Health Assessment - Final - Genitalia/breast/integration

Front 1

Male genetalia is classified as what kind of structures

Back 1

internal and external structures

Front 2

what are the two uses for the Penis

Back 2

urination
reproduction

Front 3

external genetalia include

Back 3

shaft, glans, scrotum, scrotal sac

Front 4

testes are not even due to

Back 4

development - causes them to not grow symetrically

Front 5

the scrotal temperature is what

Back 5

a degree or two less externally

Front 6

the scrotum is external , this is useful for what

Back 6

sperm to thrive

Front 7

Internal structure that holds testes in scrotum

Back 7

spermatic cord

Front 8

internal structure , cone shaped over testicles that covers the upper and posterior region

Back 8

epididymis

Front 9

internal structure that is muscular tube into spermatic cord to abdominal cavity

Back 9

vas deferens

Front 10

located between the anterior superior iliac spine laterally and symphysis pubic medially, frequent site of hernias

Back 10

inguinal area

Front 11

a hernia can be caused by

Back 11

bowel or intestine moving into inguinal area

Front 12

where do sperm mature at?

Back 12

internal- Epididymis

Front 13

what take sperm away from the testes

Back 13

internal- spermatic cord

Front 14

dilated veins of the spermatic cord, made up of veins that contain inadequate valves, can be frelt and sometimes seen as a tortuous mass on surface of scrotum (worms)

Back 14

varicocele

Front 15

position for a physical assessment of male genetalia is

Back 15

standing

Front 16

the patient should do what before assesment

Back 16

empty bladder

Front 17

what should you do first before the procedure of physical assessment

Back 17

explain to patient what you are doing

Front 18

male self exam MSE should be done when

Back 18

monthly, starting at PUBERTY

Front 19

if a scrotal mass is found during physical assessment of male genetialia, what should happen

Back 19

Auscultate and Transilluminate

Front 20

is the accumulation of fluids around a testicle, and is fairly common.

due to fluid secreted from a remnant piece of peritoneum wrapped around the testis, called the tunica vaginalis. It can be the result of cancer, trauma (such as a hernia), or orchiti

Back 20

hydrocele

(transillumate to see fluid)

Front 21

wellness nursing diagnosis

Back 21

health-seeking behavior : requests information on Testicular Self Exam

Front 22

target age group for TSE -testicular self exam

Back 22

15-25 years, montly

Front 23

risk factors for testicular cancer is

Back 23

unknown

Front 24

who most commonly gets TESTICULAR CANCER

Back 24

CAUCASIONS

Front 25

early detection of testicular cancer is usually

Back 25

asymptomatic

"pt says area feels heavy, large"

Front 26

RN diagnosis
RISK FOR INJURY TO GENITALIA related to poor lifting technique

Back 26

RN diagnosis
DISTUBRED BODY IMAGE related to hernia repair

Front 27

a collaborative problem is erectile dysfunction, which can be due to

Back 27

antihypertension
meds

Front 28

For a phbysical assessment, you must first

Back 28

ID CLIENT
EXPLAIN PROCEDURE
DO Testicular Exams Last

Front 29

The INGUINAL area is located where

Back 29

between the ANTERIOR SUPERIOR ILIAC SPINE LATERALLY
and
SYMPHYSIS PUBIS MEDIALLY

Front 30

BREAST AND LYMPHATIC ASSESSMENT

Back 30

BREAST AND LYMPHATIC ASSESSMENT

Front 31

1 out of eveyr _____ women will have breast cancer

Back 31

8

Front 32

1 out of every ______ women will die from breast cancer

Back 32

33

Front 33

paired mammory glands are known as

Back 33

breasts

Front 34

breasts lie where

Back 34

over muscles - anterior chest wall - anterior to pectoralis major, serratus anterior.

Front 35

breasts extend how

Back 35

horizontally
verticallly

Front 36

what is the major muslce of the breast

Back 36

pectoralis major

Front 37

breasts for male and female are most similar during

Back 37

infancy

Front 38

female breasts begin to change from male when and how

Back 38

during Puberty because of
Estrogen and Progesterone

Front 39

name two things breasts are needed for

Back 39

produce and store milk

sexual stimulation

Front 40

upper outer quadrant of breasts, where the lymph nodes is called

Back 40

tale of spence!

Front 41

most lumps, bumps and cancers can be foudn where

Back 41

the tale of spence!

Front 42

what filter bacteria and viruses, return water and protein to blood

Back 42

lymph nodes

Front 43

what perfecent of lumps found in a BSE are benign

Back 43

80 percent

Front 44

where is the tale of spence located

Back 44

Upper Outer Quadrant down to armpit

Front 45

what is bean like - run close to areteries and veins.... determine degree of treatment

Back 45

lymph nodes

Front 46

lymph nodes are important to what?

Back 46

the immune system

Front 47

what do the major axillary lymph nodes consist of

Back 47

anterior (pectoral)
posterior (subscapular)
lateral (brachial)
central(midaxillary nodes)

Front 48

surrounds the nipple contains sebaceous glands, hair follicles, smooth musckle fibers that contract nipple with stimulation

Back 48

areola

Front 49

3 tyoes of internal tissue of breasts

Back 49

glandular
fibrous
fatty

Front 50

functional part of breast, milk production here

Back 50

glandular

Front 51

this varies, determinees the size of breast

Back 51

fatty tissue

Front 52

supports granular tissue

Back 52

fibrous tissue

Front 53

where is the best place to start a BSE

Back 53

start at CLAVICLE into ARMPIT

Front 54

how to perform a BSE?

