W6 Sexual Health/GI/GU Flashcards
GU assessment (subjective/questions) might include
-Any pain w/ urination?
-Any bleeding, genital swelling/discomfort?
-Discharge?
“normal” findings of a external genital assessment includes:
Define organ inventory
taking inventory of repro organs in a gender-affirming way (“do you have a [penis/uterus/testes/etc]?”)
Percussing on the 12th rib over the pt’s back can provide information about
“costovertebal angle tenderness (CVT) kidney inflammation (severe UTI)
Nurses role in genital examination
-consider subjective/pt report
-obtain history, external inspection/palpation (PRN), obtain urine samples (consider “first void”/”clean” or “dirty” catch)
-assist/chaperone internal assessments
Nurses role in rectal exam
-obtain history (what are normal bowel movements like? bleeding/type of bleeding? pain/nausea/vomiting?)
-external inspection
-stool sampling
-assist/chaperone internal assessment
What is melena? What does it indicate?
Melena: dark tarry stool
indicated bleeding high in the GI track (above stomach)
When to do breast/testicular exams at home?
Monthly, after shower (tissue is warm/relaxed
Glucose regulation is the process of…
maintaining optimal blood glucose levels
______ regulates (lowers) glucose and is produced by the ______
insulin, pancreas
What hormones can raise glucose?
Glucagon, cortisol
Give the ranges for hyper- and hypoglycemia
Hypo: glucose <70mg/dl
Hyper: glucose >100mg/dl fasting, >140 not fasting
Hyperglycemia symptoms
-headache
-flushed/redness
-fatigue
-dehydration (inappropriate diureses)
Hypoglycemia causes
Insulin overproduction and malnutrition
Hyperglycemia consequences
-dehydration
-microvascular damage: retinopathy, nephropathy peripheral neuropathy
-macrovascular angiopathy: hypertension, cardiovascular and peripheral disease
Hypoglycemia consequences
-mood: anxiety, confusion, irritability, nuero decifits
-diaphoresis
-palpations
-seizures, unconsciousness, death
Cold and clammy:
Hot and dry:
-give em some candy
-sugar high (they need insulin)
Types of malnutrition
-insufficient
-excess
Protein fxn
-transport/store nutrients
-repairbuild tissue
-maintain ph/fluid
-immune support
-drive metabolism
Carb fxn
-energy
-control blood glucose
-insulin, triglyceride metabolism
Fatty acid fxn
-backup energy
-energy storage
Nutrition labs:
-albumin
-glucose
-A1C
-lipid profile (HDL, LDL, triglycerides)
-electrolytes
-Hgb/HCT
Hemoglobin A1C measures…
Amount of blood sugar that attached to red blood cell for 3 months (long term) high? –> high blood sugar
Most common nutritional disorder
iron-deficient anemia
