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Lifespan Test #5

Mod 4

TermDefinition
Culdoscopy An endoscopic procedure performed to examine the rectouterine pouch and pelvic viscera by the introduction of a culdoscope through the posterior vaginal wall.
Salpingectomy - Surgical removal of a Fallopian tube. - Treat an ectopic pregnancy, cancer, to prevent cancer, or as a form of contraception. - Sometimes preferred over ovarian tube-sparing counterparts.
Laparoscopy Surgical procedure that allows a surgeon to access the inside of the abdomen (tummy) and pelvis without having to make large incisions in the skin.
Gravida Number of pregnancies
Para Number of births.
Mastitis - Breast infection w/ inflammation (mastitis) occurs due to injury or introduction of bacteria into the breast. - Most common during breastfeeding or nipple piercings.
Lumpectomy Removal of tumor and margin around it
Mastectomy PARTIAL part of breast, SIMPLE breast tissue of one or more breasts, RADICAL removes breast tissue, underlying muscle, and surrounding lymph nodes
MASTOPLEXY - Involves removal of some skin and fat w/ re-suturing the breast at a higher position - Used to correct sagging - Not as much tissue removed
Vaginal pH level < 4.2
Breast Cancer S & S - Swelling, tenderness, pain, redness - Palpable Lumps - Leakage of fluid/blood from nipple - Change in contour of skin of breast/nipple
Breast Cancer Diagnostic Tests - Breast Self Examination - Clinical Breast Examination - Mammography - Excisional/ Fine needle biopsy
Breast Cancer Treatments - Lumpectomy / Mastectomy - Breast Reconstruction - Radiation - Chemotherapy - Hormone Therapy - Targeted Therapy
Hormone Replacement Therapy - Progesterone & Estrogen - Estrogen Only - Vaginal Preparations (creams) - Progesterone Only - Estrogen & Testosterone
NSAIDS - interrupt pain receptors and produce anti-inflammatory effect. - Ibuprofen, Naproxen, Ketoprofen, Ketorolac - Avoid w/ ASA allergy. - Administer w/ food or milk. - Caution during pregnancy or anticoagulant therapy
Estrogen Antagonists - Inhibit growth of estrogen dependent tumors - tamoxifen - anastrozole - toremifene - letrozole - vaginal bleeding, leg cramps, SOB, weakness, smoking increases blood clots.
Vitamin C 19 - 50 Years = 1,000 mg (M&F) 51 - 70 Years = 1,000 mg (M) 51 - 70 Years = 1,200 mg (F)
Vitamin D 19 - 50 Years = 600 U (M&F) 51 - 70 Years = 600 U (M&F)
Prostatitis - Inflammation of prostate - Can be chronic or single episode - E Coli. & Staph
Prostatitis S & S - Pain - Urgency - Frequency - Dysuria - Urine Retention - Fever, Chills
Prostatitis Tests - Digital Rectal Examination - Urine Culture - Cystoscopy
Prostatitis Interventions - Antibiotics - Anti inflammatory agents - Stool Softeners - Sitz bath - Prostatic Massage - Dietary Changes - Surgery
Benign Prostatic Hyperplasia (BPH) Prostate gland is enlarged and not cancerous
Benign Prostatic Hyperplasia S & S - Urinary Retention - Dribbling - Nocturia - Dysuria - Urgency
Benign Prostatic Hyperplasia Tests - Digital Rectal Exam - BUN / Creatinine - Prostate specific antigen - Urodynamic Flow Studies - Transrectal ultrasound - Cystoscopy
Transurethral Resection of the Prostate (TURP) - Resectoscope into urethra - Overgrown tissue chipped away - Foley catheter placed, w/ 3 channels - Surgical (either half or whole)
Prostaglandin E1 Vasodilator
Viagra (sildenafil) - Avoid use when taking nitroglycerin preparations. - Take about 1 hour before sexual activity (may be taken .5 to 4 hours before). - If erection lasts more than 4 hours, seek emergency care.
Mucopurulent cervicitis (MPC) - Inflammation of the cervix - MPC during pregnancy can result in conjunctivitis and pneumonia in newborn infants - May spread to become pelvic inflammatory disease
CRYPTORCHIDISM A congenital condition in which an infant boy is born with one or both of his testicles not in the scrotum
Hydrocele A painless collection of fluid in the scrotal sac
What to monitor after TURP Monitor for fever Monitor for blood clots Encourage Fluids Monitor Pain
Male Sexual Dysfunction S & S - Report of problems with obtaining and keeping an erection - Reported dissatisfaction with sexual performance
PSA Levels < 4 ng/mL
Phimosis Foreskin of an uncircumcised male becomes so tight that it is difficult or impossible to pull back away from the head of the penis.
Infetility A couple is considered infertile if they have been unsuccessful at becoming pregnant after at least 1 year of unprotected intercourse.
Pelvic inflammatory disease - An infection of the upper genital tract that can cause chronic pelvic pain due to inflammation. - C. trachomatis and N. gonorrhoeae.
Syphilis Test VDRL
Herpes Simplex Test Culture, Western blot
Syphilis S & S - flu-like symptoms - rashes - condylomatous growths
Syphilis Treatment Penicillin
Herpes Simplex S & S - Vesicles/ulcerations in mouth & genitals, - Flu-like symptoms - Lymphadenopathy - Urethritis - Cystitis - MPC
Herpes Simplex Treatment - Antiviral medication - acyclovir - valacyclovir - famciclovir
HPV Stage 1: Noncancerous; Warts Stage 2: Cancerous
A nurse is caring for a client who is experiencing menopausal changes and requests information about the use of herbal therapies to relieve her discomfort. Which statement should the nurse make? Many herbal products have not undergone long term testing for safety and efficacy.
A nurse is caring for a client who is being evaluated for endometrial cancer. which of the following findings should the nurse expect the client to report? Abnormal Vaginal Bleeding
Teaching w/ a middle adult female client who has fibrocystic breast disease. The nurse should emphasize to the client that manifestations of this disease are present when? - Before menstruation begins. - Painful breasts - Smooth moveable lumps - Nipple discharge - Reducing salt & caffeine sometimes helps.
Semen analysis done for suspected infertility The nurse should instruct the client to abstain from ejaculation for at least 2 to 5 days prior to the test.
Teaching about diaphragms with a client. Must be left in place for 6 - 8 hours after vaginal intercourse.
What to monitor for in a client with a hydatidiform mole Excessive uterine enlargement
What should the nurse expect for a female client who has genital herpes - Symptoms develop 3 - 7 days after skin to skin contact - Small blisters on genitals - Pain on urination - Fever - Muscle weakness - Headache - Burning genital pain
Dietary changes for fibrocystic breast symptoms Eliminating caffeine, alcohol and limiting fat
Human papillomavirus can lead to cancer of the cervix? True
Which of the following statements by the client indicates that informed consent was provided for TURP? There is a chance I may become impotent
Diagnosis of testicular cancer - Close male relatives are at an increased risk - It typically occurs between ages 15 to 40
Tamoxifen citrate adverse effects Hot Flashes are common
Testicular cancer assessment Gently roll the testicles to feel for abnormalities
Genital herpes can spread to other areas of the body True
Diaphragm teaching - Replace every 2 years - Replace after 20% weight loss or gain
Manifestations associated with perimenopause Dryness, pain, discomfort w/ vaginal intercourse
Checking basal temperature when ovulation occurs Every morning before arising
Created by: Cgannon12
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