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91 Cards in this Set
- Front
- Back
Patient with has been trying to get pregnant without success. She asks the nurse, "What should I do?" what does the nurse tell her to do? |
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A woman worried about infertility wants to keep a record of her temperature, when should the nurse advise her to take her daily temp?
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- In the morning |
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A 18 year old male comes into the clinic with genital herpes, what type of lesions will you see?
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- genital herpes - has lesions called vesicles |
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When should a male do a TSE?
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- right after a warm shower |
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What symptoms would a female with fibroid tumor c/o?
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- Complaints of heavy menstrual flow (menorrhagia) |
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What is the position for a cervical exam? |
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What would you tell your female patient to do to prevent toxic shock syndrome (TSS)?
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- To prevent toxic shock syndrome - change tampon's frequently (at least every 4 hours) |
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What are some complications that can arise from a mastectomy post-op that relate to immobility?
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- Bleeding, hoemans sign, pneumonia, lymphedema |
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What would u tell a patient with Syphilis?
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What do you tell a patient who has come in for a pelvic exam?
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Patient comes into the ER and complains of abnormal bleeding/spotting, what would you suspect?
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- suspect cervical cancer (especially if there is bleeding after intercourse) |
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If a patient has a vasectomy, how long should he use protection during sex to prevent pregnancy?
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- wait 6 weeks post vasectomy to prevent pregnancy chances |
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What complication can arise immediately (post-op) after a woman has abdominal surgery?
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- DVT (look to prevent thrombophlebitis post op) |
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What does a pan hysterectomy include? |
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What is a subtotal hysterectomy?
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What is a salpingectomy?
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What is a pan hysterosalpingectomy?
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- Removal of the uterus, cervix, and oviducts |
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What is a Pan hysterosalpingo-oopherectomy?
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- Removal of the uterus, cervix, oviducts, and ovaries |
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A woman with heavy bleeding with period and complaining of fatigue, why?
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- Anemia (lack of Iron) |
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What is one of the S/S of rectocele?
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-S/S of a rectocele - patient would have hemorrhoids |
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What should a female patient avoid to prevent harsher PMS symptoms?
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Vesicovaginal fistula, what are the s/s?
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- S/S urine leaking into vaginal area |
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What is Toxic Shock Syndrome (TSS)?
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- To prevent toxic shock syndrome - change tampon's frequently (at least every 4 hours) |
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What can be a long term complication of PID (Pelvic Inflammatory Disease)?
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- sterility (infertility) |
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What is the test for Benign prostatic hyperplasia (BPH)?
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- BPH test = PSA with DRE |
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What is the position for a DRE exam? |
- modified standing |
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What cause of Orchitis? |
- post puberty mumps |
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If patient has painful swollen scrotum (possible caused from orchitis), what would you suggest they wear? |
- Patient with orchitis - wear underwear that supports the scrotum |
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What is the most important thing to look for when doing a cone biopsy (Coniztion)?
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- Post cone biopsy - watch for excessive bleeding |
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What causes fibrocystic breasts (Chronic Cystic Mastitis)?
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- caffine adds to fibrocystic breasts |
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What would a patient complain of after laparoscopic surgery?
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- shoulder pain from abdominal laparoscopy |
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Post uterine surgery, what do we watch for?
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- Post uterine surgery to watch I & O's |
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Post mastectomy, what is one of the treatments to prevent swelling (Lymphedema) for the arm on the operative side?
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- Post mastectomy - to prevent swelling on operative side – elevate affected arm |
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What is the most important question to ask when screening for breast cancer? |
- Family history important in breast cancer screening |
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For an ABDominal ultrasound, how would you want the bladder - Full or Empty?
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- full |
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What is the best way to prevent pregnancy?
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What is the most important aspect for care with a sexual assault patient?
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What are the S/S for gonorrhea?
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- gonorrhea - foul smelling discharge |
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Patient has gonorrhea, what else will you check for?
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At what age does a woman start getting mammograms?
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What do you assess for post TURP?
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What is a patient with HPV (Genital Human Papillomavirus or Condylomata acumate) higher risk for?
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- higher risk of cervical cancer |
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What presents candida?
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- Presents with cottage cheese look |
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What is the most prevalent surgery used for prostate enlargement?
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Q1. What childhood infectious disease most significantly affects male fertility?
