Men and Women's Health (Online Lecture)

Question 1

hysterectomy

Answer 1

removal of the uterus

Question 2

total hysterectomy

Answer 2

removal of uterus and cervix

Question 3

radical hysterectomy

Answer 3

removal of uterus, cervix, upper third of vagina, and pelvic lymph node

Question 4

types of approaches to a hysterectomy

Answer 4

laparoscopic
vaginal
abdominal

Question 5

what meds should be discontinued before hysterectomy

Answer 5

anticoagulation
NSAIDS
vit E

Question 6

what profilaxis might a patient getting a hysterectomy be on

Answer 6

antibiotics
DVT

Question 7

complications of hysterectomy

Answer 7

hemorrhage
bladder dysfunciton

Question 8

how might we be able to assess for hemorrhage

Answer 8

count number of perineal pads
incision site
extent and saturation with blood
VS

Question 9

post op discharge teachings about DVT

Answer 9

avoid prolong sitting
avoid crossing legs
avoid long period of activity

Question 10

S/S of DVT

Answer 10

leg pain
warmth
edema
swelling

Question 11

S/S PE

Answer 11

acute onset of shortness of breath
chest pain
increase HR
anxitey

Question 12

once the foley is removed we should monitor

Answer 12

urine output (4-6 hr after removal)
bladder distention
might need to put foley back in

Question 13

how should the patient bathe

Answer 13

shower

Question 14

what are some s/s of complications to teach the patient

Answer 14

vaginal odor
excessive bleeding
fever
pain not controlled by meds
during with urination

Question 15

radiation therapy is used for

Answer 15

cancer

Question 16

when receiving intracity radiation this patient needs to be in private room for

Answer 16

72 hours

Question 17

when receiving intracity radiation this patient visitors must meet this critera

Answer 17

cannot be pregnant
cannot be under 18
cannot stay longer than 30 mins

Question 18

patient activity level receiving intracavity radiation

Answer 18

absolute bed rest

Question 19

why might patient with intracavity radiation need log rolling

Answer 19

to prevent displacement

Question 20

what diet will the patient getting intracavity radiation be on

Answer 20

low residue to prevent bowel movement which could displace probe

Question 21

older than 50 males need what done annually

Answer 21

digital rectal exam, PSA, urinary analysis

Question 22

prostatisits

Answer 22

inflammation caused by an infectious agent

Question 23

benign prostatic hyperplasia is what

Answer 23

enlarged prostate

Question 24

manifestations of BPH

Answer 24

urinary obstruction
urinary retention
urinary tract infections
frequency
incomplete emptying
noctiuria

Question 25

BPH meds

Answer 25

alpha adrenergic blockers antiandrogen prostate surgery

Question 26

early prostate cancer s/s

Answer 26

few or none

Question 27

s/s of cancer prostate when there is s/s

Answer 27

urinary obstruction blood in urine/semen painful ejaculation

Question 28

what might be the first manifestation of cancer of prostate

Answer 28

metastasis

Question 29

PSA

Answer 29

tells us there is an enlargement of prostate which could be cancerous, requires biopsy

Question 30

what is watchful waiting

Answer 30

actively monitoring in early phase and only intervening if it progresses and symptoms warrant interventions, only down when left expectancy is less than 5 years

Question 31

bladder spasms cause feelings of

Answer 31

pressure and fullness urgency to void bleeding from urethra

Question 32

if patient is stating they need to pee but have a catether what should we do

Answer 32

investigate could be a bladder spasm or clot

Question 33

what meds might need to be given for bladder spasms

Answer 33

analgesics and antispastics

Question 34

3 way bladder irrigation

Answer 34

bladder is irrigated with solution and then solution is removed with urine if patient receives 500mL of solution of irrigation you should expect at least 500 in the foley bag, and if producing more urine it should be even more

Question 35

bright red thicker urine

Answer 35

arterial

Question 36

dark red less thicker urine

Answer 36

venous

Question 37

what is the normal progression of bleeding being resolved with a 3 way bladder irrigation

Answer 37

pink-amber-clear

Question 38

what meds would we discontinue post up

Answer 38

aspirin and NSAIDS because increase bleeding because prostate is vascular

Question 39

education post op

Answer 39

bladder continence - gradual process, dribbling may continue up to one year avoid straining, heavy lifting, long car trips