Exam 6 ch47,48,51,52

Question 1

Know what side effect the nurse should caution the pt on, who is taking danazol (danocrine), an androgenic steroid, for the treatment of menorrhagia

Answer 1

Masculine side effects

Question 2

know what age a woman should have an annual mammogram at

Answer 2

50

Question 3

Know what teaching for a pt with endometriosis should include (s/s of common complications)

Answer 3

obstruction of the bowel and ureters

Question 4

Know how the nurse can minimize the problem of lymphedema after a pt has a mastectomy

Answer 4

keep it elevated

Question 5

if a pt tells a nurse they are afraid of getting cervical cancer, bc their mother died of cervical cancer, what would be the best response by the nurse

Answer 5

regular pap smears screen for it

Question 6

If a nurse is caring for a pt after a modified radical mastectomy, for a breast tumor that is positive for estrogen receptors (ER+) and the pt is placed on “Tamoxifen”. If the pt asks, should I take the medication, which response by the nurse is most appropriate?

Answer 6

yes, bc of the type of tumor, it was ER+

Question 7

If a pt has a vaginal discharge, that is cottage cheese-like in appearance, what is this a common sign of?

Answer 7

candida albicans

Question 8

know on self breast exams, the most common area for breast tumors to occur

Answer 8

upper outer quadrant

Question 9

if after moths of infertility, the physician informs a 32 year old pt that she will never conceive and the pt states, I guess i’m a failure as a woman, what would the most appropriate nursing diagnosis be?

Answer 9

ineffective coping

Question 10

know what has to be present, for a woman to be diagnosed with primary infertility

Answer 10

inability to conceive within 1 year of regular unprotected sex

Question 11

if a pt is admitted with a possible cancer of the ovary, know what the nurse should know about malignant tumors of the ovary

Answer 11

bc no symptoms frequently advanced and inoperable by the time it is diagnosed

Question 12

a mastectomy care plan should address psychosocial problems of the pt. know what that should be directed towards

Answer 12

give support, talk about it

Question 13

know what medication is used to stimulate or mimic actions of natural pituitary gonadotropins in the treatment of infertility

Answer 13

clomid

Question 14

if a nurse reads that the pts breast tumor is stage II, know what the nurse realizes about the tumor

Answer 14

2.5, 0-1 lymph nodes, no metastases

Question 15

if a nurse is reviewing drugs taken by a 50 year old male, the nurse would recognize that which drug was most probably causing ED

Answer 15

vasodilators for hypertension

Question 16

if a young male is being treated for infertility, know what semen analysis will show

Answer 16

sperm count # of sperm and motility

Question 17

know what the purpose of an urethral smear is

Answer 17

STD

Question 18

know what a pts home instructions should be including after a vasectomy

Answer 18

should be considered permanent (???)

Question 19

if a 65 year old male pt has a “Transillumination test” on the left testicle, that glows red, know what that would indicate

Answer 19

hydrocele

Question 20

if the mother of a newborn with “Cryptorchidism” asks the nurse if the condition is permanent, know what the nurse should say

Answer 20

should be corrected after 1st birthday

Question 21

if a 50 year old pt has been taking “Nilutamide (Nilandron)”, a testosterone blocker, know what the pt should expect while on the drug

Answer 21

liver function needs to be monitored

Question 22

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

Answer 22

usually subsides within 6 months

Question 23

after an accident at a track meet, a young male runner comes to the ER c/o intense pain in his scrotum and nausea and vomiting. based on these findings, know what the nurse should suspect

Answer 23

testicular torsion

Question 24

a 30 year old male has just been diagnosed with testicular cancer, then the pt coves his face with both hands and sighs. know what the nurses most therapeutic intervention at this time would be. what would the nurse say?

Answer 24

tell me what your fears are regarding the diagnosis

Question 25

know what the nurse should take into account in making a teaching plan for a pt with acute prostatitis. what will the treatment include?

Answer 25

antibiotic and anti inflammatory

Question 26

after a pt has surgery to correct testicular torsion, know what the nurse should caution the pt about

Answer 26

possibility of infertility

Question 27

if a man has suffered a spinal cord injury, with resultant ED know what the prosthetic device the man can use to be able to have sexual intercourse

Answer 27

penile implant

Question 28

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?

Answer 28

mumps

Question 29

know what an elevation in PSA (prostatic-specific antigen) from 4ng/L to 6ng/L would indicate?

