Nclex Review Male And Female

Front 1

Female reporductive hormones are used to treat what

Back 1

hormone deficiencies or they may be used to treat a condition caused by too much of the male hormone testosterone such as prostate cancer

Front 2

What is the most serious complication of estrogen and progesterone drug therapy

Back 2

development of a DVT

Front 3

Estrogen use can also cause what

Back 3

changes in affect, mood and behavior, aggression and depression can occur

Front 4

What is used to treat BPH and prostate cancer

Back 4

Anti-androgens and androgen hormone inhibitors

Front 5

Side effects of Anti-androgen and androgen hormone inhibitors are

Back 5

Gynecomastia, impotence, pain in the testicles, alopecia, gastrointestinal distrubances, fluid and electrolyte imbalances

Front 6

Are most Anti-androgens and androgen hormone inhibitors teratrogenic

Back 6

YES

Front 7

What herbal medication acts the same as finasteride (Proscar, Propecia) on the prostate gland

Back 7

Saw palmetto

Front 8

Common Anti-androgen and androgen hormone inhibitors

Back 8

Abaralix (Plenaxis), Bicalutamide (Casodex), Dutasteride (Avodart), Flutamide (Eulexin), Goserelin (Zoladex), Leuprolide (Lupron), Nilutamide (Nilandron), Triptorelin (Trelstar)

Front 9

Alpha-blockers are used for

Back 9

to treat men with benigh prostatic hypertrophy who have trouble urinating

Front 10

First dose effect is common with what type of drug

Back 10

Alpha blockers

Front 11

Common Alpha Blockers are

Back 11

Alfuzosin (UroXatral), Doxazosin (Cardura), Mecamylamine HCL (Inversine), Prazosin (Minipress), Tamsulosin (Flomax), Terazosin (Hytrin)

Front 12

Risk factors for Testicular cancer

Back 12

age and race, occurs most in Caucasion males between 18-40 years of age, also a history of undescended testis after the age of six and a family history also risk factors

Front 13

When should a testicular exam be done

Back 13

monthly after a warm bath or shower when the scrotum is relaxed which makes it easier to perfor the exam must do exam at and after age 14

Front 14

Inflammation of the prostate gland is

Back 14

Prostatitis

Front 15

Interventions for Prostatitis

Back 15

Sitz bath and normal sexual activity is recommened, stool softeners because straining is very painful

Front 16

Cancer which forms in the prostate tissue

Back 16

Prostate cancer, Usually occurs in older men, rare before the age of 40.

Front 17

When should a DRE and PSA be done and how often

Back 17

age of 50 and annually, afe of 45 if at high risk

Front 18

Risk factors for prostate cancer

Back 18

black men more then twice as likely to develop prostate cancer, diet high in fat is a risk factor, incidence increases with age in all cultures

Front 19

Normal PSA level

Back 19

less then 4, 10 and over is critical, those with high PSA levels need to be handled carfully due to matasices to the bone, lymph nodes

Front 20

Treatment options for prostate cancer

Back 20

Prostatectomy may be performed, will have continuous bladder irrigation (CBI), radiation, immunotherapy, Vaccination

Front 21

Growth of the prostate gland which usually begins in the 30’s and gradually gets large until age 50 when symptoms may develop

Back 21

Benign prostatic hyperplasia

Front 22

Lab effects of BPH

Back 22

PSA slightly over 4

Front 23

Surgical procedure to reduce BPH

Back 23

Transurethral resection of the prostate (TURP) is a surgical procedure sometimes used to reduce the size of the prostate

Front 24

What type of irrigation after a TURP

Back 24

Continous bladder irrigation which is a three way foley cathether

Front 25

Traction to the ______ immediately after surgery to reduce bleeding for a TURP

Back 25

catheter

Front 26

What colore should the urine be after a TURP

Back 26

light pink to pale yellow, flow rate of irrication will need to be adjusted

Front 27

Will a TURP cause impotence

Back 27

No but retrograde ejaculation of semen into the bladder is common

Front 28

How long after a TURP do you avoid strenuous activity

Back 28

4-6 weeks, avoid lifting anything over 20 lbs. No straining for 4-6 weeks to decrease risk of bleeding, may have bladder spasms

Front 29

How much water do you drink after a TURP

Back 29

6-8 glasses a day

Front 30

After removal of a foley catheter what is common

Back 30

dribbling

Front 31

What type of implant may be used for erectile dysfuction

Back 31

Penile, if a client has an implant performed, elevate the scrotum for 24 hours to decrease swelling

Front 32

Is all information confidential with STDs

Back 32

YES even if a minor

Front 33

What type of clothing is good for STDs

Back 33

cotton lined panties and loos clothing

Front 34

Condyloma acuminaturn

Back 34

humpan papilloma virus

Front 35

What is effected tx for HPV

Back 35

laser treatment for destroying the virus, provides for localized treatment without systemic effects

