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38 Cards in this Set
- Front
- Back
Simple Vaginitis- Assessment |
yellow discharge, itching, burning |
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Simple Vaginitis- Nursing considerations |
douche, antibiotics, sitz bath |
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Atrophic vaginitis-Assessment |
Pale, thin, dry mucosa, itching, dyspareunia |
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Atrophic vaginitis- Nursing considerations |
Treated with topical estrogen cream, water-soluable vaginal lubricants, antibiotic vaginal suppositotires and ointments |
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Candida albicans-Assessment
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oderless, chessy white discharge, itching, inflamed vagina and perineum |
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Candida albicans-nursing considerations |
Topical clotrimazole (gyne-lotrimin), diflucan, nystatin (mmycostatin) |
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Toxic Shock Syndrome (TSS)-Assessment |
Sudden-onset fever, vomiting, diarrhea, drop in systolic bp, and erthematous rash on palms and soles |
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Toxic Shock Syndrome-Nursing Considerations |
Early diagnosis critical to avoid involvement with other organ systems. Managed with antibiotics, fluid and electrolyte replacement. Educate about use of tampons. |
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Pelvic inflammatory disease (PID)-Assessment |
Local infection spreads to the fallopian tubes, ovaries, and other organs. Malaise, fever, abdomnial pain, leukocytosis, and vaginal discharge. |
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Pelvic inflammatory disease-N. Considerations |
Managed with antibiotics, fluid and electrolyte replacement, warm douches to increase circulation, rest. Can cause adhesions that produce sterility. |
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Mastitis- Assessment |
Reddend, inflamed breast. Exudate from nipple. Fever fatigue, leukocytosis, pain. |
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Mastitis-Nursing Considerations |
Systemic antibiotics, warm packs to promote drainage, rest, breast support. |
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Fibrocystic changes- Assessment |
Multiple cyst development, free-moving, tender, enlarged during menstrual period and about 1 wk before |
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Cancer of the cervix-Assessment |
Early-asymptomatic; Later- abnormal bleeding, especially postcoital |
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Cancer of the cervix- Nursing Considerations |
Preparation for tests, biopsy; Internal radiation therapy; Pap smear |
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Breast Cancer- Assessment |
Small, fixed, painless lump; Rash, or in more advanced cases, change in color, puckering or dimpling of skin, pain and/or tenderness, nipple retraction or discharge; Axillary adenopathy. |
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Uterine Fibroids (myomas)- Assessment |
Low back pain, fertility problems; Menorrhagia |
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Uterine Fibroids(myomas)-Nrsing considerations |
Benign tumors of myometrium; size and symptoms determine action; prepare for possible hysterectomy (removal of uterus( or myomectomy (partial resection of uterus) |
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Uterine displacement/prolapse-Assessment |
Low back pain, fertility problems; menorrhagia (excessive bleedsing periods) |
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Uterin displacment/prolapse-N.Considerations |
Kegel Exercises-improve muscle support. Pessary- device inserted into vvagina that gives uterus support. Surgical intervention-colporrhaphy (suturing fascia and musculature to support prolapsed structures) |
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Endometriosis-Assessment |
Found in colon, ovaties, supporting ligaments, causes inflammation and pain. Causes dysmenorrhea (painful periods) and infertility, backache. Most common in young nulliparous women. |
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Endometriosis-Nursing considerations |
Advise client that oral contraceptives suppress endometrial buildup or that surgical removal of tissue is possible. Inform client that symptoms abate (less intense) after childbirth and lactation. |
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Uterine cancer-Assessment |
Watery discharge, irregular menstrual bleeding, menorrhagia; Diagnosed by endometrial biopsy or curettage (scrap tissue). |
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Uterine cancer- Nursing considerations |
(1) Internal radiation implants: -Must restrict movements; bedrest w/ air mattress; Enema, douche, low-residue diet, ample fluids; Indwelling catheter and fracture pan for elimination. Visitors and professionals wear protective garments and limit exposure time. Dislodged implant must be handled with special tongs and placed in lead-lined container for removal; call hosp radiation therapy specialist 1st. (2) Hysterecomy |
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Uterine cancer: Hysterectomy-Nursing Consider |
Assess for hemorrhage, infection, thrombophlebitis (blood clot blocks vein). If ovaries removed, estrogen replacment therapy (ERT) may be needed. |
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Subtotal hysterectomy |
Removal of fundus only |
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Total hysterectomy |
Removal of the uterus (vagina remains intact) |
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Total abdominal hysterectomy with bilateral salpingo-oophorectomy (TAH-BSO) |
Removal of uterus, fallopian tubes, and ovaries |
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Radical hysterectomy |
Removal of lymph nodes as well as TAH-BSO |
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Ovarian cyst- assessment |
pelvic discomfort, palpable during routine exam |
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Ovarian cyst- Nursing considerations |
May do biopsy or removal to prevent necrosis. Monitor by sonography. |
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Ovarian cancer- Assessment |
Family hist of ovarian cancer, client his of breast, bowel, endometrial cancer, nulliparity, infertility, heavy menses, palpation of abdominal mass (late-sign), diagnosis by ultrasound, CT, x-ray, IVP |
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Ovarian Cancer- Nursing considerations |
Surgical removal, chemotherapy, staging of tumor after removal; Foster verbalization of feelings, ensure continuity of care, encourage support system |
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Prostatitis (male)-Assessment |
May be complication of lower UTIs. Acute-fever, chills, dysuria, purulent penile discharge; elevated WBC and bacteria in urine. Chronic- backache, urinary frequency, enlarged, firm, slightly tender prostate. |
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Prostatitis (male)- Nursing considerations |
Antibiotics gamma-globulin if exposed to mumps virus; Administration of drugs specific for organism; Ice packs to reduce swelling, scrotal support, bedrest. |
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Benign prostatis hypertrophy (BPH) (male)-Assessment |
Enlargement of glandular and cellular tissue of the prostate, resulting in compression on the urethra and urinary retention; most often in men over 50 y old. Dysuria, frequency, urgency, and nocturia; later symptoms may be cystitis, hydronephrosis, or urinary calculi. KUB, x-ray, IVP, and cystoscopy demonstrate prostate enlargement and urinary tract changes. |
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Prostate cancer-Assessment |
Urinary urgency, frequency, retention. Back pain or pain radiating down leg |
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Prostate cancer- Nursing considerations |
hormonal and chemotherapy; surgical removal |