Reproductive

Question 1

BPH patho

Answer 1

Gradual and abnormal prostate enlargement, compresses the urethra

Question 2

S+S of BPH

Answer 2

Voiding (obstructive) symptoms: weak urinary stream, intermittency, incomplete emptying, hesitancy, straining to void
Storage (irritative, filling) symptoms: frequency, urgency, nocturia, incontinence

Question 3

Complications of BPH

Answer 3

Hydronephrosis
Kidney dsfx
UTI
Hematuria

Question 4

Pharm of BPH

Answer 4

Tamsulosin, doxazosin (major issue: hypotension)
Finasteride: decreases prostate size, takes months to work

Question 5

Nursing interventions of BPH

Answer 5

UA
Bladder scan
Urinary cath
Reduce intake of mild diuretics, bladder irritants
Avoid meds that cause urinary retention (anticholinergics, antihistamines, decongestants)

Question 6

TURP postop nursing interventions

Answer 6

Output should be light pink
If dark red = increase flow rate
Monitor for presence of blood clots

Question 7

Pelvic inflammatory dz risk factors

Answer 7

Multiple sex partners
Hx of chlamydia or gonorrhea
Partner w/ STI
Lack of consistent contraception use
Age 15-25

Question 8

PID patho

Answer 8

Bacterial infx from cervix
Untreated STI

Question 9

S+S of PID

Answer 9

Fever, chills
Pelvic or lower abdominal pain
Painful intercourse
Abnormal cervical discharge
Spotting after intercourse
Cervical motion tenderness

Question 10

Tx of PID

Answer 10

Abx
Analgesics
Fluids
Bed rest in semi-Fowler
Heat lower abdomen or sitz bath
Reevaluate in 48-72 hrs

Question 11

Perimenopause interventions

Answer 11

Take calcium supplement
Avoid spicy foods to decrease vasomotor symptoms
Use water-based lube during intercourse