W6 Sexual Health/GI/GU

Question 1

GU assessment (subjective/questions) might include

Answer 1

-Any pain w/ urination?
-Any bleeding, genital swelling/discomfort?
-Discharge?

Question 2

“normal” findings of a external genital assessment includes:

Question 3

Define organ inventory

Answer 3

taking inventory of repro organs in a gender-affirming way (“do you have a [penis/uterus/testes/etc]?”)

Question 4

Percussing on the 12th rib over the pt’s back can provide information about

Answer 4

“costovertebal angle tenderness (CVT) kidney inflammation (severe UTI)

Question 5

Nurses role in genital examination

Answer 5

-consider subjective/pt report
-obtain history, external inspection/palpation (PRN), obtain urine samples (consider “first void”/”clean” or “dirty” catch)
-assist/chaperone internal assessments

Question 6

Nurses role in rectal exam

Answer 6

-obtain history (what are normal bowel movements like? bleeding/type of bleeding? pain/nausea/vomiting?)
-external inspection
-stool sampling
-assist/chaperone internal assessment

Question 7

What is melena? What does it indicate?

Answer 7

Melena: dark tarry stool
indicated bleeding high in the GI track (above stomach)

Question 8

When to do breast/testicular exams at home?

Answer 8

Monthly, after shower (tissue is warm/relaxed

Question 9

Glucose regulation is the process of…

Answer 9

maintaining optimal blood glucose levels

Question 10

______ regulates (lowers) glucose and is produced by the ______

Answer 10

insulin, pancreas

Question 11

What hormones can raise glucose?

Answer 11

Glucagon, cortisol

Question 12

Give the ranges for hyper- and hypoglycemia

Answer 12

Hypo: glucose <70mg/dl
Hyper: glucose >100mg/dl fasting, >140 not fasting

Question 13

Hyperglycemia symptoms

Answer 13

-headache
-flushed/redness
-fatigue
-dehydration (inappropriate diureses)

Question 14

Hypoglycemia causes

Answer 14

Insulin overproduction and malnutrition

Question 15

Hyperglycemia consequences

Answer 15

-dehydration
-microvascular damage: retinopathy, nephropathy peripheral neuropathy
-macrovascular angiopathy: hypertension, cardiovascular and peripheral disease

Question 16

Hypoglycemia consequences

Answer 16

-mood: anxiety, confusion, irritability, nuero decifits
-diaphoresis
-palpations
-seizures, unconsciousness, death

Question 17

Cold and clammy:
Hot and dry:

Answer 17

-give em some candy
-sugar high (they need insulin)

Question 18

Types of malnutrition

Answer 18

-insufficient
-excess

Question 19

Protein fxn

Answer 19

-transport/store nutrients
-repairbuild tissue
-maintain ph/fluid
-immune support
-drive metabolism

Question 20

Carb fxn

Answer 20

-energy
-control blood glucose
-insulin, triglyceride metabolism

Question 21

Fatty acid fxn

Answer 21

-backup energy
-energy storage

Question 22

Nutrition labs:

Answer 22

-albumin
-glucose
-A1C
-lipid profile (HDL, LDL, triglycerides)
-electrolytes
-Hgb/HCT

Question 23

Hemoglobin A1C measures…

Answer 23

Amount of blood sugar that attached to red blood cell for 3 months (long term) high? –> high blood sugar

Question 24

Most common nutritional disorder

Answer 24

iron-deficient anemia

Question 25

Hematocrit lab MOA/fxn

Question 26

Albumin is a

Answer 26

plasma protein that makes up 50% of plasma

Question 27

Hyper/hypo albumin

Question 28

The _____ helps with electrolyte and water balance

Answer 28

kidney

Question 29

Populations at risk for fluid/electrolyte imbalance:

Answer 29

Very old and very young people

Question 30

Symptoms of electrolyte imbalance

Answer 30

-profuse vomiting/diarrhea
-unexplained nausea, fatigue, cramping, weight fluctuation, edema

Question 31

F/E Labs

Answer 31

-Na and K
-Chloride
-BUN/creatinine
-hematocrit
-urine specific gravity

Question 32

K and Na normal values

Answer 32

K: 3.5-5
Na: 136.145

Question 33

Sodium role in body

Answer 33

-nutrient absorption
-cell fluid retention
-found in ECF

Question 34

K role in body

Answer 34

-heart function (RMP)
-found in ICF

Question 35

Magnesium normal values, role

Answer 35

1.3-2.1
-turn nutrients to energy, important for brain fxn

Question 36

Calcium normal values, fxn

Answer 36

9.0-10.5
-bones/teeth
-control muscles
-heart rhythm
-transport nerve signals

Question 37

Name and describe the quadrants and trisections of the abdomen

Answer 37

-Right and left upper, right and left lower
-top to bottom: epigastric, umbilical, hypogastric/suprapubic

Question 38

Name an organ found in the RIGHT lower quadrant

Answer 38

-appendix

Question 39

name 3 organs found in the upper quadrants (and 2 specific to RU/LU)

Answer 39

-liver
-stomach
-kidneys
-gallbladder (R)
-spleen (L)

Question 40

The umbilical cord contains

Answer 40

2 arteries and a vein!

Question 41

Babies may have a smaller _____ and their organs will be _____ to palpate

Answer 41

liver, easier

Question 42

Scaphoid or protuberant abdomens are considered ______.

Answer 42

abnormal