Answer 29

prostate cancer

Question 30

if a pt had a prostatectomy 1 year earlier and now has elevations in serum alkaline phosphatse and calcium, know what that would be indicators of

Answer 30

metastatic cancer

Question 31

if a nurse is giving instructions about taking Sildenafil (Viagra), know what instructions the nurse would give concerning on when to take medication

Answer 31

1 hr before sexual activity

Question 32

if a pt who has been taking opioid medication for post operative pain, exhibits pin point pupils, know what anatomic portion of the eye ball has been affected by the medication

Answer 32

choroid

Question 33

know what portion of the eye makes it possible for a person to see in a dark environment

Answer 33

rods

Question 34

know how vision changes from near to far occur

Answer 34

accommodation- shape of the lens of the eye changes when ciliary muscles relax and contract

Question 35

if a pt had their eyes tested and their vision was 20/50, know what that means

Answer 35

a person can read at 20feet what a person with normal vison can read at 50 feet

Question 36

know how a nurse would know that a pt being evaluated for a visual impairment, doe not have glaucoma, related to the tonometry test measurement of intraocular pressure

Answer 36

within 10-20 is normal, above that would be glaucoma

Question 37

know what a pneumatonometric study of the eye is

Answer 37

a puff of air directed at the surface of the eye

Question 38

know how a nurse would perform an eye irrigation

Answer 38

inner canthus to outer canthus

Question 39

know what info to give to e pt who is using topical eye medication

Answer 39

pull conjunctiva down, drop it down in that sac

Question 40

know what electroretinography is supposed to measure

Answer 40

test for retinal response

Question 41

know what a nurse should tell a pt about protecting vision

Answer 41

regular eye exams every 2 years after 40

Question 42

know how a nurse would instruct a family member of a visually impaired person, to guide the pt when ambulating

Answer 42

let them grab you behind the arm

Question 43

know the correct term for a pt with a vision disorder

Answer 43

visually impaired

Question 44

know what a nursing diagnosis for visually impaired pt might include

Answer 44

***WILL BE DELETED***

Question 45

know what nursing implementations are appropriate for a visually impaired person

Answer 45

announce yourself

Question 46

know what a pt with glaucoma, who is taking a beta-adrenergic blocking agent, "Timolol (timoptic) should be monitored for

Answer 46

wheezing

Question 47

If a pt 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

Answer 47

presbyopia-need glasses

Question 48

if a pt 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

Answer 48

cataracts

Question 49

If a pt 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?

Answer 49

angle closure glaucoma

Question 50

Know what surgical implementation is most effective for retinal detachment

Answer 50

scleral buckling

Question 51

Know what "Otalgia" is

Answer 51

ear pain

Question 52

If a nurse is assisting with a caloric test and the specific pt response indicates that the hearing disorder is with the labyrinth, what s/s would indicate that

Answer 52

nystagmus

Question 53

Know what normal age-related changes in the ear are

Answer 53

dry and wrinkled skin, dry cerumen, hair in ear

Question 54

When making an initial assessment on a pt with a hearing deficit, if the pt often feels off balance and dizzy when they stand up, what could explain those s/s

Answer 54

sinus infection

Question 55

If a 75 year old pt 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?

Answer 55

wax is dryer so it's not coming out, dry cerumen across the canal

Question 56

if a pt reports a hearing loss has become more severe over the last 3 months, what professional would the pt need evaluation by?

Answer 56

audiologist

Question 57

if a pt has a suspected vestibular disorder and the physician orders an electronystagmography, what nursing instructions before the test would be given to the pt?

Answer 57

NPO for 3 hours

Question 58

Know what the results of a Rinne test would be that was as follows: BC>AC

Answer 58

conductive hearing loss

Question 59

If a pt is undergoing a Weber test and says that the sound is louder in the left ear, know what that would indicate

Answer 59

conductive hearing loss in the left ear

Question 60

If a pt 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?

Answer 60

sensory neural hearing loss

Question 61

For the pt with Meniere's disease, which nursing diagnosis would take the priority?

Answer 61

risk for injury related to falls

Question 62

for the pt self administering ear drops what do you tell the pt

Answer 62

tilt head to the side for a few minutes

Question 63

If a pt is being discharged after ear surgery what do you tell them?

Answer 63

do not blow your nose

Question 64

know how to teach a pt with Meniere's disease, about managing the disorder. what should the nurse stress?

Answer 64

tobacco and alcohol

Question 65

If an 85 year old has had age-related changes in the cochlea, what intervention should nurse provided?

Answer 65

assistance with ambulation

Question 66

if a pt comes into a clinic c/o a head cold and ear pain, what should the nurse suspect?

Answer 66

acute otitis media

Question 67

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 became more pronounced when she was pregnant, what type of hearing loss would this be? (ie., what caused the hearing loss)

Answer 67

otosclerosis

Question 68

Know what pt teaching for a pt with Meniere's disease includes

Answer 68

low sodium diet, diuretics

Question 69

if a 75 year old pt reports having difficulty hearing in crowds but can hear just fine at home with his wife, what type of hearing loss would that indicate?

Answer 69

presbycusis

Question 70

if a pt reports taking 10 aspirin tablets a day for arthritis, what should the nurse ask the pt?

Answer 70

do you have ringing in the ears