AH 2 Module 2
#1 hallmark s/s of a patient with a hematologic disorder
fatigue from poor oxygen
what are some sensitive population for a reproductive assessment
rape assault abuse IPV maltreatment neglect disabled population
testicular conditions that require immediate surgery
testicular torsion (testis torsion)
Cervical cancer risks;
HPV
amenorrhea
absence of menstruation
advantages of combined hormonal contraception? Select all that apply.
- Reduced incidence of benign breast disease • Improved acne control • Reduced risk of ovarian cancer • Decreased risk of anemia
causes of amenorrhea
- pregnancy - hypothalamic-pituitary dysfunction - ovarian dysfunction - alteration of the genital outflow tract
s/s of prostatitis;
; burning urgency frequency during urination and painful ejaculation
what is something to note when doing an assessment on a patient who has been raped
Anything taken from a rape or assault victim has to be put into a brown paper bag to keep evidence safe from mold
.A client is being seen by an urologist for perineal pain, low back pain, fever lasting 5 days, and painful urination. The diagnosis of prostatitis is confirmed. What teaching should the nurse include? Select all that apply. ** basically prostatitis client teaching?
Complete the prescribed antibiotic treatment . • Avoid prolonged sitting. • Regularly drain the gland. • Avoid caffeine products.
Teens educations should focus on?
safety, need to know their options and choices
A client is diagnosed with polycystic ovarian syndrome. Which of the following findings would the nurse expect to assess? Select all that apply.
Hirsutism • Impaired glucose tolerance • Sleep apnea
which of the following are dominant findings related to a transurethral resection syndrome?
Hyponatremia • Hyperammonemia • Hypovolemia
transurethral resection syndrome
Increased absorption of nonelectrolyte irrigating fluid used during surgery. The client may show signs of cerebral edema and increased intracranial pressure such as increased blood pressure, bradycardia, confusion, disorientation, muscle twitching, visual disturbances, and nausea and vomiting. basically during surgery you are flushing and and irrigating and basically start to see the signs of dilutional hyponatremia
what population has lower rates of app. screenings and higher rates of cancer and disease
LGBTQ+ have lower rates of appropriate screenings and higher rates of cancers and disease (heart and DM), depression and suicide
nurses role with breast and genitourinary cancers
Nurses do procedural measures - ID patient, check allergies, verify consent, sedation or local anesthetic
what are the s/s of ovarian tumors/cancer
Ovarian cancer's vague symptoms are often ignored. • Tumors present with nonspecific symptoms ** there is also not an effective screening test available
what is an early identification for prostate cancer
PSA prostate specific antigen testing
what is the nurses role for sensitive populations/reproductive assesment
Support and consent for the exams is required Time out for specimen retrievals Pain mgmt and follow up care !!
what 2 risk factors increase a mans chance of erectile dysfunction
The client has a history of hypertension. • The client drinks five to six alcoholic drinks per day.
What interventions for the relief of pain and discomfort can the nurse educate the patient with a vulvovaginal infection about using? Select all that apply.
Warm perineal irrigations • Sitz baths • Cornstarch for chafed inner thighs
pt teaching priority of phimosis;
a condition where the foreskin is too tight to be pulled back over the head of the penis (glans). importance of hygiene. if you dont pull the foreskin back clean and replace it- then bacteria and yeast infection is increased risk. dry and replace!
what are conditions that can cause elevated prostate-specific antigen (PSA) levels in the absence of prostate cancer.
acute urinary retention • acute prostatitis • benign prostatic hyperplasia (BPH) • transurethral resection of the prostate (TURP)
Absence of menstrual flow;
amenorrhea
what should you look at for reproductive assessment in males and females
assess breast and genitalia both external and interal
which biopsy type is utilized for suspected prostate cancer patients?
biopsy via transrectal ultrasound.
risks of hormonal contraceptive therapy;
blood clots, stroke or heart attack, smoking also increases this risk. could also be breakthrough bleeding
how to do a hormonal assessment
breast and testes- look to see if they are changing
young adults education should focus on?
choices and education about family planning and future health
what factors increase the risk for breast cancer
daily alcohol intake increased age if you have no children (nulliparity) obesity
geriatrics education should focus on?
education on health, incontinence and life priorities
t o f, it is normal to feel pain during a pelvic examination as a female
false, the nurse should say; "If you feel pain let me know because this is not something you should expect."
t o f, it is considered more anxiety inducing to offer a patient a mirror during a pelvic examination
false- it can help the patient's anxiety and feelings of loss of control
t o f, ovarian tumors are more likely to be operable
false- ovarian tumors are typically far advanced and inoperable by the time of diagnosis.
what is phimosis
inability to retract foreskin
IPV
intimate partner violence
which supplement is helpful for patients with heavy menstrual flow/which supplements would you educate a patient to take in their diet if they have heavy flow? `
iron
Epididmyitis what is it what are s/s
is an inflammation of the small, coiled tube at the back of the testicle (epididymis). Signs and symptoms of epididymitis might include: A swollen, red or warm scrotum. Testicle pain and tenderness, usually on one side, that usually comes on gradually
what happens to progesterone during ovulation
it drops !!
adults education should focus on?
more health promotion and establishing a baseline with trusted health professionals
education for youth
needs sex education and an understanding of what 'normal is'
dysmennorhea
painful menstrual cramps
what type of patient would receive bone density testing
patients in menopause
what hormone changes can occur
testes descend, breast development, onset of menses, amenorrhea, dysmenorrhea, menopause
best time to perform a breast self exam is when?
the week after your period starts because the week before you are more likely to have hormonal tissue changes ( thickening)
considerations for safe discharge from a surgical procedure;
transportation home, activity instruction, site care