Med surg exam#1

6 months after giving birth, Weekly, Beginning of each month See physician

23 y/o inquiring about BSE, nurse knows needs more teaching when client states? (SATA)

Continue doing BSE and monitor for changes

30 y/o female client has a clear understanding about fibrocystic lesions when she states?

Preventing urinary retention

46 y/o recovering from hysterectomy. What should be done?

Cystocele

52 y/o woman being examined ℅ stressed urinary, pain in vaginal wall. What is it?

Tetracycline

Caring for a client who has chlamydia. Which medication will be prescribed?

Doesnt wanna see the current look of themselves (boobs)

Caring for a client who is 1 day post op who had radical mastectomy. Bx that nurse must report that is caused by mastectomy

Red and painful area on one breast

Caring for a client who is postpartum and breastfeeding. Findings of mastitis?

No period

Characteristics client who has amenorrhea?

Ectopic pregnancy, infertility, adhesions and strictures of the fallopian tube

Client asks the nurse about the risks for PID. Nurse correctly informs her that?

Standing near the mirror

Client states she does BSE. Nurse tells client that she should BSE in what position?

Nitrostat (nitroglycerin)

Client who has viagra for erectile dysfunction. Nurse carefully reviews, contraindication to?

Difficulty voiding

Collecting data from a client who has cystocele. Findings?

Polyuria or dysuria

Collecting data from a client who has genital herpes. What should be expected?

Preventing ovulation

Contraceptives prevents pregnancy by?

Just before menstruation

Correctly informs about fibrocystic lesions may become larger when?

D and C

Dx test of scraping the wall cavity?

Female condoms, Diaphragm

Family planning class, various contraception. What are the barrier forms of contraceptives? (SATA)

Check for lesion and chancre

Female client has gonorrhea, what action should the nurse take?

She and partner must be treated with antibiotics.

Female client presents to the clinic, pelvic pain and purulent vaginal discharge. Client has chlamydia. Information must be told?

3.2

Math: 0.4g acyclovir, label 125 mg/ ml. Nurse will give how much? Round to the nearest tenth.

68.2

Math: 150 lb. men receiving oxycodone. 100 mg/kg/day

Premarin

Medication that treats symptoms of menopause

Nystatin (mycostatin)

Medication treats superficial candidiasis?

HPV

Most common STI in US?

Abnormal vaginal bleeding

Nurse caring to a client who is undergoing endometrial cancer. Findings that should be expected?

Benzylpenicillin (Penicillin G)

Nurse collecting data from a male client who is exposed to syphilis and genital chancre, prescription must be anticipated?

Always know when I have STI symptoms

Nurse identifies lack of knowledge about STI when client states?

Dryness during vaginal intercourse

Nurse in provider's office, collecting data from a 45 y/o who has perimenopause. Findings?

Papanicolaou (PAP smear)

Nurse is reinforcing teaching to a client, which dx test is the preferred method for cervical cancer. Appropriate cancer?

They want to lift

Nurse recognizing that client needs further teaching who has hx of abdominal hysterectomy if client states?

rectovaginal fistula

Older client, with ℅ fistula, due to odor, manifestation?

Same day each month

Post menopausal should be instructed to do BSE when?

Stop smoking

Recommendation for the nurse is appropriate while client is taking hormonal contraceptives to prevent blood clots?

The lesions can spread to other organs of my body

Reinforcing teaching for client who has genital herpes. Statements should the nurse identify as understanding of teaching?

Hot flush

Reinforcing teaching who is high risk breast cancer and receiving medication: tamoxifen. What information must be included? s/e

ROM on the affected arm, Elevate the pillow while resting on the bed

SATA: Assisting with discharge teaching post op from mastectomy with removal of axillary nodes. What should be included?

Common vaginal condition caused by E. Coli?

Simple vaginitis

Multiple sexual partners

Teaching a gynecological client about cervical cancer. This may be associated with?

Increase normal PH of the vagina

Teaching about factors that will increase the risk of trichomonas vaginalis. Based on what knowledge?

Epididymitis

Term that is associated with infection of the chordline of the testicle?

Penicillin

What would be a parenteral _____ remains the treatment of choice to those who has syphilis?

Pap smear

Which diagnostic test shows lesions on cervix and vagina?

Rocephin

Which medication for trichomonas vaginalis?

I will perform bse 1 week after menses

Which statement made by the client demonstrates that she understands how frequently should one perform a breast self examination

I can transmit infection to another person even when i don't have symptoms

You are reinforcing teaching with a client who has genital herpes, caused by herpes simplex virus type 2 , which statement by the client indicates understanding of the teaching

Herniorrhaphy

You are the nurse receiving report on a female client who has had repair of a herniation of her bladder into the vagina, the nurse knows that this type of surgery is called