Podcast
Questions and Answers
What is the recommended timing for a Breast Self-Examination (BSE) for women?
What is the recommended timing for a Breast Self-Examination (BSE) for women?
Which of the following changes may occur in the nipples as women age?
Which of the following changes may occur in the nipples as women age?
Which statement about breast cancer in men is accurate?
Which statement about breast cancer in men is accurate?
What is one effect of vasodilation on blood vessels?
What is one effect of vasodilation on blood vessels?
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What is heat therapy commonly used for?
What is heat therapy commonly used for?
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What is a potential risk factor for testicular cancer?
What is a potential risk factor for testicular cancer?
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What is the typical size of normal testes?
What is the typical size of normal testes?
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Which of the following describes the typical shape of testes?
Which of the following describes the typical shape of testes?
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What is a common finding in a testicular self-exam that may indicate testicular cancer?
What is a common finding in a testicular self-exam that may indicate testicular cancer?
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How should normal testes feel upon palpation?
How should normal testes feel upon palpation?
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Which chromosomal disorder is characterized by males having an extra X chromosome?
Which chromosomal disorder is characterized by males having an extra X chromosome?
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Which of the following describes the appearance of skin on a normal scrotum?
Which of the following describes the appearance of skin on a normal scrotum?
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What is the main purpose of ensuring privacy during a physical examination of male genitalia?
What is the main purpose of ensuring privacy during a physical examination of male genitalia?
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What is the most important reason for conducting a genital examination in older adults?
What is the most important reason for conducting a genital examination in older adults?
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Which statement about breast assessment is correct?
Which statement about breast assessment is correct?
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Which palpation technique is recommended for breast assessment?
Which palpation technique is recommended for breast assessment?
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What is a normal characteristic of lymph nodes during examination?
What is a normal characteristic of lymph nodes during examination?
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What is a sign of glandular atrophy in older adults?
What is a sign of glandular atrophy in older adults?
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Which component is essential during male genital examination?
Which component is essential during male genital examination?
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What aspect is NOT evaluated during breast inspections?
What aspect is NOT evaluated during breast inspections?
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What could be a potential abnormal finding during breast inspection?
What could be a potential abnormal finding during breast inspection?
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What is the primary use of cold therapy?
What is the primary use of cold therapy?
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What physiological effect does cold therapy have on capillary permeability?
What physiological effect does cold therapy have on capillary permeability?
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Which of the following is an effect of heat therapy?
Which of the following is an effect of heat therapy?
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What condition is heat therapy usually used for?
What condition is heat therapy usually used for?
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What systemic effect can result from heat therapy?
What systemic effect can result from heat therapy?
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What is the local effect of applying heat therapy?
What is the local effect of applying heat therapy?
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What effect does cold therapy have on cellular metabolism?
What effect does cold therapy have on cellular metabolism?
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Which of the following describes vasodilation?
Which of the following describes vasodilation?
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What is the primary use of a K-Pad in physical therapy?
What is the primary use of a K-Pad in physical therapy?
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What is a primary characteristic of moist heat therapy?
What is a primary characteristic of moist heat therapy?
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What physiological effect can occur with the systemic application of cold?
What physiological effect can occur with the systemic application of cold?
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Which of the following best describes a sitz bath?
Which of the following best describes a sitz bath?
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What is the primary risk associated with the rebound phenomenon in cold therapy?
What is the primary risk associated with the rebound phenomenon in cold therapy?
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Which type of treatment is characterized by the application of ice or ice packs?
Which type of treatment is characterized by the application of ice or ice packs?
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Which of the following statements is true regarding hyperthermia blankets?
Which of the following statements is true regarding hyperthermia blankets?
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What is the primary goal of using cold application for sports injuries?
What is the primary goal of using cold application for sports injuries?
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What is the primary purpose of a hypothermia blanket?
What is the primary purpose of a hypothermia blanket?
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Which condition is a contraindication for heat or cold therapy?
Which condition is a contraindication for heat or cold therapy?
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In the progression of cold therapy, which stage occurs after stinging?
In the progression of cold therapy, which stage occurs after stinging?
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What should be done if complications arise during heat therapy?
What should be done if complications arise during heat therapy?
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What is a sign of hyperthermia?
What is a sign of hyperthermia?
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During cold therapy, when should it be discontinued?
During cold therapy, when should it be discontinued?
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Which of the following indicates that a patient is experiencing an adverse reaction to heat therapy?
Which of the following indicates that a patient is experiencing an adverse reaction to heat therapy?
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Which of the following is a common risk factor during therapeutic procedures?
Which of the following is a common risk factor during therapeutic procedures?
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Study Notes
Cryptorchidism
- Undescended testicle, increases cancer risk
- Factors include age 20-34, family history, HIV, and ethnicity.
