Brainscape's Knowledge GenomeTM

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


See full index

Nursing Exam Study - Rasmussen > MDC 3 Exam 1 Study > Flashcards

MDC 3 Exam 1 Study Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

What are risk factors for breast cancer

A

female, older than 65 years old, estrogen use, family history, BRCA 1 or 2, first child after 30, nulliparous, alcohol/smoking, high socioeconomic status, post menopausal

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

What is the only test to definitively diagnose breast cancer

A

biopsy
MRI, labs, pathology

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

What are screening tests for breast cancer

A

Mammograms women 45+ get yearly, self-exams monthly, ultrasound

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

nursing expectations post-op for gynecological cancers

A

Monitor VS, bowel sounds, I&O, encourage mobility gradually, bed rest for first-night post op, CBC, limit driving or stairs, avoid heavy lifting, vaginal rest

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

S/S of gynecological cancers

A

abnormal bleeding, urethral burning for longer than 24 hrs, fatigue, diarrhea, fever, abdominal pain

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

Preventative for cervical cancer

A

HPV vaccine 9-26 years old, or before first sexual encounter

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

uterine leiomyoma s/s

A

may have no s/s, bleeding, pain, pelvic pressure, abdominal distention, heavy bleeding, anemia symptomrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

vulvovaginitis interventions

A

cotton underwear, loose clothing, clean inner labia with water and not soap, no douches or perfumes, no sex until infection clears and treatment is finishing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

toxic shock syndrome interventions

A

change tampons every 4-6 hrs, wash hands, no tampons at night, use smallest effective tampon, do not use internal contraceptives if history of TSS, provide a comfortable environment to discuss treatment plans

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

endometrial/uterine cancer

A

most common malignancy, slow growing, 95% survival rate if caught early
s/s: abdominal uterine bleeding, especially post menopausal, painful intercourse and urination, abdominal discharge that is watery and bloody, pain in lower back, abdomen, pelvis

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

endometrial cancer diagnostics

A

the best one: endometrial biopsy
transvaginal ultrasound, CBC, CXR, abdominal ultrasound, liver or bone scans for suspected metastasis, renal function scans

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

BPH s/s

A

swollen prostate, difficulty starting urination, decreased urine stream pressure, intermittent, dribbling, retention, increase UTI, frequency/urgency, incontinence, pain

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

BPH education

A

Decrease alcohol and caffeine, urinate every 2-3 hr, catheter education, avoid anticholinergics, antihistamines, and decongestants (all-cause urinary retention)

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

BPH risk factors

A

over 60 years old, obese, sedentary lifestyle, smoking and drinking, ED, diabetes, first degree relative diagnosed

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

BPH diagnostics

A

DRE to determine the size and if the discharge is present, uroflowmetry, transrectal ultrasound, cystoscopy,

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

BPH medications

A

alpha reductase inhibitors (-ide) : finasteride
alpha-blockers ( - sin) : doxazosin
PDE5 inhibitors ( - fil): sildenafil
NSAIDS
Saw palmetto

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

BPH post-op care

A

bleeding, infection, pain management, mobilize early, CBC if ordered, precise I&O, urologist removes foley

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

prostate cancer risk factors

A

older than 50, african american, obesity/diet, family history

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

prostate cancer s/s

A

early stages has none, late-stage blood in urine

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

screening prostate cancer

A

DRE if required, PSA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

prostate cancer diagnosis

A

PSA, DRE, transrectal ultrasound, look for lesions, biopsy (definitive), CT/MRI/Bone Scan/Liver function (suspected metastasis), elevated serum acid phosphatase (advanced), elevated alkaline phosphatase (bone metastasis)

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

Testicular cancer

A

self examination, sperm bank options, emotional support since it effects a younger population

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

erectile dysfunction risk factors

A

HTN, CAD, DM, older than 50, hypercholesterolemia, smoking, drugs, alcohol, obesity, sedentary lifestyle, trauma, surgery (prostatectomy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

ED medications

A

PDE5 -afil
NO Nitrates

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

Chlamydia treatment

A

azithromycin 1 dose or doxycycline BID for 7 - 14 days, avoid sex for 7 days after treatment

26
Q

Syphilis primary stage symptoms

A

localized at site of infection, round firm painless sores, 10-90 days after inoculation