Front 36

Powder that is placed on HPV warts

Back 36

Podophyllin (Pocodon-25), CANNOT use in pregnancy, causes fetal death, preterm labor and cerival cancer

Front 37

Vaccine available to nonpregnanet females to prevent HPV

Back 37

Gardasil

Front 38

Bacterial infection commonly transmitted during sexual contact

Back 38

Chlamydia

Front 39

What is the most commonly reported communicable disease in the US

Back 39

Chlamydia

Front 40

Teaching to patient with Chlamydia

Back 40

limit number of partners and use a condom to prevent transmission, avoid intercourse while on antibiotics, follow up culture in 4-7 days

Front 41

Bacterial infection that spreads with sexual contact when direct contact with the chancre lesion occurs

Back 41

Syphilis

Front 42

Characteristic lesion is painless and indurated, sores occur mainly on the external genitalia, vagina, anus or rectum

Back 42

Syphilis

Front 43

Can Syphilis cause death in a fetus

Back 43

YES preggos need to be tested

Front 44

How many stages of Syphilis are there

Back 44

three

Front 45

Primary syphilis lasts for

Back 45

the first 6 weeks, chancre apears

Front 46

Test for Syphilis

Back 46

VDRL

Front 47

Secondary Syphilis time period

Back 47

from 6 weeks to 6 months, rash, fever, need to know all partners for last 6 months

Front 48

Tertiery syphilis time period

Back 48

behond 6 months, will get neurotoxicity from infection

Front 49

What is the drug of choice to treat syphilis

Back 49

Penicillin

Front 50

Multiple vesicles which rupture and then heal

Back 50

Genital herpes

Front 51

Yellow drainage and if transmitted rectally, may have rectal itching due to infection

Back 51

Gonorrhea

Front 52

Cervical cancer risk factors

Back 52

early and frequent intercourse, multiple partners, frequent STDs, sex with uncercumcised men

Front 53

Local cervical cancer is treated with

Back 53

laser therapy or cryosurgery (Cold Therapy), tissue needs to slough off once it is destryoed, clear, waterly discharge for 2 weeks, followed by discharge with debris which will have an odor, condom use and no tub baths after surgery for 6-12 weeks

Front 54

Invesive cervical cancer treatment

Back 54

radiation, conization, hysterectomy, pelvic exenteration where all organs from the pelvic cavity are removed in an attempt to stop the metastasis.

Front 55

Is Chemotherapy useful for invasive cerival cancer

Back 55

NO

Front 56

Radiation implant rule

Back 56

safety is a consideration, remember “time, distance, shielding”

Front 57

If radiation implant comes out what do I do

Back 57

do not handle with hands, use radiation gloves to put it in radiation proof box and call Dr. Patient should be on bedrest to avoid dislodgement

Front 58

May present with a painless, nontender, hard, immobile, irregular shaped mass. Nipple discharge and retraction of skin may be seen, In advanced disease edema with peau d’orange skin may be present

Back 58

Breast Cancer

Front 59

Resect the breast tissue and some skin

Back 59

simple mastectomy

Front 60

Recect the breast tissue and axillary lymph nodes

Back 60

modified radical mastectomy

Front 61

Rescet the breast tissue, muscle, and lymph nodes

Back 61

Radical mastectomy

Front 62

Any time there is axillary node dissection know that

Back 62

the affected arm may swell and is less able to fight infection

Front 63

What is normally followed by surgical treatment of breast cancer

Back 63

adjuvant therapy such as Tamoxifen (Nolvadex) for estrogen-receptor positive breast cancer. May also include chemotherapy and radiation

Front 64

What cancer is usually detected late and has a very poor prognosis

Back 64

Ovarian cancer

Front 65

Inflammation of the female uterus, fallopian tubes, and/or overies caused by a bacterial infection leading to scar formation and adhesions to nearby tissues and organs

Back 65

Pelvic Inflammatory Disease

Front 66

Primary prevention for PID includes avoiding each of the following

Back 66

Unprotected intercourse, multiple partners, Use of an IUD, Douching

Front 67

PID infection causes

Back 67

adhesions and eventually sterility

Front 68

How do I treat for PID pain

Back 68

analgesics and warm sitz bath, bed rest in semi fowlers position may increase comfort and promote drainage, antibiotics needed to reduce inflammation and pain.

Front 69

Downward displacement of the uterus

Back 69

Uterine prolapse, puts pressure on other structures, the bladder, rectum, and small intestines can protude through the vaginal wall

Front 70

Growth of tissue outside of the uterus that resembles the endometrium in structure and function, bleeds during the menstrual cycle causing pain

Back 70

Endometriosis

Front 71

Pain midway between mentrual periods

Back 71

Mittleschmerz

Front 72

Who needs a pap smear

Back 72

If you have had sex for 3 years, or age 21,

Front 73

How often do we do a pap smear

Back 73

annually until age 39 then every 2-3 years, stop at 70 if normal

Front 74

HPV screen at what age

Back 74

30