Exam 4 medsurg

Syphilis

an STD that attacks many parts of the body and is caused by a small bacterium called a spirochete

Chylamydia

Within the free clinic where you practice nursing, you hold weekly sexual education classes open to the public. Within the classroom, you communicate the CDC's numbers for the incidence of STIs and their impact upon public health. Which is the fastest-spreading bacterial STI in the United States?

tracheostomy collar

a small oxygen-delivery apparatus that fits over a tracheostomy site and is held in place by an adjustable elastic strap that fits around the patient's neck; also called a tracheostomy mask

Ductal ectasia

benign breast disease characterized by inflammation and dilation involving one or multiple subareolar ducts. It is common in women approaching menopause

BIPAP

biphasic continuous positive airway pressure

COPD

caused by emphysema and chronic bronchitis

Gential herpes

causes red, blisterlike, painful lesions that closely resemble the common fever blister or cold sore that appears on the lips and around the mouth.

Gential herpes

common, incurable STD caused by a virus that produces blisters. the symptoms clear up on their own; yet the disease remains to cause future breakouts

CPAP

continuous (constant) positive airway pressure

spermatocele

cyst of the epididymis that contains sperm

Latent syphilis

the third stage of syphilis, which may last for years, during which symptoms disappear although the person is still infected

Tachycardia

A client is experiencing severe respiratory distress. Which response should the nurse expect the client to exhibit?

Kegel exercises

A client is having a radical prostatectomy. Which preoperative teaching specific to this surgery does the nurse emphasize?

nasal cannula

A device that delivers low concentrations of oxygen through two prongs that rest in the patient's nostrils.

Polycythemia

A disorder characterized by an abnormal increase in the number of red blood cells in the blood

cystic fibrosis

A genetic disorder that is present at birth and affects both the respiratory and digestive systems.

"There will be an indwelling urinary catheter and a continuous bladder irrigation in place."

Before a transurethral resection of the prostate (TURP), a client asks about what to expect postoperatively. Which response by the nurse is most appropriate?

Gential warts

Growths or bumps in the gential area caused by certain types of HPV; cauliflower shaped

Administration of 1 g of azithromycin orally in a single dose

The clinic nurse is planning care for a client found to have chlamydia. Which treatment should the nurse plan to implement?

Alopecia

The image below illustrates the mouth of a client with a sexually transmitted disease. Which other symptom is likely to be present in the client at this stage of disease?

gummas on the skin

The nurse is assessing four clients with syphilis. Which client is suspected to be in the last stage of syphilis?

Pustules and psoriasis-like scales on the skin

The nurse is assessing four clients with syphilis. Which client is suspected to be in the secondary stage of syphilis?

tidal volume

The volume of air breathed in and out without conscious effort.

pelvic inflammatory disease (PID)

inflammation and infection of organs in the pelvic region; salpingitis, oophoritis, endometritis, endocervicitis

Mantoux test

intradermal test to determine tuberculin sensitivity based on a positive reaction where the area around the test site becomes red and swollen

secondary syphilis

rash on palms/soles, condyloma lata, generalized adenopathy

Primary syphilis

painless chancre

transurethral resection of the prostate (TURP)

procedure of removing all or part of the prostate by the insertion of a resectoscope into the urethra

Tidal volume

A client is scheduled for a pulmonary function test. The nurse explains that during the test one of the instructions the respiratory therapist will give the client is to breathe normally. What should the nurse teach is being measured when the client follows these directions?

Neisseria gonorrhoeae

A client reports painful urination and profuse purulent urethral discharge. After assessment, the nurse finds that his testicles are swollen. The primary healthcare provider asks the client to undergo a nucleic acid amplification test. Which organism may be responsible for this condition in the client?

hemorrhage

A client who had a transurethral resection of the prostate is transferred to the postanesthesia care unit with an intravenous (IV) line and a urinary retention catheter. For which major complication is it most important for the nurse to assess during the immediate postoperative period?

