Ameritech HA reproductive and sensory exam

Tympanoplasty

surgical repair of the tympanic membrane

While taking a health history on a 20-year-old female client, the nurse learns that the client is taking miconazole. The nurse is justified in presuming that this client has what medical condition? A. Human papillomavirus (HPV) B. Bacterial vaginosis C. Candidiasis D. Toxic shock syndrome (TSS)

Candidiasis

vertigo

Condition of dizziness, "room spinning"

A nurse is reviewing the medical record of a client who has PMS. the nurse should identify that which of the following medications are used to treat PMS? (SATA) A. fluoxetine B. spironolactone C. Ethinyl estroadiol/drospirenone D. ferrous sulfate E. methylergonovine

Fluoxetine- SSRI, used to treat emotional manifestations Ethinyl estradiol/drospirenone- oral contraceptive Spironolactone- can reduce bloating and weight gain

nystagmus

repetitive rhythmic movements of one or both eyes

what is a potential complication of cataracts surgery?

retinal detachment

How to administer ocular medication

1-Hand hygiene 2-Remove contacts 3-Have client sit down and tile head slightly backward 4-Gently pull the tissue underneath the eye downward to expose the lower conjunctival sac 5-Hold the dropper and stabilize your hand on the client forehead 6-Have client look up while you instill the number of prescribed drops 7-Gently press on the puncta with the eyes closed

when is it recommended to start getting a mammogram annually?

45-54 years of age

Fuchs Endothelial Dystrophy

- Loss of endothelial cells and the resulting edema and thickening of the stroma

how long do you wait between eye medication instillations?

5 minutes

How much fluid can the eye hold at a time?

50 mcl

PMS Symptoms

-Anger, Anxiety, bloating, brain fog -Cravings for sweet and/or salty foods -Fatigued, depressed, tired, lethargic -Irritable tense mood swings -joint pain, muscle pain, nausea -less interested in sex, wanting to be alone -headaches, indecision, insomnia -weight gain, swollen hands/feet

The client has is preparing for angiography on the eye. What actions are appropriate for the nurse to take? (select all that apply) A, Monitor the IV and assess I & O B. Assess the clients morning laboratory values for BUN & Creatinine C. Make sure the client has been NPO after midnight D. Explain to the client the color of their urine may change for up to 24 hours after the procedure E. Encourage the client to increase their fluid intake after the procedure

-Monitor Iv and assess I and O -Assess client morning labs for BUN and creat -Explain to the client the color of their urine may change for up to 24 hours after the procedure -Encourage the client to increase their fluid intatke after the procedure

A 48-year-old woman presenting for care is seeking information about hormone therapy (HT) for the treatment of her perimenopausal symptoms. The client's need for relief from hot flashes and other symptoms will be weighed carefully against the increased risks of what complications of HT? Select all that apply. A. Anaphylaxis B. Venous thromboembolism C. Osteoporosis D. Breast cancer E. Cardiovascular disease

-VTE -Breast cancer -Cardiovascular disease

a nurse is caring for a client who has a new diagnosis of cataracts. which of the following manifestations should the nurse expect? (SATA) A. eye pain B. floating spots C. blurred vision D. White pupils E. bilateral red reflexes

-blurred vision -White pupils

A nurse is reviewing the medical record of a client who has menopause? which of the following findings should the nurse expect? A. increased vaginal secretions B. decreased bone density C. increased HDL levels D. decreased skin elasticity E. increased pubic hair growth F. decreased follicle stimulating hormone level

-decreased bone density -decreased skin elasticity

most common diseases that lead to blindness if left untreated?

-macular degeneration -glaucoma -diabetic retinopathy

signs and symptoms of retinal detachment

-new floaters -flashing lights -decrease in vision -pain

A nurse is providing teaching for a client who is to undergo a cervical biopsy. which of the following information should the nurse include? (SATA) A. the procedure is painless B. avoid heavy lifting for approximately 2 weeks after C. heavy bleeding is common during the first 12 hours after D. plan to rest for the first 72 hours after the procedure E. avoid the use of tampons for 2 weeks after the procedures

-the client should avoid heavy lifting until the cervix is healed, which takes approximately 2 weeks -the client should not use tampons until the cervix is healed, which take about 2 weeks

The nurse caring for a client who is legally blind would utilize which of the following strategies to interact with the client? A. Never touch the client as they are startled and won't like you entering their space. B. Identify items on the clients meal tray using a clock face ex: the milk is at 9 o'clock your coffee is at 1 o'clock C. Talk louder than usual to the patient from the door to alert them you are coming in D. Make sure the client is oriented to furniture in the room upon admission, and then do not change furniture position E. Identify the position of the call light, the client cell phone, tissues, water etc. prior to leaving the room.

