes
low sodium diet, diuretics
if a 75 year old patient reports having difficulty hearing in crowds but can hear just fine at home with his wife, what type of hearing loss would that indicate?
presbycusis
if a patient reports taking 10 aspirin tablets a day for arthritis, what should the nurse ask the patient
do you have ringing in the ears