Q2. Couple trying to have a baby, what child hood disorder would you ask about? |
Q1. |
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Is Gonorrhea a reportable disease?
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- Yes |
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What can you teach a man with gonorrhea to do?
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Wear a condom and tell other sexual contacts to get treated |
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Pt having a TURP and c/o pain, what do you do?
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- Assess the catheter for kinks |
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Pt with a swollen scrotum, what can you do for him?
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Ice packs and scrotal support |
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How often does a man do a TSE (Testicular Self Exam)?
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Monthly after a warm shower |
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Gonorrhea is state mandated reporting
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Gonorrhea is state mandated reporting |
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Vaccinate for mumps!!
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Vaccinate for mumps!!
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What STD is highest risk to develop cervical cancer?
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HPV |
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What is used to monitor for prostate cancer?
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- PSA (normal levels are 0-4) |
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What can you teach a pt with a vasectomy?
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Come back for check up because it will be six weeks before all sperm is gone out of system |
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What is a panhysterectomy?
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Same thing as a total hysterectomy (removal of entire uterus and cervix) |
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What might bleeding after sex indicate?
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Cancer |
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S/S of toxic shock syndrome?
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- Fever of 102 and greater. |
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What do you teach a pt with a total mastectomy? |
- Elevate arm and assess lung sounds |
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What is basal body temp?
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- Fertility Awareness Method. Take temp each morning for many months before rising to acquire your ovulation days (rhythm method) |
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Pt comes in with smelly discharge, how do you test for gonorrhea or chlamydia? |
- Stained smear test and/or culture and sensitivity |
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What is the long term effect of PID (Pelvic Inflammatory Disease)?
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Infertility/Sterility |
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What do you tell a pt who is about to get a uterus ultrasound? |
- Dont void |
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What is important to teach a pt who has genital herpes?
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How often does a woman do a SBE?
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- Monthly, usually a week after menstruation |
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What age does a woman start to get mammograms?
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- At age 40, earlier if hereditary |
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What should u avoid with fibrous breasts?
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- Avoid caffeine with fibrous breasts |
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First sign of gonorrhea?
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- smell |
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What is a colposcopy?
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- A lighted, magnifying speculum that is inserted into the vagina to view the vagina and cervix, pt will have slight bleeding and cramping |
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Post op for D&C (Dilatation and Curettage)?
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Monitor voiding and urinary retention |
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What is menorrhagia?
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excessive bleeding |
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What is metrorrhagia?
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- bleeding between menstrual periods |
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S/E of menorrhagia?
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- may result in anemia |
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S/E of metorrhagia?
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- May indicate cancer or retained placental tissue |
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Expectations of menopause?
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-Hot flashes, perspiration, fatigue, vaginal dryness and atrophy, weight gain, skin dryness, sagging breasts and osteoporosis |
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A fistula is an opening between two organs that normally do not open into one another
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A fistula is an opening between two organs that normally do not open into one another |
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Ureterovaginal =
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between ureter and vagina |
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Vesicovaginal =
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between bladder and vagina |
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Rectovaginal =
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between rectum and vagina |
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Sign of rectocele?
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Hemorrhoids |
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Why does infertility happen with long term PID?
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- Scarring of the fallopian tubes (oviducts) |
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What is a major symptom of a benign uteran tumor?
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- abnormal heavy bleeding |
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What is important post op hysterectomy?
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DVT, use ted hose |
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What is the fastest growing group to acquire HIV/AIDS? |
- WOMEN of color and heterosexual |
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Dx of HIV/AIDS? |
- EIA and Western Blot |
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S/S of chlamydia?
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- Gray white discharge with itching and burning |
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Gonorrhea is a bacterial infection
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Gonorrhea is a bacterial infection |
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Young adults have the highest incidence of gonorrhea
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Young adults have the highest incidence of gonorrhea |
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What type of antibiotic for gonorrhea?
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Broad spectrum (Rocephin) |
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Syphilis is a bacteria infection that is reportable to the public health dept. Lesions. Can be spread to a fetus. Many types of blood test to dx |
Syphilis is a bacteria infection that is reportable to the public health dept. Lesions. Can be spread to a fetus. Many types of blood test to dx |
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Sentinel Node Biopsy? |
- The node that drains the area of the breast affected by the tumor is identified and removed |