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C.W. Repro
Stack #13871 REPRODUCTIVE
| Question | Answer |
|---|---|
| Activity for pt w/PID? | bedrest w/ BRP |
| Position for pt w/PID? | semi-fowlers (to facilitate drainage) |
| Home care for pt w/PID? | oral antibiotics, bedrest, medicated vaginal suppositories |
| 3 teaching points w/Flagyl? | 1) Avoid alcohol. 2) Abstain from intercourse. 3) contraindicated in the 1st trimester of pregnancy |
| Pt w/endometriosis c/o? | pelvic pain during menses, painful intercourse, low back pain, excessive days of heavy bleeding |
| Where do sperm mature? | epididymis |
| Endometriosis is AKA? | "the career womans disease" |
| PID infections are? | ascending |
| Sterile epididymis? | direct injury or reflux |
| Reflux may occur: | when men lift heavy objects w/a full bladder |
| Non-sterile epididymis: | complication of STD, bacteria, mumps, TB, prostatitis, or urethritis (or prolonged use of indwelling catheter |
| What should pt's w/epididymis and orchitis avoid? | avoid heat to the area |
| What should never be done to pt w/urethritis? | never catheterize |
| What medication for prostatitis? | Bactrim |
| T or F ---A pt w/chronic prostatitis can have sex. | True |
| What would a nurse suspect if pt has perineal pain & no known cause? | prostatitis |
| What action for pt exposed to mumps? | gamma-globulin |
| Pt teaching for Flagyl? | Do NOT need to avoid sun |
| T or F ---- PID affects the uterus | False |
| Teaching for pt on bactrim? | increase water intake |
| Fibrocystic Breast Disease (FBD) prevention? | teach pt to do monthly self-breast exams |
| Fibroid tumors-early s/s? | heavy menstrual flow w/ feeling of pressure in pelvis |
| Benign Prostatic Hyperplasia (BPH) early s/s? | hesitency, decreased force of stream, frequency, nocturia. |
| How does the bladder compensate w/ BPH? | bladder compensates & builds muscle to get past the constriction |
| -BPH- | urine pH is increased-susceptible to infection (UTI), may eventually lead to kidney damage |
| Best confirmation of BPH? | digital rectal exam (DRE) |
| Why is irrigation continued during post-op period for pt w/ TURP? | to reduce clot formation |
| TURP--- immediately notify Dr. if: | hemorrhage, hyperthermia, hypotension, tachycardia |
| Important TURP assessment during irrigation? | assess for water intoxication |
| Water intoxication s/s? | mental status, agitation, confusion, convulsions, slow-bounding pulse, increased systolic BP, decreased diastolic BP |
| T or F ---- A pt w/ BPH should be concerned about urinary burning and low-grade temp because of incidence between impotence and BPH. | False |
| T or F ---- Urinary outlet obstruction can lead to UTI's and eventually kidney damage. | True |
| T or F ---- Women w/ fibroid tumors can expect to have light and infrequent menses. | False |
| T or F ---- Women w/ uterine fibroids will c/o heavy periods? | True |
| T or F ---- Maintaining bladder irrigation following a TURP is to flush out bacteria? | False (irrigation is done to reduce clot formation) |
| T or F ---- You would expect bright red urine for 24 hours in a post-op TURP pt? | False (should be light pink) |
| T or F ---- Bright red urine persisiting for more than a few hours post-op might indicate a post-op hemorrhage? | True |
| T or F ---- Breast exams remain the #1 prevention for women w/ FBD? | True |
Created by:
slobonmycat
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