Reproductive/Sensory
What kind of hearing loss is Otosclerosis?
CONDUCTION. (Stapes is affected by this!)
What is nursing considerations after a Hysterectomy?
Count peri-pads to monitor for hemorrhage
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.
"Do you experience cramps or pain during your cycle?" "Do you ever experience bleeding after intercourse?" "How long is your typical cycle?"
The nurse caring for a client who is legally blind would utilize which of the following strategies to interact with the client?
-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. -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
Radiation Therapy? (Brachytherapy is radiation also)
-flush toilet 3x -have tongs/metal bucket in room -NO pregnant people/nurses nearby
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 selective serotonin reuptake inhibitor (SSRI)
What meds do we give HPV pts?
Acyclovir
Who has the greatest risk of getting prostate cancer?
African Americans. People with familial tendencies need to get their PSA drawn regularly
What test detects macular degeneration?
Amsler Grid. If a pt notices distortions, they need to go see dr asap -Macular degeneration is a HUGE risk for blindness.
The client is being followed for potential macular degeneration. What is the most specific examination that will be assessed?
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?
Asking the client's permission to discuss sexuality
How do you talk to deaf/impaired hearing patients
Be in front of them, use low tone
Rhinne test?
Bone conducted sound will be HEARD LOUDER than air conducted sound
What are the S/S of PMS?
Breast Tenderness Depression Fluid Retention Headache. (may give SSRI for hopelessness/depression)
Sudden, sharp eye pain?
CLOSED angle glaucoma
Nursing action if you have a pt with a Rod issue?
Ensure there is adequate lighting in their room.
After cataract surgery, what does pt need to report?
Difference in vision, such as floaters or flashing lights.
With an otoscope and you notice clear fluid coming out of ear, what does this mean?
Get doctor, it could be CSF. NO NG TUBES W/ THIS PATIENT. (could go into brain if there is a basilar skull fx)
What is the number one risk for cervical cancer?
HPV!
Uterine Fibroids?
I don't know anything about this
PCOS?
IN the ovaries. Women can lose weight and exercise and reverse the infertility it can cause.
Where do we give eye drops? How long do we wait between administrations?
In the conjuctival sac. Wait FIVE MIN in between administrations
Myopia? Hyperopia?
Myopia: Nearsighted Hyperopia: Farsighted
Does a prostate specific antigen 100% mean cancer?
No you will have to run more tests
PID?
Pelvic Inflammatory Disease. -pts should use condoms, and antibiotics. -HPV commonly causes this
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?
Prone so the gas bubble can tamponade the retina
How do we assess for Dimpling? What can dimpling mean?
Raise their arms, it will help to observe for dimpling more closely. Dimpling can mean there is a breast mass
What test is run to see if pt is infertile?
Serum Progesterone
What is an Enucluation?
Severe Eye trauma or surgical removal of the eye. Care for clients emotional needs.
What is the tx for cataracts?
Surgery
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?
The bladder must be emptied prior to surgery and a catheter may be placed during surgery.
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?
The nurse neglected to have the client occlude the puncta after eye drop administration
Weber hearing test?
The sound will be heard better, in the ear that is better.
The school nurse is presenting a class on female reproductive health. The nurse should describe what aspect of Pap smears?
The test can detect early evidence of cervical cancer.
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?
They are potentially experiencing a detached retina
What is an electronystagotomy nursing considerations?
This is for Meniere Disease. MAKE SURE PT IS NOT ON ANY TRANQ/STIMULANTS MEDICATIONS PRIOR TO PROCEDURE.
With Infertility, when would you do Gamete Intrafallopian Transfer?
This is the tx of choice for patients with ovarian failure!
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.
Venous thromboembolism Cardiovascular disease Breast cancer
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?
Vitamin supplements
How do we stop the transmission of Herpes?
Wash your freaking hands
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?
Weber test
