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Pittman test 3

Terms in this set (43)

Gonadtropic hormones
1. Follicle stimulationg hormone (FSH)
•Regulates sperm and egg production
2. Luteinizing hormone (LH)
•Triggers the release
What is FSH and LH responsible for?
Production of estrogen and progesterone-Ovaries
Production of Testosterone- Testes
Where is FSH and LH secreted from?
Pituitary gland (Master gland)
What is the most common form of Birth Control?
The "Pill"
If contraceptives are not effective or misused? What postcoital high-dose estrogen can be taken to prevent pregnancy
Levonorgestrel emergency contraceptive "Plan B"
Which contraceptive is inserted into the vagina every month and prevents ovulation, fertilization, and implantation ?
NuvaRing
How long does the implant (Nexplanon) proved contriception
3 years
Which contraceptive is placed in the uterus by a physician is that is unwelcoming to sperm and is left is place for 5 years is what?
Mirena IUD
Which contraceptive is applies weekly for 3 weeks and discontinued for the 4th week to allow normal menstruation!
Trans dermal patch (Ethinyl estradiol and norelgesteromin)
Who are more at risk for formation of blood clots
•Women in contraceptives over the anger of 35
•Women who smoke
•Women with history of blood clots or diseased involving the vascular system (CAD, CVA, MI, Atherosclerosis)
What Contraceptive is most effective in the prevention of STD or Pregnancy?
Condoms
In order to evaluate effectiveness of heparin therapy, the nurse needs to monitor to what? And what would the value be?
PTT : 60-80
What types of patients would be on heparin?
•Patient with blood clots. MI, CVA, CAD
•Women on contraceptives over 35
If a client is taking spiralactone, what is some teaching methods
Limit potassium intake
Teach signs of hyperkalemia (twitching, diarrhea)
Watch the HR
Daily weights
I's& O's
What are foods high in potassium
Apples, cantaloupe, bananas, asparagus, broccoli, Cali flower
Within 5 minutes of blood transfusions, and. Client is having a hemolytic reaction, what are the signs and symptoms
Chills, Back pain, Fever, Headache, Chest pain
What fluid goes along with blood transfusions?
Normal saline
The practical nurse is caring for a client that is on diuretic therapy, what is a disease that would have them on diuretic?
HTN, HF, Renal Failure, Intercranial pressure Brain tumor, head injury.
If a patient is taking birth control what are teaching method
Take same time daily
Use condoms if taking antibiotics
What are clients that can be on estrogen
•Older white women >Osteoporosis >Fractures
•Menopausal women
•Testicular Cancer
What 2 supplements does a women that has osteoporosis need to take
Vitamin D and Calcium
What foods are high in Vitamin D and Calcium
Cheese, Milk
What are reasons for erectile dysfunction
1. Atherosclerosis
2. Diabetes
3. Stroke
4. Hypertension
5. Psychological roots ( guilt, fatigue, depression, fear of failure to perform adequately)
What drugs can cause erectile dysdunction
Benadryl, Spiractone (aldactone)
What are some drugs for erectile dysfunction
Viagra (Avoid Nitro/Isoribide) , Lavitra, Cailis
What are some drugs taken for bladder spasms
Oxybutrin ( Ditrapan)
What are some drugs for preeclampsia
Magnesium sulfate
What is 1 hypotonic solution
0.45 Normal Saline
hepertonic solution
D5 and Ns

Normally given for fluid overload
Why do you get hypotonic
For fluid overload
What are 2 High alert meds
Heparin, or blood
Why do we give blood
Oxygen, Increase blood volume, or if some is loosing too much blood
What are different forms of blood
...
What is isotonic solutions used for
Dehydration or Surgery
Why is testosterone given? Who is commonly seen in?
To help with male attributes, hypogonadism boys who are delayed in puberty
What is Benign Prostatic Hypertrophy (BDH)? What drugs can help with BPH
• Enlargement of the prostate
•Ditrapin, Flomax,
What type of broad spectrum med should be given to a patient with a UTI
Sulfamide (Macridaten)
Medication used as a analgesic for UTIs and turns your irons orange/red?
Pyridium
If a patient is on isotonic solutions and the have HTN or HF, what do you watch them for ?
Fluid Overload
What are the strips for getting blood for a blood transfusion
1. Pt. consent
2. Lab will draw and screen
3. Lab will notify nurse
4. Nurse and lab rep check form make sure correct
5. Verify again with a mother nurse
6. Verify ID band with Blood bag
7. Check for anything
8. Rn does not hang blood if 1 detail is different
9. Send the blood back
What things would you and another nurse check before blood is hung?
Name
DOB
Form against ID
Form again blood
I'm the state of MS what can you do as far hemolytic reaction during a blood transfusion? On NCLEX what do you do?
1. In the state of Mississippi notify RN

2. On NCLEX stop the transfusion
What are some complications you want to teach women who are on the pill?
Thrombolytic events
•Avoid Smoking
•Report warth, edema, tenderness, or pain
Hypertension
•Monitor and report high BP
Breast Cancer
•If have or have a family history of breast cancer do not take pill
Diabetes Mellitus
•Monitor glucose and adjust antihyperglycemia as needed
Hyperkalemia
•The pill could further place the client in to hyperkalemic episodes
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