. - Identify items on the clients meal tray using a clock face ex: the milk is at 9 o'clock your coffee is at 1 o'clock - Make sure the client is oriented to furniture in the room upon admission, and then do not change furniture position - Identify the position of the call light, the client cell phone, tissues, water etc. prior to leaving the room.

Guidelines for communicating with hearing impaired persons

1- use a low-tone, normal voice 2- speak slowly and disctinctly 3- reduce backgound noise and distractions 4- face the person and their attention 5- speak into the less impaired ear 6- use gestures and facial expressions 7- if necessary write out information or obtain a sign language translator

Infertility

A couple's inability to achieve a pregnancy after 1 year of unprotected intercourse -Primary infertility refers to couple that has never had a child -Secondary infertility means at least one conception has occurred but the couple cannot achieve a pregnancy

Herpes type 2 infection (herpes genitalis)

A recurrent life-long viral infection. Causes painful itching and burning herpetic lesions. -no cure, give antiviral agents as soon as possible to decrease lesion time -recurrences may be associated with stress, sunburn, dental work, inadequate rest, and inadequate nutrition -risk for infants delivered vaginally to become infected; therefore, cesarean delivery may be performed

a nurse at a providers office is caring for an older adult client who is having an annual physical exam. which of the following findings indicates additional follow up care is needed in regard to the prostate gland? A. Prostate specific antigen is 7.1 B. a DRE reveals an enlarged and nodular prostate C. the client reports a weak urine stream D. the client reports urinating once per night E. smegma is present below the glans of the penis

A. Prostate specific antigen is 7.1 (should be less than 4) B. a DRE reveals an enlarged and nodular prostate C. the client reports a weak urine stream

a nurse is reviewing the health record of a client who has severe otitis media. which of the following are expected findings? (SATA) A. enlarged adenoids B. report of recent colds C. client prescriptions for daily Lasix D. light reflex visible on otoscopic exam in affected ear E. ear pain relieved by meclizine

A. enlarged adenoids B. report of recent colds E. ear pain relieved by meclizine (helps relieve vertigo)

a nurse is instructing a client how to perform kegal exercises. which of the following instructions should the nurse include? (SATA) A. perform exercises about 50 times each day B. contract the circumvaginal and perirectal muscles C. gradually increase the contraction period to 10 seconds D . follow each contraction with at least 10 second relaxation period E. perform while sitting, lying, and standing F. tighten abdominal muscles during contraction

A. perform exercises about 50 times each day B. contract the circumvaginal and perirectal muscles C. gradually increase the contraction period to 10 seconds D . follow each contraction with at least 10 second relaxation period E. perform while sitting, lying, and standing

The client is being followed for potential macular degeneration. What is the most specific examination that will be assessed? A. Slit-lamp examination B. Color vision testing C. Amsler grid D. Optical coherence tomography

Amsler grid

which test is used to test for macular degeneration?

Amsler grid

The nurse is utilizing the PLISSIT model of sexual health assessment during an interaction with a new client. According to this model, the nurse should begin with what action? A. Assessing for physiologic problems B. Addressing the client's psychosocial status C. Conducting a preliminary assessment D. Asking the client's permission to discuss sexuality

Asking the client's permission to discuss sexuality

a nurse is caring for a male older adult client who has a new diagnosis of glaucoma. which of the following should the nurse recognize as risk factors associated with this disease? (SATA) A. gender B. genetic predisposition C. hypertension D. age E. Diabetes

B. genetic predisposition C. hypertension D. age E. Diabetes

The nurse is assessing a 53-year-old woman who has been experiencing dysmenorrhea. What questions should the nurse include in an assessment of the client's menstrual history? Select all that apply A."Did you have any sexually transmitted infections in early adulthood?" B. "When did your mother and sisters get their first periods?" C. "Do you ever experience bleeding after intercourse?" D. "How long is your typical cycle?" E. "Do you experience cramps or pain during your cycle?"

