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Med surg 2 > Exam 6 ch47,48,51,52 > Flashcards

Exam 6 ch47,48,51,52 Flashcards

1
Q

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

A

Masculine side effects

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2
Q

know what age a woman should have an annual mammogram at

A

50

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3
Q

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

A

obstruction of the bowel and ureters

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4
Q

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

A

keep it elevated

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5
Q

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

A

regular pap smears screen for it

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6
Q

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?

A

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

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7
Q

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

A

candida albicans

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8
Q

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

A

upper outer quadrant

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9
Q

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?

A

ineffective coping

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10
Q

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

A

inability to conceive within 1 year of regular unprotected sex

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11
Q

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

A

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

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12
Q

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

A

give support, talk about it

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13
Q

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

A

clomid

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14
Q

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

A

2.5, 0-1 lymph nodes, no metastases

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15
Q

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

A

vasodilators for hypertension

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16
Q

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

A

sperm count # of sperm and motility

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17
Q

know what the purpose of an urethral smear is

A

STD

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18
Q

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

A

should be considered permanent (???)

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19
Q

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

A

hydrocele

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20
Q

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

A

should be corrected after 1st birthday

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21
Q

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

A

liver function needs to be monitored

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22
Q

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

A

usually subsides within 6 months

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23
Q

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

A

testicular torsion

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24
Q

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?

A

tell me what your fears are regarding the diagnosis

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25
Q

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

A

antibiotic and anti inflammatory

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26
Q

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

A

possibility of infertility

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27
Q

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

A

penile implant

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28
Q

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?

A

mumps

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29
Q

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

A

prostate cancer

30
Q

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

A

metastatic cancer

31
Q

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

A

1 hr before sexual activity

32
Q

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

A

choroid

33
Q

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

A

rods

34
Q

know how vision changes from near to far occur

A

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

35
Q

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

A

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

36
Q

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

A

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

37
Q

know what a pneumatonometric study of the eye is

A

a puff of air directed at the surface of the eye

38
Q

know how a nurse would perform an eye irrigation

A

inner canthus to outer canthus

39
Q

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

A

pull conjunctiva down, drop it down in that sac

40
Q

know what electroretinography is supposed to measure

A

test for retinal response

41
Q

know what a nurse should tell a pt about protecting vision

A

regular eye exams every 2 years after 40

42
Q

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

A

let them grab you behind the arm

43
Q

know the correct term for a pt with a vision disorder

A

visually impaired

44
Q

know what a nursing diagnosis for visually impaired pt might include

A

WILL BE DELETED

45
Q

know what nursing implementations are appropriate for a visually impaired person

A

announce yourself

46
Q

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

A

wheezing

47
Q

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

A

presbyopia-need glasses

48
Q

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

A

cataracts

49
Q

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?

A

angle closure glaucoma

50
Q

Know what surgical implementation is most effective for retinal detachment

A

scleral buckling

51
Q

Know what “Otalgia” is

A

ear pain

52
Q

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

A

nystagmus

53
Q

Know what normal age-related changes in the ear are

A

dry and wrinkled skin, dry cerumen, hair in ear

54
Q

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

A

sinus infection

55
Q

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?

A

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

56
Q

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

A

audiologist

57
Q

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?

A

NPO for 3 hours

58
Q

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

A

conductive hearing loss

59
Q

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

A

conductive hearing loss in the left ear

60
Q

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?

A

sensory neural hearing loss

61
Q

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

A

risk for injury related to falls

62
Q

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

A

tilt head to the side for a few minutes

63
Q

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

A

do not blow your nose

64
Q

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

A

tobacco and alcohol

65
Q

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

A

assistance with ambulation

66
Q

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

A

acute otitis media

67
Q

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)

A

otosclerosis

68
Q

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

A

low sodium diet, diuretics

69
Q

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?

A

presbycusis

70
Q

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

A

do you have ringing in the ears

Med surg 2 (5 decks)

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