GU Male and female reproductive

Question 1

internal beam radiation

Answer 1

Puts a radiation device in the body and radiates the body from the inside out

Question 2

trachelectomy

Answer 2

cancer of the cervix
surgery that removes the cervix, the upper part of the vagina and surrounding supporting tissues
fertility sparing

Question 3

brachytherapy

Answer 3

radioactive seeds inserted into the body

Question 4

external radiation

Answer 4

radioactive treatment placed near the tumor
radiates the body from the outside in
less systemic effects

Question 5

breast cancer risk factors

Answer 5

female
increases with age
personal and family history
brca gene
hormonal factors
exposutre to radation
hx of benign breast disease
obesity
high fat diet
alcohol intake

Question 6

early detection of breast cancer

Answer 6

mammography annually beginning at 40 or earlier if you have increased rist
in 20’s do monthly self breast exam

Question 7

teaching a self breast exam

Answer 7

do 5-7 days after period starts or once a month for postmenopausal women
identification of normal abnormalities
shower and soapy hands to glide
include top of breast and underatrm

Question 8

breast cancer diagnostic tests

Answer 8

mammo
galactography
untrasound
mri
biopsy percutaneous (fine needle)
surgical excision

Question 9

breast cancer surgical management

Answer 9

conversion treatment- lumpectomy (Tumor and some surrounding tissue)
total masectomy (cut off the boobies and lymph node)
modified radical biopsy
sentinel node biopsy and axilary node biopsy
breast reconstruction surgert

Question 10

nonsurgical breast cancer management

Answer 10

radiation therapy (external, brachy)
chemo
hormonal therapy
estrogen and progesterone receptor assay –> moms genetic coding is checked and meds are given for the specific type of cancer
selective estrogen receptor modulators (tamoxifen)
aramatase inhibitors anastrolozole letrozole exemestane

Question 11

pre op breast cancer assessment

Answer 11

emotional support
you do not know what shes going through
education on complications (infection, hematoma, pain)

Question 12

breast cancer surgery complications

Answer 12

lymphedema - we are removing lymph nodes, pressure dressings and exercises to prevent it, keep arms at breast level or elevated
very dramatic lots of fluid and impossible to get rid of
hematoma/seroma formation- never want to hear that there is pressure in the area
infection

Question 13

post op breast cancer hand and arm care

Answer 13

potential for lymphedema formation
no blood pressure, injection, or blood draws from the affected arm
perform arm exercises (arm raises, hand crawls, rope turning) 3x a day for 20 minutes pain meds given prior
prevent lifting over 10 pounds

Question 14

post op breast cancer drain management

Answer 14

will go home with drains and need to know how to change them safely
removed when less than 30 mL drainage in a 24 hour period usually 7-10 days
drain site and incision care

Question 15

palliative cancer treatment

Answer 15

radiation chemo pain control
i know i cant be cancer free so let me control my symptoms

Question 16

reconstructive breast cancer treatment

Answer 16

make me look sexy

Question 17

prophylactic breast cancer treatment

Answer 17

imma get rid of my boobs just in case

Question 18

curative breast cancer treatment

Answer 18

make me cancer free

Question 19

changes in renal status- diagnostic testing

Answer 19

BUN/creatinine
Specific Gravity 1.010-1.025
Serum Creatinine 0.6- 1.2 mg/dl
BUN 7-18 mg/dl, age > 60 8-20 mg/dl
GFR–> checks how well the blood is filtering in the kidneys
gfr may be lower in elderly patients
CT scan of kidneys
ultrasound
renal angiogram
prostate rectal sonogram
UA and culture
renal function test
intravenous urography
retrograde pyelography
cystography
renal angiography
endoscopic procedures

Question 20

hematuria nursing interventions

Answer 20

notify provider if onset is out of nowhere
monitor I&Os and document
insert urinary catheter
encourage bladder training
consult with urology
monitor hgb/hct
Diagnostic testing
Monitor related symptoms
Abx for underlying infection
Pt education
Probably treat precipitating factors, relieve anxiety

Question 21

3 way bladder irrigation

Answer 21

sterile procedure
allows fluid to flow in and out of the bladder simultaneously to prevent or manage blood clots and consequent urinary retention
Urine should be a little pinkish first day, should NOT look cranberry color. If clots are there, they should be small enough to pass
Irrigating bladder wall, VERY vascular so minimize bleeding
1 port for inflation of the balloon
one for urine drainage
one for connection or continuous irrigation of fluid