C. "Do you ever experience bleeding after intercourse?" D. "How long is your typical cycle?" E. "Do you experience cramps or pain during your cycle?"

The nurse is teaching a client preventative measures regarding vaginal infections. The nurse should include which of the following as an important risk factor? A. Late menarche B. Frequent douching C. Caucasian ethnicity D. High estrogen levels

Frequent douching

The nurse is working with a couple who have been unable to conceive despite more than 2 years of trying to get pregnant. The couple has just learned that in vitro fertilization (IVF) was unsuccessful and they are both tearful. What nursing diagnosis is most likely to apply to this couple? A. Hopelessness related to failed IVF B. Acute confusion related to reasons for failed IVF C. Moral distress related to unsuccessful IVF D. Compromised family coping related to unsuccessful IVF

Hopelessness related to failed IVF

a nurse is completing discharge teaching to a client following middle ear surgery. which of the following statements by the client indicates and understanding of the teaching? A. I should restrict rapid movements and void bending form the waist for several weeks. B. I should wait until the day after surgery to wash my hair C. I will remove the dressing behind my ear in 7 days D. my hearing should be back to normal right after surgery

I should restrict rapid movements and void bending form the waist for several weeks.

what is considered menorrhagia?

More than 80 mL of menstrual bleeding, or for longer than 7 days

Menopause

Permanent physiologic cessation of menses associated with declining ovarian function. -↑ body fat, total & LDL, hot flashes, night sweats, ↑bone loss, fatigue, forgetfulness, weight gain, irritability, trouble sleeping, feeling blue or panic -Medical management- HRT

A client states that PMS is significantly disrupting her quality of life and that conservative management has failed to produce relief. What pharmacologic treatment may benefit this client? A. A monoamine oxidase inhibitor (MAOI) B. An opioid analgesic C. A selective serotonin reuptake inhibitor (SSRI) D. A calcium channel blocker

SSRI

Rods

Specialized visual receptors that play a key role in night vision and peripheral vision. Sees blacks, whites, and greys

what is the most common treatment for cataracts?

Surgery

ossiculoplasty

Surgical repair of an ossicle (small bone) of the middle ear.

The nurse is providing preoperative education for a client diagnosed with endometriosis. A hysterectomy has been scheduled. What education topic should the nurse be sure to include for this client? A. Normal activity will be permitted within 48 hours following surgery. B. The bladder must be emptied prior to surgery and a catheter may be placed during surgery. C. After a hysterectomy, hormone levels remain largely unaffected. D. Menstrual periods will continue to occur for several months, some of them heavy.

The bladder must be emptied prior to surgery and a catheter may be placed during surgery.

The student next to you cries out and when asked what is wrong indicates they are seeing flashing lights, and a large amount of floaters in their eye. What is potentially occurring with this studen 1 / 1 point You are precepting with a nurse and she asks you to go take the vital signs on another client while she administers the timoptic eye drops. 15 minutes later you note the clients heart rate on the monitor has decreased to 55. What practice related to the eye drop administration might have influenced the client's heart rate? A. The nurse neglected to have the client occlude the puncta after eye drop administration B. The nurse administered the eye drops into the conjunctival sac C. The nurse neglected to have the client hold their head back for 5 minutes after administration D. The nurse administered the eye drops too quickly

The nurse neglected to have the client occlude the puncta after eye drop administration

The school nurse is presenting a class on female reproductive health. The nurse should describe what aspect of Pap smears? A. The test can detect early evidence of cervical cancer. B. The smear should be done every 2 years. C. The test may be performed at any time during the client's menstrual cycle. D. False-positive Pap smear results often occur from not douching before the examination.

The test can detect early evidence of cervical cancer.

what do you do for a person who has a problem with the rods in their eyes?