Venturi mask

A high flow oxygen delivery face mask and reservoir bag device that delivers specific concentrations of oxygen by mixing oxygen with inhaled air.

"I should apply sunscreen and wear sun-protective clothing while going outside."

A nurse is counseling a client with tuberculosis regarding isoniazid (INH) therapy. Which statement made by the client indicates the nurse needs to follow up?

Genital Herpes: Benzathine penicillin G

A nurse is reviewing the medication chart of four clients with sexually transmitted diseases. Which client's medication chart indicates a need for correction?

"I will consult with my primary healthcare provider when there is a rash or ulcer on my genitalia."

A nurse is teaching a male client about measures to maintain sexual health and prevent transmission of sexually transmitted infections (STI). Which statement of the client indicates effective learning?

Secondary

A sexually active client presents with a sore throat and a generalized rash. The client states that a chancre that had been present healed approximately 3 months ago. The physical assessment and the serologic test findings indicate a diagnosis of syphilis. Which stage should the nurse determine the client is in at this time?

Gynecomastia

breast enlargement in males, can be an result of primary cancer. Causes: drugs, aging, obesity, underlying disease

hypoxia

deficiency in the amount of oxygen reaching the tissues

hypoxemia

deficient amount of oxygen in the blood

t-piece

device that fits securely onto a tracheostomy tube or endotracheal tube

Fibrocystic breast condition

disorder characterized by benign cysts in one or both breasts; may cause discomfort, common in premenopausal women between 20 and 50 years of age

dry powder inhaler

dry powdered drug delivered by inhalation.

varicocele

enlarged, dilated veins near the testicle

FEV1

forced expiratory volume in one second

Burkholderia cepacia

gram negative rods associated w cystic fibrosis

Tertiary syphilis

gumma - soft gummy lesion that leads to degeneration of blood vessels in brain

Fibroadenoma

mass of connective tissue that is unattached to surrounding breast tissue. It is usually located in the outer quadrant of breast. It is the most common benign tumor

100% nonrebreather

provides greater than 90% of oxygen, not on pt more than 24 hours

hydrocele

scrotal swelling caused by a collection of fluid

gummas

soft rubbery tumors seen in third stage of syphilis

Total Lung Capacity (TLC)

the volume of air in the lungs after a maximal inhalation

The client is in the latent stage of syphilis

The diagnostic report of a client indicates a positive specific treponemal antibody test. The signs and symptoms of syphilis are absent. What does the nurse infer from this finding?

"I will look and feel for any lumps or changes to my testes."

The nurse is educating a group of young men about testicular self-examination (TSE). Which statement by a member of the group indicates teaching has been effective?

"Readings in the green zone mean that my asthma is under control. "If I get a reading in the red zone, then I need to take my reliever drug and have my wife take me to the hospital." "I should check the peak flow readings at least twice a day."

The nurse is teaching a client who has asthma about using a peak flow meter. Which statement by the client reflects a correct understanding of the use of a peak flow meter? Select all that apply

Avoid sexual intercourse for at least 24 hours before the test

The nurse prepares a client for a Papanicolaou test (Pap test). The client has HPV (Human Papiloma Virus). What should the nurse instruct the client before conducting the test?

N95 mask

This mask is worn to protect against airborne transmission - chicken pox - TB

C; The ball of the oxygen flowmeter should be set at 8 L/min, shown in Option C, to deliver 40% oxygen through the Venturi mask

An adult is admitted to the hospital in respiratory distress, and the primary healthcare provider prescribes oxygen at 40% by way of a Venturi mask. The instructions for the Venturi mask indicate that delivery of 4 L/min equals 24% to 28% oxygen, delivery of 8 L/min equals 35% to 40% oxygen, and 12 L/min equals 50% to 60% oxygen. Where should the ball of the flow meter should be raised to deliver the percentage of oxygen prescribed by the primary healthcare provider?

