Brainscape's Knowledge GenomeTM

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


See full index

VN 36 MED SURG 2 > VN 36 S.G 1 Female/Male reproductive > Flashcards

VN 36 S.G 1 Female/Male reproductive Flashcards

1
Q
  1. GYN procedure (hysterectomy) Post op client education (PP Slide 24)
A

-w/any abdominal surgery increase protein to promote wound healing
-if ovaries are removed menses will stop
-will have menopausal symptoms
-if total hysterectomy: no sexual intercourse until provider gives release, no baths, no douching, no lifting more than 5lbs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  1. GYN procedure Mastectomy) Post op client education (PP Slide 24)
A

-will need OT to help w/ADL’s that require abduction of the effected arm
-take BP in opposite arm to prevent lymphedema
-home health nurse to assess drains, pain, signs of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  1. Finasteride K,H,K (pp slide 12, Pg.759)
A

-might decrease libido
-can take w/ or w/o food
-causes prostate gland to shrink
-dizziness & postural hypotension
-asthenia (abnormal physical weakness/lack of energy)
-shouldn’t donate blood for 6 mos after discontinuing drug
-Teratogenic, pills should not be handled by women w/o gloves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  1. Pessary client ed (pp slide 23, pg.730)
A

-Need to be fitted
-regular examinations
-needs to be cleaned regularly (report yellow/white discharge, may indicate infection)
-avoid heavy lifting & straining during BM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  1. Ovarian cancer risks (pg.735)
A

-HX of ovarian cysts
-DX of other cancer types (endometrial, colon, or breast cancer)
-nulliparous women (haven’t given birth)
-The more times a woman ovulates during her lifetime

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  1. Breast cancer risks (pp slide 21)
A

-Family HX: genetic mutations, hormones, obesity, ETOH use
-Women who begin menstruating at early age (before 12)
-Women who experience late menopause (after age 55)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  1. Pap smear nursing actions (pp slide 6)
A

-Warm & lubricate speculum
-Lithotomy position
-Educate about pressure
-Not during menses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  1. TURP and informed consent (PP slide12, pg.760)
A

-part of the prostate is removed w/a cutting instrument and inserted through an endoscope
-could lead to impotence
-clients may have temporary or permanent urinary incontinence.
-Perineal surgical approaches often result in permanent ED, although some nerve-sparing techniques are being performed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  1. Diaphragm client ed (pg.728)
A

-Leave in @ least 6hrs after intercourse
-remove the device w/in 24hrs after use.
-Emphasize hand hygiene & keep vaginal devices clean.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  1. Sildenafil K,H,K (pg.756)
A

-don’t mix with anything that can cause hypotension (nitrates), nitroglycerin
-taken prior to sexual activity
-may cause prolonged erection
-may cause headache, flushing, dyspepsia(upper abdominal discomfort), congestion, hearing loss, blurred vision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  1. BSE (breast self examination) client ed (pg.714)
A

-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 (A).
-Use light, medium, and firm pressure applied with the pads of three fingers when checking each breast (B)
-Move your fingers in circles, spokes of a wheel, or rows, but follow the same technique with 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 areas that appear red.
-Squeeze each nipple and look for liquid drainage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  1. FSH, LH. What are they for/what do they mean? (pp slide5, pg.711)
A

FSH: Follicle stimulating hormone >initiates ovulation monthly.
LH: luteinizing hormone > causes mature follicle to rupture, therefore releasing an ovum from the ovary.
*Help release ovum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
  1. Priority findings in a post-menopausal woman (pp slide 12)
A

If the client mentions she is having vaginal bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
  1. Vaginitis findings & risks(pg.725)
A

Findings:
-Trichomonas: yellow, foamy & foul
-Candidiasis: cottage cheese like discharge (diabetics at higher risk)
-Gardnerella: fishy smell

Risks:
-antibiotics
-frequent douching
-menopause
-pregnant woman w/unregulated diabetes
-those who take hormonal contraceptives containing estrogen have an excess of glycogen in vaginal mucus which supports the growth of microorganisms.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  1. Tamoxifen K,H,K (slide 20)
A