Turn the lights up brighter

A 51-year-old woman has come to the OB/GYN clinic for her annual physical. She tells the nurse that she has been experiencing severe hot flashes, but that she is reluctant to begin hormone therapy (HT). What potential solution should the nurse discuss with the client? A. Vitamin supplements B. Adopting a vegan diet C. Massage therapy D. Sodium restriction

Vitamin supplements

HPV (human papilloma virus)

a group of viruses that can cause genital warts in males and females and can cause cervical cancer in females -the most common sexually transmitted disease -vaccine to prevent it

Rosenbaum pocket vision screener

a handheld card used to test near visual acuity

Normal amount of menstrual bleeding

about 80 mL

fistulas

an abnormal opening between two internal hollow organs or between an internal hollow organ and the exterior of the body.

uterine fibroids

benign tumors composed of muscle and fibrous tissue that develop in the uterus

what is an expected adverse effect of pilocarpine administration?

blurry vision

why do we ask if the patient is taking any alph-antagonists before cataracts surgery?

can cause floppy iris syndrome

what nursing education is important for the patient being given a tonometry test?

caution patients to avoid squeezing eye lids, holding their breath, or performing Valsalva maneuver, may result in abnormal increase in IOP

Pap smear is done to detect what?

cervical cancer

Snellen chart

chart containing symbols that is used in the testing of visual acuity. stand 20 feet away from chart

cholesteatoma

collection of skin cells and cholesterol in a sac within the middle ear. tumor that causes pressure in the middle ear which causes hearing loss and neurologic disorders

color blindness affect rods or cones?

cones

Keratoconus

conical protrusion of the central part of the cornea. hereditary, more common in women, causes blurred vision

astigmatism

defective curvature of the cornea or lens of the eye

leading cause of blindness in younger people

diabetic retinopathy

what is one of the most serious ocular consequences of diabetes?

diabetic retinopathy

what does tearing and blinking do to the eye drops that were just instilled?

dilute or flush out of eye

Cones

retinal receptor cells that are concentrated near the center of the retina and that function in daylight or in well-lit conditions. The cones detect fine detail and give rise to color sensations. Detect colors

A nurse is providing instructions to a client prior to her first mammogram. Which of the following information should the nurse provide? A. you should not take any aspirin products prior to mammogram B. do not use or apply any deodorant the day of the exam C. you will need to avoid sexual intercourse the day before the mammogram D. you should avoid exercise prior to the exam

do not apply any deodorant prior to the exam. Can cause a shadowing appearance on images

endometriosis

endometrial tissue located outside the uterus

hyperopia

farsightedness

CMV retinitis

floaters, retinal tears and breaks Hemorrhagic-retinal hemorrhage Brushfire-yellow-white margin, burned out atrophic retina Granular-gradually expand, white feathery infiltration of the retina-retinal detachment

a nurse is performing an otoscopic exam. which of the following is an unexpected finding? A. pearly, gray tympanic membrane B. malleus visible behind the tympanic membrane C. presence of soft cerumen in the external canal D. fluid bubble seen behind the tympanic membrane

fluid behind the tympanic membrane

rectocele

hernia of the rectum

cystocele

hernia of the urinary bladder

How are eye drops administered?

hold lower lid down, instill med in middle of lower canthus

The client has just returned from the operating room for initial recovery after reattachment of the retina. What position will the client be placed in? A. On the operative side to prevent the retina from slipping sideways B. Prone so the gas bubble can tamponade the retina C. Supine with the head of bed up to protect the airway D. Semi-fowlers with 2 pillows for sniffing position

prone so the gas bubble can tamponade the retina

what is the characteristic sign of viral conjunctivitis?

red eyes

where do you actually administer eye drops?

in the conjunctival sac. -never drop drops onto eye itself

a nurse is providing teaching for a client who has a new diagnosis of dry macular degeneration. which of the following instructions should the nurse include in the teaching? A. increase intake of deep yellow and orange veggies B. administer eye drops twice daily C. avoid bending at the waist D. wear an eye patch at night

increase intake of deep yellow and orange veggies

a nurse is providing support to a client who has a new diagnosis of endometriosis. the nurse should inform the client that which of the following conditions is a possible complication of endometriosis? A. insulin resistance B. infertility C. vaginitis D. pelvic inflammatory disease

infertility- overgrowth can block fallopian tubes

pelvic inflammatory disease (PID)

inflammation and infection of organs in the pelvic region; salpingitis, oophoritis, endometritis, endocervicitis. -gonorrheal and chlamydial organisms are common causes, bot most cases are associated with more than one organism. tx- broad spectrum abx. treat sexual partners too, pain meds, good rest and nutrition

