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Stack #117611
NCLEX PN - Cancer/STD's
Question | Answer |
---|---|
thrombocytopenia-alters coagulation SO: | hi bleeding risk & use smallest needle for shots |
Breast exam-what to report: | hard, non-tender mass. (upper outer quad is most common site) |
Stomatitis (CA pt) rinse mouth with: | diluted solution hydrogen perozide (helps w/moisture & comfort) |
Left sided heart failure:ss | bibasilar fine crackles |
Ovarian CA-most risk is: | over 40, infertile, never preg., |
Breast self exam when? | monthly 7 to 10 days after menses starts |
Testicular cancer peaks at | between 20 and 40 |
Right sided stroke ss | L handed weakness, impulseveness & poor judgement |
Familial polyposis strong risk factor for | colorectal CA, risk increases over 40 |
Stomatitis is a sore | mouth (from chemo) |
Start testicular exams | before age 20 |
Syphilis - hallmark sign | painless chancre |
Herpes zoster is an acute | inflammation of the dorsal root ganglia causing localized, vascular skin lesions following a dermatome. |
Herpes zoster AKA | shingles |
Herpes simplex I is a | viral infection affecting the skin & mucus membrane, produces cold sores or fever blisters |
Herpes simplex II effects: | genital area causing painful clusters of small uncerations.Warts appear as rough, flesh or gray color skin projections. |
Herpes initial sign | burning or tingling on vulva, perineum or vagina |
Viral hepitis TX | complete bed rest with bathroom priviledges |
condylomata acuminata is AKA | genital warts; caused by HPV |
genital warts puts pt at hi risk for | cervical CA-pap test yearly |
HPV | human papillomavirus |
sickle cell crisis TX | oral and IV fluids |
sickle cell crisis caused by | red blood cells clumping to cause occlusion, ischemia and extreme pain |
pyloric stenosis - after surgery | NPO until wound heals & encourage parent involvement |
fat emboli - may occur with | fracture of long bones and pelvis |
ss of fat embolis are | cyanosis, dyspnea, tachycardia, chest pain, tachypnea, apprehension, restless, confused, petechiat, & Pa02 |
congenital hop dislocation | use prone position w/hips abducted because abduction puts the femoral head into the acetabulim for correct alighment |
acne vulgaris comes from an | increase in hormones; growth of anaerobic bacteria and heredity |
Comedonis | black and white heads |
Recent tonsillectomy ss of preopt hemorrhage is | frequent swallowing |
rheumatic fever | need prophylactic antibiotics for over 5 years! |
Burn patient | low hematocrit from hemodiultion (when the concentration of erychrocytes & other blood elements are lowered by volumn overload |
Amputation pt-above knee-when to start exercise on other leg: | next day |
Celiac DZ ss | protuberant abdomen from fat stools, gas and undigested food |
Celiac DZ diet | no wheat, rye, oats, barley |
Celiac-evaluate therapy by | monitor size, appearence & # stools |
hip replacement must prevent | internal rotation of affected leg, also prevent adduction |
Heberden's nodes are | bony growths that occur at distal interphalangeal joints |
Bochard's nodes are | growths that involve the proximal interphalangeal joints |
Tophi | deposits of sodium urate crystals in cronic gout, (not osteoarthritis) |
Romberg test | assess cerebellar function |
Phalen's test | assess carpal tunned syndrome |
Rinne test | compares air & bone conduction in both ears to screen for or confirm hearing loss |