27
Q

syphilis secondary or systemic state s/s

A

Swollen lymph nodes, skin rash, flu-like symptoms, cutaneous lesions or weeping papules, mucous patches, s/s may go unnoticed, and then transfer to latent disease

28
Q

Syphilis tertiary stage s/s

A

can affect the heart, brain and other organs, 1-20 years after initial infection, Abx make this less common

29
Q

syphilis treatment

A

priority benzathine penicillin G or doxycycline or tetracycline allergy
contact tracing treat 90 days worth of contacts

30
Q

syphilis education

A

no sex for 7 days after treatment and until all partners complete Abx too, safe sex practices

31
Q

urinary incontinence education

A

kegels, keep a schedule, avoid caffeine, prevent constipation

32
Q

urolithiasis (kidney stones) s/s

A

sudden flank pain, dysuria, fever/chills, n/v, diaphoresis

33
Q

UTI/ cystitis interventions

A

hydrate, cranberry use should be discussed with urologist, urinate before and after sex, sitz bath, finish antibiotics, phenazopyridine (may turn urine orange)

34
Q

pyelonephritis s/s

A

fever, flank pain, nausea, vomiting, foul-smelling/cloudy urine

35
Q

pyelonephritis causes

A

acute UTI traveled to kidneys
chronic repeated continued uti can be caused by an anatomic abnormality

36
Q

acute glomerulonephritis s/s

A

recent skin or upper respiratory infection, UA bloof and protein, elevated BP, edema

37
Q

polycystic kidney disease interventions

A

treat manifestations UTL, HTN, dialysis or kidney transplant for end-stage, pain management, genetic counseling, limit sodium, drink 2L of fluid daily, BP, weight, temp, characteristics of Urine, genetic predisposition

38
Q

Diabetic nephrothapy

A

a vascular complication of DM, the leading cause of ESRD, severe hyperglycemia correlates with the severity of kidney disease, educate on glycemic control

39
Q

nephrotic syndrome interventions

A

treat the cause, diet restrictions, if GFR is decreased (decrease protein, sodium, and potassium in diet) ACE inhibitors can help decrease protein lost in urine

40
Q

acute kidney injuries - prerenal

A

most common cause of AKI, related to perfusion, disrupted flow to kidneys, caused by renal artery stenosis, hypovolemia, dehydration, MI, hypotension, sepsis

41
Q

acute kidney injuries intrarenal

A

damage inside of kidney caused by lupus, nephrotoxic drugs, glomerulonephritis, sepsis, diabetes, and hypertension

42
Q

acute kidney injuries, post-renal

A

related to outflow causes BPH< obstruction, UTI, bladder cancer, cervical cancer, prostate cancer, and colon cancer

43
Q

renal cell carcinoma treatment

A

cryoblation, nephrectomy (monitor bleeding)

44
Q

Chronic kidney disease intervention

A

control bp, restrict fluids, adhere to medication, dialysis for ESRD

45
Q

chronic kidney disease nursing care

A

AV fistula or graft, ensure proper circulation by checking radial ulnar pulses and cap refill, check bruit and thrill, arm precautions no BP or IV, no meds through port

46
Q

BUN normal values

A

10-20
increase in AKI

47
Q

Creatinine

A

males 0.6 - 1.2
females 0.5-1.1
increased in AKI

48
Q

potassium

A

3.5-5
increased in AKI

49
Q

Magnesium

A

1.3-2.1
increased in AKI

50
Q

phosphorus

A

3.0-4.5
increased in AKI

51
Q

calcium

A

9.0-10.5
decreased in AKI

52
Q

CO2

A

25-35
decreased in AKI

53
Q

pH

A

7.35-7.45
decreased in AKI

54
Q

hgb

A

males 14-18
females 12-16
decreased in AKI

55
Q

hct

A

males 42-52
females 37-47
decreased in AKI

56
Q

specific gravity

A

1.005-1.030
decreased in AKI

57
Q

HCO3

A

21-28
decreased in AKI

58
Q

polycystic kidney disease s/s

A

UTI, urinary calculi, HTN, hematuria, back side and abdominal pain

59
Q

what STIs to notify health department

A

chlamydia, gonorrhea, and syphilis

60
Q

kidney stone risk factors

A

diabetes, genetics, gout, male

Nursing Exam Study - Rasmussen (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions