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Paraphimosis Treat by pulling foreskin back over shaft after inserting - Definitive Diagnosis for Prostate Cancer What is Needle or aspiration biopsy (review other diagnostic tests) PSA-prostate antigen assay ( can be elevated with BPH and prostatitis) TRUS-transrectal ultrasound-to differentiate between BPH and cancer - Client has CBI following a TURP-What is appropriate nursing intervention if volume of output decreases and client reports feeling an extreme need to urinate What is irrigate with 50ml sterile water using toomey syringe. Contact HCP if not able to resolve the issue. Prevents occlusion of CBI goal is keep blood clots out of system - Commonly associated with infertility; cluster of dilated veins from on the spermatic cord that is painful -What is Varicocele. Often a cause of infertiltiy Side effect commonly associated with Proscar (Finasteride) What is Erectile Dysfunction (takes 3 months for this medication to shows signs of decreased in BPH) -This is the Screening test for ovarian cancer NOT one, yearly bimanual exams should be done High risk patients need: CA 125, yearly pelivc exams and abdominal ultrasound -Back pain and decreased urine output after a hysterectomy may indicate this complication What is ureter ligation. Decreased urine output should be reported post op -Surgical breast reconstruction surgery using abdominal muscle transverse rectus abdominis musculocutaneous (TRAM) flap Abdominal muscle brought up through chest to form new breast tissue -Best time for premenopausal women to conduct monthly Self breast exams Know the screening recommendations for breast: yearly HCP exam and mammogram for over 40, 21-39 every three years HCP exam. All monthly SBE At the completion of the menstrual cycle or first 5-7 days of new cycle -Medication used to treat estrogen receptor positive adnocarcinoma tumor of the breast, for all stages of breast , used for 30 years What is tamoxifen(Nolvadex) -This procedure is often done on burn patients to restore circulation: incision through the full-thickness eschar escharotomy Can be done on extremities and trunk, deeper than fasicotomy, restores circulation and prevent necrosis -Procedure done to diagnosis skin cancer Can be done on thorax and extremities, deeper than fasciotomy, and prevents ischemia and necrosis What is punch or excision biopsy -Ischemic lesions of the skin and underlying tissue caused by external pressure that impairs the flow of blood and lymph -pressure Ulcers- how do you prevent them -Type of anemia that can be caused by small bowel resection What is Vitamin B12 deficiency (Shilling s test-give radioactive B12 injection and then check urine for amt of B12) Cant absorb Vit b12 due to lack of intrisic factor lacking from GI surgery (parietal cells) Check urine for Vit b12 after oral administration Can be caused by vegetarian diet as well. Foods high in Vitb12-dairy, eggs, protein Need vit B12 for life if pernicious anemia s/s: Glossitis, numbness and tingling, pallor -Disease in which the patient has pancytopenia (decrease of all blood cell types and hypocellular bone marrow What is aplastic anemia (often idiopathic, may be congenital or caused by chemo) -Lab value used to measure Heparin effectiveness is Activated Partial Thromboplastin time (PTT) -Refers to the decrease in neutrophil count Neutropenia. Neutropenia precautions: monitor for s/s infections, culture wounds, strict hand washing, reverse isolation, avoid invasive procedures, no fresh flowers or fresh fruits that can t be peeled prior -Common side effect of chemotherapy that would require teaching about brushing with soft tooth brush, monitoring for dark stools, and avoiding certain medications What is thrombocytopenia Platelets less than 100,000 -Postoperative complication of partial thyroidecotmy; numbmess and tingling of Hands and face Hypocalcemia positive Chvostek s sign and Trousseaus -Hyperfunction of adrenal gland cortex causing elevated serum cortisol What is cushing s syndrome -Surgical procedure to remove the pituitary gland done through upper lip What is hypophysectomy (Nursing implications- no tooth brushing for 10 days, hob elevated, send clear drg for glucose) -Endocrine disorder that causes concentrated urine (increased urine sodium) and diluted blood (serum sodium low) What is SIADH Syndrome of inappropriate antidiuretic hormone(what is opposite-DI)
-Endocrine disorder treated with corticosteroids for life is Addison's disease -Arterial Lab value of: 7.35-7.45 What is normal PH of arterial blood (review normals and what makes acidic and alkaline) What about older adults ABG s? -A form of COPD described as progressive destruction of alveoli related to chronic inflammation: What is emphysema Looks like: pink puffers-barrel chest, pursed lip, use of accessory muscles and underweight -This infectious disease of the lungs requires airborne precautions and medication therapy usually consisting of four different medications What is TB -Administration of this type inhaler requires quick inspiration, no shaking, and device must avoid moisture What is a dry powder inhaler such as Advair -Name three late signs of inadequate oxygenation Comabative, coma, dyspnea at rest, retraction with inspiration, use of accessory muscles, pause for breath between sentences, words, hypotension, cyanosis, cool, clammy skin -Waveform on EKG that represents atrial depolarization (systole) What is the P wave (review QRS and T wave) -Pressure needed to perfuse organs What is the mean arterial pressure (SBP + 2 DBP/3) -Common side effect of blood pressure medications: especially when taking more than one drug classification reason why we separate bblockers and ace inhibitors by 2 hours is orthostatic hypotension -Name three risk factors for primary hypertension What are age greater then 60, family hx, male gender, obesity, physical inactivity, excessive alcohol intake, hyperlipidimia, African American ethnicity, high intake of sodium, caffeine or reduced intake of mg, calcium or potassium -This disease process is the combination of platelets and fats accumulating and narrowing arteries is atherosclerosis -Autoimmune disease of the neuromuscular junction characterized by the fluctuating weakness of certain skeletal muscle groups:; strength restored with rest; no sensory loss, reflexes are normal is Myasthenia Gravis -Test done to confirm diagnosis of Myasthenia gravis is Tensilon Test -Medication often used to control seizures, must have therapeutic serum level of 10-20mcq/ml, can cause gingival hyperplasia is Dilantin -Visual, auditory or olfactory occurrence that happens prior to a seizure What is an aura (review what nurses should document with seizure) What to document after seizure -Symptoms of this disease include: gait disturbance, early morning headache, and gait impairment What is Brain Tumor -Name three of the seven warning signs of cancer What are change in bowel or bladder habits, a sore that does not heal, unusual bleeding or discharge, thickening of a lump anywhere, indigestion or difficulty swallowing, obvious change in wart or mole, nagging cough or hoarseness -Stage of cancer with extensive local and distal spread is Stage IV -Proper placement of this line is in the SVC What is a PICC Line Peripherally inserted central line (review care of client with TPN) -Gigantic atypical tumor cell found in clients with Hodgkin Lymphoma What is reed sternberg cells -CD4 count less than 200 and development of oppportunistic infections such as CMV, or TB, and/or development of opportunistic CA-cervical, Kaposi s sarcoma etc diagnosis what disease -Effects of stress on the body (List 4) What is sympathetic responses: Elevated hr, BP, and Decreased appetite, dilated pupils, sweating. Also, elevated blood sugar and decreased Immune response -Criteria for admission to Hospice care What is patient must desire services and physician must certify patient has a terminal diagnosis with 6 months or less to live -Cardinal sign of extravasation of IV chemotherapy is pain (review what vesicant does To tissue) -Administration of nutrients by routes other than GI tract is parenteral nutrition -Collection of risk factors that increase an individuals chance of developing cardiovascular disease and diabetes What is metabolic syndrome (Waist circumference Triglycerides High Density Lipoprotein BP Fasting Glucose) Pt 10-14 PTT 60-70 Chl 96-106 Mag 1.5-2.5 Phos 2.8-4.5 Bun 10-20 Creat .5-1.5 Hgb 13.5-18 12-16 Hct 40-54 38-47 Alb 3.5-5 Ankle SBP/highest brachial SBP .91-1.33