Test 1 Flashcards
- GYN procedure Post op client education (Slide 24)
• Hysterectomy:
o With any abdominal surgery increase protein to promote wound healing
o If ovaries removed with stop menses
o Will have menopausal symptoms
o If total hysterectomy client education would include: no sexual intercourse until provider gives release, no baths, no douching, no lifting more than 5lbs
• Mastectomy:
o Will need OT to help with ADLs that require abduction of the effected arm
o Take BP in opposite arm to prevent lymphedema
o Home health nurse to assess drains, pain, sign of infection
- Finasteride K,H,K
• Might decrease libido
• Can take with or without food
- Pessary client ed
• Need to be fitted for it
• Come back for frequent exam
• Clean regularly
- avoid heavy lifting or straining
- Ovarian cancer risks (page 735 and slide 22)
• Other arise from ovarian cysts
• Recent research has shown that the more times a woman ovulates during her lifetime, the greater risk
• Nulliparous woman
• Those who have been diagnosed with other types of cancer such as endometrial, colon or breast cancer
o Best detection yearly pelvic exams
- Breast cancer risks
• Family history-genetic mutations, hormones, obesity, ETOH use
• Women who begin menstruating at early age (before age 12)
• Women who experience late menopause (after age 55)
- Pap smear nursing actions
• Warm and lubricator speculum
• Lithotomy position
• Educate about pressure
• Not during menses
- TURP and informed consent
• Transurethral resections of the prostate
• Can lead to impotence and need to know prior signing the consent form
- Diaphragm client ed (page 728)
• They tell cleint who use a diaphragm, vaginal sponge, or cervical cap for birth control to remove the deceive within 24 hours after use
• The nurse emphasizes hand hygiene and keep vaginal devices clean
- 6-8 hours need to be keep on after having sex (Diaphragm)
- Sildenafil K,H,K
• HYPOTENSIVE priority* do not mix with anytging else that can also cause hypotension
- BSE client ed
• Examine your breasts 3 days after the end of menstruation or anytime if you no longer menstruate
• Begin the examination in the shower when the breasts are wet and soapy and again after the shower when lying down with a folded towel under the shoulder on the side being examined
• Use light, medium, and firm pressure applied with the pads of three fingers when checking each breast
• Move your fingers in circles, spokes of a wheel, or rowa, but follow the same technique eith each BSE
• Feel every part of each breast, including the nipple area and the armpit to the collarbone
• Raise your arms over your head and look at the breasts in a mirror
• Look for changes in breast shape, size and contour; puckering (dimpling) of the skin; or aress the appear red
- FSH, LH. What are they for/what do they mean?(page 711)
• FSH (Follicle-stimulating hormone/anterior pituitary hormone): initiates ovulation monthly.
• LH (Luteinizing hormone/ second pituitary hormone): causes the mature follicle to rupture, thereby releasing an ovum from the ovary
- Priority findings in a post-menopausal woman
• vaginal bleeding
- Menstrual irregularities
• Vasomotor disturbances like sleep disturbances and night sweats
• Vaginal dryness
• Increased risk of heart disease
• Stress incontinence
- Vaginitis assessment findings and risks (Page 725)
Assessment Findings:
• Candidiasis: cottage cheese liked discharge-diabetics at higher risk.
• Trichomonas: yellow white, foamy, and foul
• Gardnerella: Fishy smell
Risk:
• Pregnant woman
• Unregulated diabetes
• Those who take hormonal contraceptives
- Tamoxifen K,H,K
• Causes hot-flashes, drowsiness, n/v common adverse effect
• Abnormal Vaginal bleeding
- risk for DVT/PE
- Best prevention for STIs
Condoms with spermicide
