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Lifespan Test #5
Mod 4
Term | Definition |
---|---|
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 |