Back 54

Standing, in shower is a good place

Front 55

when the pt starts outside, and goes in a circular pattern, what is this called

Back 55

concentric circles

Front 56

when in cycle should you start to BSE

Back 56

4-7 days after first bleeding after cycle

Front 57

steps for a breast exam assessment

Back 57

ID PT
WASH HANDS
INSPECT SKIN, ALV, NIPS
BREASTS ASSYMETRICAL
WARM HANDS
PALPATE

Front 58

Inspect breatss for

Back 58

size and symmetry
color and texture
superficial venous pattern

Front 59

Palpate breasts in WHAT position

Back 59

SUPINE

Front 60

Any nipple discarge purulent, bloody, clear , is NOT normal and requires a

Back 60

refferal

Front 61

male enlarged breasts, this can be due to excess estrogen or marijuana use

Back 61

gynecomastia

Front 62

what is the most common form of breast cancer for men

Back 62

same as women,
INFILTRATING DUCTILE CANCER

Front 63

wellness RN diagnosis example

Back 63

Opportunity to enhance management of breasts

Front 64

RN diagnosis
RISK FOR INEFFECTIVE MANAGEMENT OF THERAPUETIC REGIMEN

Back 64

Rn diagnosis
BODY IMAGE DISTUBANCE related to MASTECTOMY

Front 65

3 KEYS TO ASSESSMENT

Back 65

explain/ rationale
do a thorough exam
palpate and document

Front 66

if your pt has an absess or infection or hematoma, you must do what

Back 66

collarboative problem, with md

Front 67

is a collection of blood outside the blood vessels,[1] generally the result of hemorrhage, or more specifically, internal bleeding.

Back 67

hematoma

Front 68

check nipples for

Back 68

retraction (pulled in) or dimpling

Front 69

during palpation, you must compress nipple for

Back 69

signs of discharge

Front 70

3 systmeatic methods for breast exams

Back 70

concentric circles
wedge
vertical strip

Front 71

INTEGRATION OF HEALTH ASSESSMENT

Back 71

INTEGRATION OF HEALTH ASSESSMENT

Front 72

Folstein test is a brief 30-point questionnaire test that is used to screen for cognitive impairment. It is commonly used in medicine to screen for dementia. It is also used to estimate the severity of cognitive impairment at a given point in time and to follow the course of cognitive changes in an individual over time, thus making it an effective way to document an individual's response to treatment.

Back 72

mini mental status exam MMSE

Front 73

MMSE under 25 indicates

Back 73

cognitive dysfunction, dementia maybe diagnosed

Front 74

Examine clients Genitalia when?

Back 74

examine genetalia last to establish repore with patient before touching.

Front 75

FRAIL ELDERLY ARE INCREASINGLY VULNERABLE - WHAT ARE THE CHANGES?

Back 75

thin skin, cool, nails brittle, thin hair, eye vision decreased, presbyopia, dedcreased tear production, cataract formation > 55, pupil changes, pupil gets smaller, harder to see in dark, hearing decreased presbycuspis, cannot hear high pitch sounds, cerumen wax buuildups, wrinkles, neck OA, kyphosis.

Front 76

leading cause of death in the elderly is

Back 76

CAD
Coronary Artery DiSEASE

Front 77

because more energy is needed to breath, you can see this when observing the frail elderly

Back 77

increased accessry muscle use

Front 78

aging brings about

Back 78

constipation

Front 79

Most common cause of a lower GI bleed is a

Back 79

MASS

shown by decreaed HGB level

Front 80

pain, fever, lab values are less relaible in elderly because there normals are not truly normal due to aging - this is known as

Back 80

geriatric syndrome

Front 81

what is useful to have in room to check for the swallowing exam

Back 81

pudding, similar to pudding

Front 82

how many pillows are needed for elderly comfort

Back 82

2-3 pillows

Front 83

poverty, living alone, isolationm, poor nutritional knowledge, psychiatric - these can all lead to

Back 83

involuntary weight loss

Front 84

begin timing, rise from standard arm chair, walk to line on floor 10 feet away, turn and return to chair, sit in chair again end timing

Back 84

this is the Timed Get up and Go test

Front 85

the timed get up and go test is ONLY for person able to

Back 85

walk without assistance

< 30 seconds

Front 86

health compaints or abnormalites are as likely to be result of _________________ then to disease

Back 86

ADVERSE REACTION TO DRUG THERAPY (meds)

Front 87

Compile profile o prescription and OTC drugs used by client

Back 87

have htem use 1 PHARMACY!

Front 88

effective treatment of elderly depends on what

Back 88

how early disease prevention interventions are implemented and how many remaining physiologic reserves are perseved

Front 89

wellness RN diagnosiS

READINESS FOR ENHANCED EFFECTIVE CARE GIVING

Back 89

RN diagnosis
RISK FOR LONELINESS related to changing role and decreasing functional status

Front 90

RN Diagnosis
INEFFECVITE ROLE PERFORMANCE related to chronic illness

Back 90

Collaborative problem with MD
PNEUMONIA