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Questions and Answers
Questions and Answers
What is the preparation of the patient for maintaining bladder decompression for an open view?
What is the preparation of the patient for maintaining bladder decompression for an open view?
Insertion of a Foley catheter
What factor influences older women's reluctance to seek medical care for problems of the reproductive system? (Select all that apply)
What factor influences older women's reluctance to seek medical care for problems of the reproductive system? (Select all that apply)
- Lack of free time
- Denial
- Embarrassment and cultural factors (correct)
- Religious convictions
The American Cancer Society recommends that baseline mammograms be performed on women:
The American Cancer Society recommends that baseline mammograms be performed on women:
- Over 18 years of age
- Over 40 years of age
- Between the ages of 35 and 39 (correct)
- Between the ages of 15 and 21
False negative results in mammography occur in specific age groups because:
False negative results in mammography occur in specific age groups because:
Vaginal fistulas are caused by an ulcerating process resulting from (Select all that apply):
Vaginal fistulas are caused by an ulcerating process resulting from (Select all that apply):
Select the interventions that should be performed with caution, in the affected arm, on patients who have undergone a modified radical mastectomy. (Select all that apply):
Select the interventions that should be performed with caution, in the affected arm, on patients who have undergone a modified radical mastectomy. (Select all that apply):
What is performed to evaluate living tissue in order to establish or confirm a diagnosis?
What is performed to evaluate living tissue in order to establish or confirm a diagnosis?
The procedure for removing a small sample of tissue from the patient's cervix to evaluate it is called a:
The procedure for removing a small sample of tissue from the patient's cervix to evaluate it is called a:
What are benign tumors of the uterus called?
What are benign tumors of the uterus called?
What is produced in the seminiferous tubules and stored in the epididymis?
What is produced in the seminiferous tubules and stored in the epididymis?
In what position will a patient scheduled for a vaginal hysterectomy be placed in the operating room?
In what position will a patient scheduled for a vaginal hysterectomy be placed in the operating room?
Which nursing intervention will best stimulate peristalsis and relieve abdominal distention for a patient on the second postoperative day after an abdominal hysterectomy?
Which nursing intervention will best stimulate peristalsis and relieve abdominal distention for a patient on the second postoperative day after an abdominal hysterectomy?
Which response by the nurse would be most helpful to a patient discussing fears about dying from inoperable ovarian cancer?
Which response by the nurse would be most helpful to a patient discussing fears about dying from inoperable ovarian cancer?
The nurse's response is based on the knowledge that a patient who had a total abdominal hysterectomy and bilateral salpingo-oophorectomy may experience 'hot flashes'. Why?
The nurse's response is based on the knowledge that a patient who had a total abdominal hysterectomy and bilateral salpingo-oophorectomy may experience 'hot flashes'. Why?
Which nursing diagnosis is appropriate for a patient who feels ugly and worries that her husband will not be in love with her anymore after a modified radical mastectomy?
Which nursing diagnosis is appropriate for a patient who feels ugly and worries that her husband will not be in love with her anymore after a modified radical mastectomy?
For which postoperative patient should arm exercises be included in discharge instructions?
For which postoperative patient should arm exercises be included in discharge instructions?
What outstanding sign should a 20-year-old using tampons while menstruating report to indicate toxic shock syndrome?
What outstanding sign should a 20-year-old using tampons while menstruating report to indicate toxic shock syndrome?
At what age should a male be taught testicular self-exam (TSE)?
At what age should a male be taught testicular self-exam (TSE)?
Which statement by a patient indicates a need for further teaching on testicular self-examination?
Which statement by a patient indicates a need for further teaching on testicular self-examination?
Epididymitis may occur because of which reason related to the testicle?
Epididymitis may occur because of which reason related to the testicle?
What is the nurse's most appropriate response to a patient complaining of pain in the right shoulder after a tubal insufflation (Rubin's test)?
What is the nurse's most appropriate response to a patient complaining of pain in the right shoulder after a tubal insufflation (Rubin's test)?
Which statement indicates successful teaching regarding activity level after a modified radical mastectomy?
Which statement indicates successful teaching regarding activity level after a modified radical mastectomy?
During a routine physical examination for a 48-year-old female, which procedure can she expect to have?
During a routine physical examination for a 48-year-old female, which procedure can she expect to have?
The recommended age for a baseline mammogram is between which ranges?
The recommended age for a baseline mammogram is between which ranges?
Female infertility is most often related to which factor?
Female infertility is most often related to which factor?
Which instruction should the nurse provide to a patient diagnosed with primary genital herpes?
Which instruction should the nurse provide to a patient diagnosed with primary genital herpes?
If severe or chronic pelvic inflammatory disease is present, what complication may result?
If severe or chronic pelvic inflammatory disease is present, what complication may result?
What should the nurse include in response to a patient who believes he was not exposed to gonorrhea despite having sexual contact with a new girlfriend?
What should the nurse include in response to a patient who believes he was not exposed to gonorrhea despite having sexual contact with a new girlfriend?