Tuberculosis

An infectious disease that may affect almost all tissues of the body, especially the lungs

hysterectomy

removal of the uterus

During the procedure, each breast will be compressed firmly between two plates.

A 26-year-old woman whose sister recently had a lumpectomy for breast cancer calls the local women's health center for an appointment for a mammogram. What guidance should the nurse provide the client in preparation for the test?

"You may have referred pain in your chest and shoulders due to the carbon dioxide (CO2) used in the procedure."

A 32-year-old client has a laparoscopic removal of endometrial adhesions at a same-day surgery center. What does the nurse tell her to expect postprocedure?

stress incontinence

A 60-year-old woman is admitted for a vaginal hysterectomy and anterior and posterior repair of the vaginal wall. While taking the nursing history the nurse expects the client to state that one of the reasons she is having surgery is because she has been experiencing what?

Neisseria gonorrhoeae

A client reports pain during urination and a profuse, yellowish-green penile discharge. After an assessment, the primary healthcare provider schedules the client for a nucleic acid amplification test (NAAT). Which organism may be the cause of the client's condition?

Asses the adult's sexual risk behavior

In order to implement primary prevention of STIs (sexually transmitted infections) a nurse is counseling an adult. What would be the priority nursing action?

Corpulmonale

Right-Sided Heart Failure due to pulmonary hypertension caused by the accumulated effects of multiple small emboli in the lung`

Mucopurulent cervical discharge

The image illustrates the toe of a client with a sexually transmitted infection (STI). Which other symptom should a nurse assess for in the client with this disease?

Uterine bleeding: Hysterosalpingography

The nurse is caring for four clients who are prescribed to undergo tests for reproductive system assessment. Which client's prescribed test needs revision?

Simple facemasks

used to deliver oxygen concentrations of 40% to 60% for short-term oxygen therapy or in an emergency. A minimum flow rate of 5 L/min is needed to prevent the rebreathing of exhaled air. Ensure the mask fits well to maintain inspired oxygen levels. Care for the skin under the mask and strap to prevent skin breakdown.

Suction the Tracheostomy

- A nurse is providing immediate postoperative care to a client with a tracheostomy tube in place. The client suddenly develops noisy, increased respirations and an elevated heart rate. What action should the nurse take immediately?

Partial rebreather mask

-delivers a bout 60-75% -Acceptable flow rate 6-11 lpm - looks like a non-rebreather without any one-way valves -Low flow device -Removal of the one-way valve converts NRB mask into a partial rebreather

aerosol mask

-good only for high flow systems -otherwise air entrainment is too great and FIO2 will be reduced significantly.

Gonorrhea

A sexually transmitted bacterial disease caused by a gonococcus bacterium that causes inflammation of the genital mucous membrane, burning pain when urinating, and a discharge

Chlamydia

A sexually transmitted disease, the most common in developed countries, caused by the bacterium Chlamydia trachomatis. Often producing no symptoms, it can cause infertility, chronic pain, or a tubal pregnancy if left untreated.

Painless testicular lump

Which assessment finding causes the nurse to suspect that a client may have testicular cancer?

Cold sores

Which complication will the nurse suspect in a client with genital herpes disease?

Syphilis

Which sexually transmitted infection (STI) is caused by Treponema pallidum?

Hysterosalpingography

Which test helps to identify fibroids, tumors, and fistulas while performing a reproductive tract examination?

endometriosis

a condition in which patches of endometrial tissue escape the uterus and become attached to other structures in the pelvic cavity

Peak flow meter

a handheld device often used to test those with asthma to measure how quickly the patient can expel air

sweat chloride test

a test to measure the amount of chloride in the sweat by stimulating the skin to produce a large amount of sweat that is then absorbed by a special filter paper and analyzed for chloride content; used in diagnosing cystic fibrosis

fibroids

benign growth of muscle tissue in the uterus, causes heavy vaginal bleeding