Med Surg Ch 52 & 53 review
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jori868 Plus on October 24, 2010
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42 terms
Terms | Definitions |
|---|---|
 What is the age of first menstruation called? | Menarche |
| What is done at the end of a pelvic exam? | A gloved finger is inserted in the rectum to palpate the posterior surface of the uterus |
| When is the best time to do a Pap test? | 2 wks after the 1st day of your last period |
| At or after the age of 30, & those women had 3 consecutive normal screenings when will they be screened again? | Every 2-3 yrs unless they have high risk factors for developing cervical cancer |
| When is it good t schedule appt for pap test? | Not during menstrual period, avoid intercourse for 2 days prior, dont douche 1 day b4, and no vaginal meds for @least 48h |
| What is a hysterosalpingogram? | A radiographic exam that visualizes the uterus & fallopian tubes |
| What pt teaching for Abdonimal ultrasonography (Sonogram)? | Instruct pt to drink @ least 1 qt of water 45 ins b4 test, not to void until after test |
| A full bladder for ultrasound does what? | Elevates the bowel away from the pelvic organs |
| The primary function of the female breasts are what? | To produce milk, called lactation |
| PT teaching for breast self exam | examine 3 days after period, move fingers in circles, spokes of wheels, or rows and follow same technique w/each exam, feel every part of the breast including nipple area, ad armpit to the collar bone, look for changes in breast shape, size and contour; puckering (dimpling) of the skin, or areas that appear red, squeeze nipples and look for liquid discharge |
| What do you omit before a mammogram? | Deodorant |
| What is the normal volume of ejaculate? | 2 to 6ml |
| What is the average spermatoza per ml? | 60 to 100 million per ml |
| What amount of permatoza is considered infertility? | Fewer than 20 million per ml |
| What is a digital rectal exam (DRE) performed for? | To assess the prostate for size or evidence of a tumor |
| When is a DRE recommended? | For men older than 40 to 50 years old |
| High % of free PSA are assoc more often wit what? | Benign disease for prostate cancer |
| Low % of free PSA indicates what? | Malignancy for prostate cancer |
| What are other blood tests that suggest cancer are | elevated blood levels of alpha-fetoprotein, beta-human chorionic gonadatropin (bHCG), & total urine estrogens |
| What determines if prostate cancer has spread to bones? | Alkaline and acid phosphatase blood tests |
| What is taken to reduce irritability during PMS? | Vitamin B6 |
| How much Vitamin B6 is a recommended dose? | 100 mg |
| Large doses (mega doses) like 500mg of B6 can cause what? | Sensory neuropathy |
| What is vaginal bleeding at a time other than menstrual period? | Metrorrhagia |
| When androgen therapy is prescribed clients may experience what at first? | Increased bone pain after the 1st few injections |
| As androgen therapy continues clients will experience what? | Increased appetite, weight gain, fluid retention, increased libido, deeper voice, increased facial and body hair |
| What medications are used to prevent loss of bone mass in postmenopausal women? | aendronate(Fosamax), risedronate(Actoneil), Ibandronate(Boniva) |
| What is pt teaching when giving the following medications; aendronate(Fosamax), risedronate(Actoneil), Ibandronate(Boniva) | Do not give oral drugs with milk/milk products, drink 8oz of water when taking, take when rising in the am, dont lay down for @ least 30 mins after taking meds (dyspepsia & esophageal irritation will occur) |
| What situations predispose to vaginitis? | Antibiotics or frequent douching which eliminates the baccilli that promote an acidic vaginal environment |
| Who is at more of a risk for vaginitis? | Pregnant women & those w/unregulated diabetes |
| Nursing Management for vaginitis | sitz baths to relieve itching, burning, & swelling of the vulva & perineum |
| What are the characteristics of Candida albicans? | Curdy white, thick, strong smell, burning w/urination |
| What are the characteristics of Trichomonas vaginalis? | Yellow-white, foamy, foul smelling, severe itching |
| What are the characteristics of Gardnerella vaginalis? | Gray-white, watery, fishy, more discharge after intercourse |
| Patient teaching for PID before outpatient exam | refrain from douching 48h prior to being examined |
| Patient teaching for PID admitted to hospital for vaginal smear | inquire if pt has douched w/in last 48h |
| Toxic shock syndrome is assoc w/what? | Super-absorbent tampons |
| After surgery of a vaginal fistula what is considered normal? | Serosanguineous vaginal discharge on the perineal pad |
| What indicates healing after surgery of a vaginal fistula? | No urine or feces from the vagina |
| Cervical cancer is associated with what risk factor? | Daughters being born to mothers that took DES (diethylstilbestrol) while pregnant |
| After abdominal surgery some women develop distention, how is it relieved? | Ambulating |
| What are assessment finding of vulva cancer? | Puritis & genital burning are most frequent EARLY symtoms |
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