-heavy vaginal bleeding
-risk of PE/DVT & endometrial cancer
-AE: hot flashes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  1. Best prevention for STIs
A

-condoms w/spermicide

17
Q
  1. Prostate cancer diagnosis (pg.763, PP slide 13)
A

-Definitive diagnosis is made by biopsy and microscopic examination of tissue.
-DRE (Digital rectal exam) & PSA if hx of family w/prostate cancer

18
Q
  1. Prostatitis manifestations, client ed (pg.754, PP Slide 6)
A

Signs & Symptoms:
- Glandular swelling, tenderness, perineal pain
- Unusual sensation prior to or after ejaculation
- Low back pain, fever, dysuria, urethral discharge

Client Ed:
-sexual partners need to be treated
-Avoid substances that have diuretic action:(caffeine,tea, alcohol, chocolate, cola & spices) prolonged sitting, and constipation and regularly to drain the prostate gland through masturbation or intercourse.
-comply w/antibiotic therapy & use mild analgesic for pain

19
Q
  1. HSV (herpes simplex virus) client ed (pg.775)
A

-Can shed the herpes virus
-Inform all potential sexual partners of the HSV infection even if asymptomatic.
-Use a condom or dental dam during sexual activity even if the disease seems inactive. Avoid sexual contact if there is any question that the infection is active; condoms and dental dams do not protect skin and mucous membrane that is left exposed.
-Keep lesions dry using alcohol, peroxide, witch hazel, and warm air from a hairdryer.
-Check with the primary provider about taking warm baths with Epsom salts or baking soda to relieve discomfort.
-Wear loose clothing that promotes air circulation about the genitals.
-Perform thorough handwashing after direct contact with lesions, and keep any personal hygiene articles, like a towel, separate to avoid inadvertent use by others.
-Use a separate towel to pat lesions dry and another when drying other body parts to avoid autoinoculation.
-Have annual Papanicolaou (Pap) tests to detect cervical cancer.
-Investigate stress management strategies because reducing stress tends to decrease the frequency of outbreaks.

20
Q
  1. Gardnerella manifestations (pg.725)
A

-grayish white
-watery
-fishy smell
-more discharge after intercourse

21
Q
  1. Semen analysis for infertility client ed (pg.718, PP slide 19)
A

-determines sperm count, sperm motility & abnormal sperm
-when collecting abstain from ejaculation 2-3 days prior to providing semen analysis

22
Q
  1. Transrectal US (ultrasound) client ed (pg.718)
A

-Will be given laxative or enema prior to procedure to remove stool
-assure client test isn’t painful
-Encourage client to focus on breathing slowly to reduce anxiety
-Client may resume normal activities

23
Q
  1. Culdoscopy nurse priority (pp slide 5)
A

-look out for hemorrhage: low BP, tachycardia

24
Q
  1. Ectopic pregnancy manifestations (pp slide 25)
A

-still might have pregnancy symptoms
-light spotting
-colicky pain that progresses to severe abdominal pain
-might radiate to shoulder if rupture : PRIORITY!

25
Q
  1. Age related changes in reproductive system (pp slide 8)
A

-Labial thinning
- Decrease bone formation
-Increased vaginal PH
-Decrease vaginal lubrication

26
Q
  1. Diagnostic Tests (pp slide 5)
A

-Cytologic Test: for cervical cancer > empty bladder prior to, no coitus(intercourse) or douche before
-Cervical biopsy: conization
-Endometrial smears and biopsy
-BSE: should be performed 3-7 days after menses
-Dilation and curettage
-Endoscopic examinations
>Laparoscopy
>Culdoscopy
>Colposcopy
-Abdominal ultrasonography (sonogram)
-Laboratory Tests : FSH, LH, progesterone, estrogen

27
Q
  1. Testicular Self- Examination (PP slide 5)
A

-Use both hands
-Use index & middle fingers
-Feel small lump or abnormality by gently rolling the testicles
-Locate & feel epididymis using both hands
-Performed monthly

28
Q
  1. Benign Prostatic Hyperplasia manifestations (PP slide 11)
A

-gradual onset
-difficulty urinating, emptying bladder
-nocturia
-urgency

VN 36 MED SURG 2 (10 decks)

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