What finding should the nurse expect when assessing a patient recovering from an anterior and posterior colporrhaphy?
What finding should the nurse expect when assessing a patient recovering from an anterior and posterior colporrhaphy?
What is the most useful method of diagnosing breast cancer?
What is the most useful method of diagnosing breast cancer?
What is important to prevent after a modified radical mastectomy?
What is important to prevent after a modified radical mastectomy?
What is a key postoperative nursing intervention for a patient recovering from an abdominal hysterectomy?
What is a key postoperative nursing intervention for a patient recovering from an abdominal hysterectomy?
When should postmenopausal women perform breast self-examination (BSE)?
When should postmenopausal women perform breast self-examination (BSE)?
What statement indicates further teaching is needed about home care after an abdominal hysterectomy?
What statement indicates further teaching is needed about home care after an abdominal hysterectomy?
What is an appropriate nursing intervention for a patient with a hydrocele?
What is an appropriate nursing intervention for a patient with a hydrocele?
What is the most appropriate action for a nurse interacting with a withdrawn patient scheduled for unilateral orchiectomy?
What is the most appropriate action for a nurse interacting with a withdrawn patient scheduled for unilateral orchiectomy?
Which finding would the nurse consider abnormal during the physical assessment of a 64-year-old patient?
Which finding would the nurse consider abnormal during the physical assessment of a 64-year-old patient?
During assessment of a patient with a purulent urethral discharge and painful urination, what is most important for the nurse to gather information on?
During assessment of a patient with a purulent urethral discharge and painful urination, what is most important for the nurse to gather information on?
Which statement indicates that more teaching about HPV is necessary?
Which statement indicates that more teaching about HPV is necessary?
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Study Notes
Study Notes
Surgical Positions and Procedures
- Patients undergoing a vaginal hysterectomy are placed in a lithotomy position for the procedure.
- Early postoperative ambulation is vital for stimulating gastrointestinal peristalsis and alleviating distention after abdominal hysterectomy.
Cancer and Emotional Support
- Patients with inoperable ovarian cancer may express fears about death; offering a listening ear can aid in their coping.
- Total abdominal hysterectomy with bilateral salpingo-oophorectomy results in surgically induced menopause, leading to hot flashes.
Body Image and Recovery
- Post-mastectomy patients may experience disturbed body image due to the loss of a breast, necessitating supportive healthcare interventions.
- Patients recovering from modified radical mastectomy should avoid sleeping on the affected side to minimize complications.
Health Education and Self-Examination
- Testicular self-examination (TSE) should begin at age 13, performed monthly.
- The best practice for TSE is to conduct it after a warm shower when the scrotum is relaxed.
Diagnostic Procedures and Signs
- Symptoms of epididymitis often stem from trauma to the genital area.
- A Gram stain smear can diagnose gonorrhea, which is often asymptomatic in women, making education about the disease crucial.
Age and Medical Recommendations
- Routine Papanicolaou smear should begin at age 18 or after being sexually active, continuing every three years until middle age.
- The American Cancer Society recommends women aged 35-39 receive baseline mammograms.
Understanding Health Complications
- Severe pelvic inflammatory disease (PID) can lead to infertility, a significant complication of untreated infections.
- The use of condoms is essential to prevent the transmission of herpes simplex virus even when there are no visible lesions.
Postoperative Care
- A retention catheter is typically used post-abdominal hysterectomy to prevent pressure on sutures and maintain bladder decompression.
- Women are encouraged to perform breast self-examination (BSE) on a consistent monthly schedule.
Patient Education on Medical Procedures
- Education regarding home care is important; patients should not lift heavy objects post-hysterectomy due to incision risks.
- Predictions for outcomes, such as maintaining sexual function post-orchiectomy, can provide reassurance to patients facing significant surgeries.
Cultural and Personal Factors
- Many older women may hesitate to seek medical care for reproductive issues due to cultural embarrassment or lack of knowledge.
- Vaginal fistulas can result from cancer, radiation, surgical interventions, and weakened tissue due to pregnancies.### Interventions for Modified Radical Mastectomy
- Perform vaccinations, blood pressure readings, and IV insertions with caution on the affected arm to avoid complications.
- Avoid procedures on the affected side (e.g., BP readings, injections) to prevent edema or infection.
- Educate patients to be vigilant against injuries (burns, needle pricks) in the affected arm area.
Biopsy Definition
- A biopsy is a procedure to evaluate living tissue for diagnosing or monitoring disease progression.
- Tissue samples are collected to confirm or locate lesions.
Cervical Conization
- Conization is the procedure for removing a cone-shaped section of tissue from the cervix.
- Indicated for obtaining samples of eroded or infected tissue and confirming cervical cancer.
Uterine Fibroids
- Fibroids are benign tumors that originate from the muscle tissue of the uterus.
- Common condition that may affect women, causing various symptoms.
Sperm Production and Storage
- Sperm cells are produced in the seminiferous tubules located within the testes.
- The scrotum maintains a lower temperature, essential for viable sperm production and storage.
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