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concept 3 > sammy rak deck > Flashcards

sammy rak deck Flashcards

1
Q

cervical cancer risk factors

A

HPV
first coitus under the age of 20
multiple sex partners
sexual activity
smoking
multiparity
HIV
oral contraceptives
nutritional deficiency
chronic cervical infections
low socioeconomic status
(broke, teenage whore smoking in front of her more than 5 kids otw to pick up her HPV, HIV, nutritional deficiency and birth control meds)

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2
Q

what is multi-parity

A

having more than 5 kids

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3
Q

what cervical cancer nutritional deficiencies

A

folate
vitamin c
beta carotene

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4
Q

early signs of cervical cancer

A

thin/watery discharge
spotting
post menopausal bleeding
heavy bleeding (menorrhagia)

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5
Q

s/s of late stage of cervical cancer

A

dark, foul discharge
pelvic pain
abdominal pain
lower back pain
weight loss
rectal bleeding
dysuria

(skinny girl with a dirty smelly pussy so does anal which makes her back, stomach, pelvis and pee hurts)

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6
Q

diagnostic tests for cervical cancer

A

pap smear
cone biopsy
dilation and curettage
colposcopy

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7
Q

breast cancer risk factors

A

BRCA-1 & 2
being old
female family hx
early menarche (before 12)
nulliparity
Having 1st kid after 30
menopause after 52
radiation exposure (teen-30 y/o)
benign fibrotic breast disease hx
obesity
hormone replacement therapy
estrogen use for more than 5 yrs
birth control
alcohol
ashkenazi jews

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8
Q

breast cancer prevention

A

early screening

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9
Q

early breast cancer screening types

A

self breast exam
mammogram
genetic testing
ultrasound
clinical breast exam

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10
Q

where is breast cancer usually found

A

upper outer quadrant

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11
Q

breast cancer s/s

A

non tender, fixed and hard lump
irregular borders
dimpling of breasts
retracted nipples

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12
Q

early s/s of breast cancer

A

irregular borders

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13
Q

late s/s of breast cancer

A

dimpling of breast
unusual shape
nipple retraction

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14
Q

what age should mammograms start

A

40

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15
Q

what diagnostic test is performed if a lump is found on a breast

A

biopsy

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16
Q

what should pt wear & do after lumpectomy to prevent lymphatic fluid from building up

A

compressive sleeve and arm exercises

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17
Q

removal of only the breast tissue is what procedure

A

total mastectomy

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18
Q

a total mastectomy would be done a patient with breast cancer with cancer that is what?

A

localized (in situ)

19
Q

removal of breast tissue and auxiliary lymph nodes without removing pectorals is called?

A

modified radical mastectomy

20
Q

removal of breast tissue, lymph nodes and pectoral muscles is called

A

total radical mastectomy

21
Q

what should you do with extremity of a pt s/p mastectomy and why?

A

elevate it to return venous flow

22
Q

when can a jp drain be removed

A

when output is less than 30 cc

23
Q

what arm would you check BP and perform lab draws in a pt s/p left mastectomy?

A

right arm

24
Q

how many weeks can a pt s/p mastectomy not use lotion on affected area

A

4-6 weeks

25
Q

what procedure should you ask the pt if they want s/p mastectomy?

A

breast augmentation

26
Q

post mastectomy exercises

A

stress ball first 24 hrs
hand crawl up wall
hair combing

27
Q

what should mastectomy pt avoid going after surgery

A

heavy lifting

28
Q

what to do with arm after mastectomy? how long and how many times

A

elevate on pillow for 45 mins 3x/day

29
Q

is burning/tingling sensation in chest normal after mastectomy

A

yes

30
Q

what kind of razor should post mastectomy pt use

A

electric razor

31
Q

what should pt s/p mastectomy protect seen from

A

mosquitos

32
Q

s/s of infection s/p mastectomy

A

foul smiling drainage
fever

33
Q

what kind of clothes can chemo pt not wear

A

tight clothes

34
Q

hormonal therapy for chemo pts

A

tamoxifen

35
Q

ovarian cancer chemo drugs

A

cytotoxan
adriamycin
taxol

36
Q

nursing interventions for pt s/p mastectomy

A

turn pt
have them cough
deep breaths
spirometer

37
Q

hysterectomy types

A

open abdominal
laparoscopical

38
Q

what should pt go into surgery with for laparoscopy

A

compression stockings

39
Q

how to prevent dvt in laparoscopy pt

A

plantar flexion, dorsal flexing, point toes back and forward

40
Q

pt s/p laparoscopy with chest pain, SOB and crackles is at risk for

A

PE

41
Q

what should a pt s/p laparoscopy not do

A

smoke
bear down/strain
nothing in vagina for 6 weeks

42
Q

what should u monitor for in pt s/p laparoscopy

A

urine output and flatulence

43
Q

can a pt get pregnant after a radical trachelectomy

A

yes

44
Q

how often should a pt with persistent vaginal discharge douche after a radical trachelectomy?

A

twice a day

concept 3 (17 decks)

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