Testicular Cancer Risk Factors
- Age 20-34
- Family history
- HIV
- Ethnicity (Caucasian)
Klinefelter Syndrome
- Chromosomal disorder in males
- Extra X chromosome (XXY instead of XY)
- Linked to testicular cancer
Testicular Carcinoma in Situ
- Abnormal cells, not yet cancerous
- Size approximately 2 cm to 4 cm
Normal Testes Size
- Approximately 2 cm to 4 cm
Testes Shape
- Typically ovoid (oval)
Palpation Technique
- Use index, middle fingers, and thumb
- Smooth, firm, slightly tender to touch
Normal Testes Texture
- Smooth, firm, slightly tender
Epididymis
- Palpated at superior, posterior aspect of testicle
- Feels rope-like, vertical during palpation
Spermatic Cord
- Possible indicator of testicular cancer
Painless Enlargement
- Possible indicator of testicular cancer
- Small, hard lump, usually pea-sized
Palpable Lump
- Self-assessment for testicular abnormalities
Testicular Self Exam (TSE)
- Self-assessment for testicular abnormalities
- Penile/scrotal atrophy and decreased tissue mass
Normal Aging Findings
- Penile/scrotal atrophy and decreased tissue mass
- Should hang freely, darker than surrounding skin
- Loose, thin, rugated, free of lesions
Inspection of Scrotum
- Ensure freedom from lesions on skin
Skin Characteristics
- Ensure freedom from lesions on skin
Patient Privacy
- Ensure patient privacy during physical examination
Warm Room Requirement
- Room should be warm for patient comfort
Advanced Practitioner Role
- Conducts palpation and examination of testes
- Critical for early detection of abnormalities
Decreased Blood Circulation
- Common in older adults with genital abnormalities
- Decreased amount of pubic hair and graying
Pubic Hair Changes
- Decreases in amount and turns gray with age
Breast Assessment Importance
- Critical for early detection of abnormalities
Breast Assessment Techniques
- Includes inspection and palpation methods
Older Adult Changes
- Glandular atrophy replaced by adipose tissue
Nursing History
- Includes reasons for seeking care, medical history, family history, diet, obesity, age factors
Risk Factors for Breast Cancer
- Family history, diet, obesity, and age factors
Inspection Components
- Size, symmetry, contour, color of breasts
- Breasts may be slightly unequal in size
Normal Breast Symmetry
- Breasts may be slightly unequal in size
Abnormal Breast Findings
- Edema, discoloration, orange peel appearance, size, shape, symmetry, color variations
Areola Inspection
- Should be round, everted, and equal in size
Nipple Characteristics
- Should be round, everted, and equal in size
Palpation Technique
- Use pads of three middle fingers gently, upper outer quadrant of the breast
Tail of Spence
- Upper outer quadrant of the breast
Palpatory Methods
- Vertical strip, circular, and wedged methods
- All lymph nodes should be non-palpable
Normal Lymph Nodes
- All lymph nodes should be non-palpable
Clinical Breast Exam
- Performed by health care provider
- Recommended monthly, post-menstruation for women
Breast Self-Examination (BSE)
- Performed monthly, post-menstruation for women
Breast Cancer in Men
- Relatively rare but familial risk exists.
- Include location, size, shape, and tenderness
Documentation of Findings
- Include location, size, shape, and tenderness
Menstrual Cycle Timing
- Perform BSE 2-3 days after period ends
Post-Menopausal BSE Timing
- Perform on the same day monthly
Breast Changes with Aging
- Breasts become softer, elongated, and pendulous
Nipple Changes in Aging
- May become smaller, flatter, or inverted
Breast Exam Recommendations
- Updated guidelines in 2017 by the American Cancer Society
Vasodilation
- Widening of blood vessels; increases blood flow
Vasoconstriction
- Narrowing of blood vessels, reduces blood flow
Heat Therapy
- Application of heat to promote healing; stiffness, aches, pains.
Cold Therapy
- Application of cold to reduce inflammation, for injuries, limit swelling and bleeding
Physiologic Effects of Heat
- Vasodilation, muscle relaxation, increased muscle contractility, increased blood flow, increased capillary permeability, increased cellular metabolism, reduced joint stiffness.
Physiologic Effects of Cold
- Vasoconstriction, muscle relaxation, decreased muscle contractility, decreased blood flow, decreased capillary permeability, slowed cellular metabolism, decreased inflammation, local anesthetic effect.
Local Effect of Heat
- Increases blood flow, promotes tissue healing, usually for musculoskeletal problems; arthritis, contractures, low back pain.
Systemic Effect of Heat
- May cause a drop in blood pressure and dizziness.
Local Effect of Cold
- Reduces blood flow to the area (vasoconstriction), prevents swelling, used for sports injuries (sprains, strains, fractures), reduces swelling and bleeding
Systemic Effect of Cold
- Increases blood pressure, may cause shivering
Aquathermia Pad (K-Pad)
- Electric pad used for dry heat therapy
Warm Compress
- Warmed towel or gauze for localized heat
Warm Soak
- Immersion in warmed solution for treatment
Moist Heat
- Heat applied with moisture (like a sitz bath)
Sitz Bath
- Warm water immersion used in perineal conditions
Cold Progression Stages
- Cold, stinging, burning, numbness
Rebound Phenomenon
- Body's response to abrupt temperature change in heat or cold therapy (e.g., vessels constrict in heat, then dilate in cold).
Moist Cold
- Cooling methods using water or compresses
- Applications use ice or ice packs.
Dry Cold
- Devices for controlled heating, like hyperthermia blanket
Hyperthermia Blanket
- For controlled heating of the body, containing coils filled with a special cooling solution, to reduce high body temperature.
Hypothermia Blanket
- Special blanket containing cooling solution coils to reduce body temperature.
Nursing Considerations
- Assess risks and explain procedures to patients
- Identify and apply appropriate contraindications
Active Bleeding
- Contraindication for heat or cold therapy
Circulatory Impairment
- Condition that increases risk during therapy
Hyperthermia
- Abnormally high body temperature
Safety Considerations in Heat Therapy
- Skin rash, burns, decreased blood pressure, increased heart rate, increased swelling and inflammation at the site of application; remove heat source and monitor patient for complications.
- Assess temperature.
Safety Considerations in Cold Therapy
- Skin rash, burns, decreased blood pressure, increased heart rate; remove cold source and monitor patient for complications.
- Assess temperature.
Hypothermia
- Abnormally low body temperature; skin rash, burns, decreased blood pressure, increased heart rate.
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Description
Test your knowledge on breast health, self-examination timing, and changes in breast anatomy. This quiz also covers breast cancer awareness in men and the effects of vasodilation and heat therapy. Enhance your understanding of important health topics.