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38 Cards in this Set

  • Front
  • Back

Simple Vaginitis- Assessment

yellow discharge, itching, burning

Simple Vaginitis- Nursing considerations

douche, antibiotics, sitz bath

Atrophic vaginitis-Assessment

Pale, thin, dry mucosa, itching, dyspareunia

Atrophic vaginitis- Nursing considerations

Treated with topical estrogen cream, water-soluable vaginal lubricants, antibiotic vaginal suppositotires and ointments

Candida albicans-Assessment

oderless, chessy white discharge, itching, inflamed vagina and perineum

Candida albicans-nursing considerations

Topical clotrimazole (gyne-lotrimin), diflucan, nystatin (mmycostatin)

Toxic Shock Syndrome (TSS)-Assessment

Sudden-onset fever, vomiting, diarrhea, drop in systolic bp, and erthematous rash on palms and soles

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.

Pelvic inflammatory disease (PID)-Assessment

Local infection spreads to the fallopian tubes, ovaries, and other organs. Malaise, fever, abdomnial pain, leukocytosis, and vaginal discharge.

Pelvic inflammatory disease-N. Considerations

Managed with antibiotics, fluid and electrolyte replacement, warm douches to increase circulation, rest. Can cause adhesions that produce sterility.

Mastitis- Assessment

Reddend, inflamed breast. Exudate from nipple. Fever fatigue, leukocytosis, pain.

Mastitis-Nursing Considerations

Systemic antibiotics, warm packs to promote drainage, rest, breast support.

Fibrocystic changes- Assessment

Multiple cyst development, free-moving, tender, enlarged during menstrual period and about 1 wk before

Cancer of the cervix-Assessment

Early-asymptomatic; Later- abnormal bleeding, especially postcoital

Cancer of the cervix- Nursing Considerations

Preparation for tests, biopsy; Internal radiation therapy; Pap smear

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.

Uterine Fibroids (myomas)- Assessment

Low back pain, fertility problems; Menorrhagia

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)

Uterine displacement/prolapse-Assessment

Low back pain, fertility problems; menorrhagia (excessive bleedsing periods)

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)

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.

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.

Uterine cancer-Assessment

Watery discharge, irregular menstrual bleeding, menorrhagia; Diagnosed by endometrial biopsy or curettage (scrap tissue).

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

Uterine cancer: Hysterectomy-Nursing Consider

Assess for hemorrhage, infection, thrombophlebitis (blood clot blocks vein). If ovaries removed, estrogen replacment therapy (ERT) may be needed.

Subtotal hysterectomy

Removal of fundus only

Total hysterectomy

Removal of the uterus (vagina remains intact)

Total abdominal hysterectomy with bilateral salpingo-oophorectomy (TAH-BSO)

Removal of uterus, fallopian tubes, and ovaries

Radical hysterectomy

Removal of lymph nodes as well as TAH-BSO

Ovarian cyst- assessment

pelvic discomfort, palpable during routine exam

Ovarian cyst- Nursing considerations

May do biopsy or removal to prevent necrosis. Monitor by sonography.

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

Ovarian Cancer- Nursing considerations

Surgical removal, chemotherapy, staging of tumor after removal; Foster verbalization of feelings, ensure continuity of care, encourage support system

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.

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.

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.

Prostate cancer-Assessment

Urinary urgency, frequency, retention. Back pain or pain radiating down leg

Prostate cancer- Nursing considerations

hormonal and chemotherapy; surgical removal