Conjunctivitis

inflammation of the conjunctiva (pink eye)

enterocele

intestinal hernia

metorrhagia

irregular uterine bleeding between menses

an initial treatment for a splash injury, including chemical burn, to the eye would be what?

irrigation with normal saline for up to 30 min

a nurse is providing postoperative teaching to a client following cataract surgery. which of the following statements should the nurse include in the teaching? A. you can resume playing golf in 2 days B. you need to tilt your head back when washing your hair C. you can get water in your eyes in 1 day D. you need to limit your housekeeping activities

limit housekeeping activities- can cause an increase in IOP

dysparenunia

lower abdominal pelvic pain, and tenderness that occurs after menses that may increase with voiding or with defecation

what is the second leading cause of irreversible blindness in the world?

macular degeneration

tortuousness

narrowing and change in light reflex Fundus-copper or silver

myopia

nearsightedness

emetropia

normal vision

a nurse is caring for a client who has diabetes mellitus and reports gradual loss of peripheral vision. the nurse should recognize this is a manifestation of which of the following diseases? A. cataracts B. open-angle glaucoma C. macular degeneration D. angle-closure glaucoma

open-angle glaucoma

what is the one thing that gets affected in the middle ear?

otitis media

PCOS

polycystic ovarian syndrome, typically benign, but should evaluate for endometrial cancer particularly in postmenopausal women. -may but not always have abdominal pain, symtpoms may mimic ectopic pregnancy or appendicitis -hormonal imbalance or cystic disorder that affects the ovaries resulting in anovulation and hyperandrogenism.

a nurse is reviewing the medical record of a client who has a cystocele. which of the following findings should the nurse identify as a risk factor for the development of this disorder? A. BMI 18 B. nulliparity C. chronic constipation D. postmenopausal

postmenopausal.

what is the aim of treatment of glaucoma?

prevention of optic nerve damage

The client who is hearing impaired is able to read lips for communication. The student nurse is completing the admission assessment. After the assessment is complete the nurse complimented the student on her choices for interaction. What actions would the nurse refrain from commenting on? A. The student spoke slowly and distinctly, pausing frequently B. The student shared the admission form prior to beginning so the client would know what was being discussed. C. Talking in a louder voice to help the client hear D. The student sat directly in front of the client while speaking.

talking in a louder voice to help the client hear

Perimenopause

the period around menopause -lasting between 3 and 6 years -can have unintended pregnancy -oral contraception- can protect against cancer, pregnancy, breast change, don't give if older than 25 and smoke

mastoidectomy

the surgical removal of mastoid cells

The student next to you cries out and when asked what is wrong indicates they are seeing flashing lights, and a large amount of floaters in their eye. What is potentially occurring with this student? A. They are in a panic as they know they have to take one more of your exams. B. They have suddenly remembered they haven't eaten C. They are potentially experiencing a detached retina D. They forgot to let the dog out and are sure there is going to be a mess when they get home.

they are potentially experiencing a detached retina

a nurse is caring for a client who has suspected menieres disease which of the following is an expected finding? A. presence of purulent lesion in the external ear canal B. feeling of pressure in the ear C. bulging, red bilateral tympanic membranes D. unilateral hearing loss

unilateral hearing loss

what do you do if you have a child who cannot read the Snellen chart yet?

use the hand "E" signals

The client asks the nurse to speak into his right ear, stating, "that's the good one'. What test wound be conducted on this client to validate unilateral hearing loss? A. Rhinne test B. Waver test C. Western test D. Weber test

weber test

A nurse is providing education to a client prior to her first Pap test. which of the following statements should the nurse take? A. you should urinate immediately after the procedure is over B. you will not feel any discomfort C. you may experience some bleeding after the procedure D. you will need to hold your breath during the procedure

you may experience some bleeding- due to the scraping of the cervix