Reproductive Disorders Overview

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Questions and Answers

Which of the following best represents a primary focus of gender-affirming care?

  • Addressing the client's mental health needs (correct)
  • Providing job training and employment opportunities
  • Monitoring the client's dietary habits
  • Ensuring access to affordable transportation

Which intervention would be most important for a nurse to prioritize regarding gender-affirming care?

  • Facilitating access to a support network (correct)
  • Providing information on public transportation options
  • Offering guidance on budget management
  • Administering routine vaccinations

A client undergoing gender-affirming care shares a history of unstable living situations. What should the nurse prioritize?

  • Scheduling weekly sessions on stress management
  • Providing a gym membership
  • Prescribing medication for anxiety
  • Connecting the client with housing resources (correct)

A client undergoing gender-affirming care expresses concerns about the risk of sexually transmitted infections (STIs). What is the most appropriate initial nursing action?

<p>Providing education about STI prevention and safe sexual practices (A)</p> Signup and view all the answers

During a follow-up appointment, a client undergoing gender-affirming care discloses experiencing partner violence. What is the nurse's first priority?

<p>Provide immediate resources and safety planning (A)</p> Signup and view all the answers

A client reports a spinning room, what is the most likely symptom they are experiencing?

<p>Vertigo (D)</p> Signup and view all the answers

A patient reports seeing bright flashes of light. What is the most likely cause of this symptom?

<p>Retinal detachment (B)</p> Signup and view all the answers

A client experienced a tackle during football and describes seeing dark floating spots. What term best describes this symptom?

<p>Floaters (C)</p> Signup and view all the answers

Which of these symptoms reported by the patient indicates a possible neurological issue that needs urgent attention?

<p>Seeing bright flashes (A)</p> Signup and view all the answers

A patient has both the symptom of a room spinning as well as dark floating spots. Which of these conditions could cause both symptoms?

<p>Retinal tear (B)</p> Signup and view all the answers

When educating a client about a procedure, which statement should the nurse include when discussing a biopsy?

<p>&quot;During the procedure, a biopsy <strong>may</strong> be performed.&quot; (B)</p> Signup and view all the answers

For a female client with genital herpes, what is the primary focus of the nurse's data collection?

<p>Identifying any lesions, pain, or discomfort in the genital area. (D)</p> Signup and view all the answers

In educating a client about a possible biopsy, what is the most important reason to use the word 'may'?

<p>To accurately describe that a biopsy is not always a required step. (B)</p> Signup and view all the answers

If a female client with genital herpes expresses anxiety about a possible biopsy, what should the nurse do first?

<p>Provide more education and information about the biopsy procedure. (D)</p> Signup and view all the answers

A nurse is teaching a client about genital herpes. Which statement is most appropriate regarding whether a biopsy is necessary?

<p>&quot;A biopsy may be needed if the health care provider needs more information.&quot; (A)</p> Signup and view all the answers

What complication is the client likely experiencing as a result of cancer treatment?

<p>Peripheral neuropathy affecting arm and hand function (B)</p> Signup and view all the answers

Which symptom reported by the client indicates a potential side effect of treatment for Hodgkin's lymphoma?

<p>Difficulty with hand mobility and function (D)</p> Signup and view all the answers

The client's inability to perform daily activities is most likely linked to which of the following factors?

<p>Direct effects of treatment on muscle strength (D)</p> Signup and view all the answers

What aspect of the client's description suggests a physical result of chemotherapy?

<p>The sensation of tightness and heaviness in arms and hands (D)</p> Signup and view all the answers

Which underlying issue might contribute to the client's report of fingers not moving normally?

<p>Damage to peripheral nerves from treatment (B)</p> Signup and view all the answers

What is a common condition that a nurse might expect a client with retinal detachment to experience?

<p>A sensation of a curtain or shadow moving across the visual field (A)</p> Signup and view all the answers

What is a possible treatment consideration for an older adult client with kidney cancer?

<p>The client might have to receive multiple chemotherapy agents. (A)</p> Signup and view all the answers

What is a common symptom of retinal detachment that would alert a nurse to the potential for this condition?

<p>Floaters or flashing lights (A)</p> Signup and view all the answers

When preparing medications for a client with kidney cancer, which factor should the nurse prioritize?

<p>The client's kidney function status. (C)</p> Signup and view all the answers

Why would a nurse be concerned about a client with dementia experiencing a sudden onset of vision loss?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following assessment findings would be most relevant for a nurse collecting data on a client with dementia?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a common concern when administering chemotherapy to older adults with cancer?

<p>Potential for adverse side effects. (A)</p> Signup and view all the answers

A nurse is collecting data on a client with dementia. Why would it be important to assess the client's ability to follow simple instructions?

<p>To determine the client's level of independence (A), To assess the client's cognitive function (B), To assess the client's risk for falls (C), To determine if the client is able to participate in activities of daily living (D)</p> Signup and view all the answers

Which statement accurately reflects the treatment approach for kidney cancer in older adults?

<p>Combination therapies are often considered. (A)</p> Signup and view all the answers

What nursing intervention is important for a client receiving chemotherapy for kidney cancer?

<p>Educating the client on potential side effects. (A)</p> Signup and view all the answers

Flashcards

Mental health

A state of well-being where a person realizes their own abilities, can cope with normal stresses of life, can work productively, and can contribute to their community.

Stable housing

A safe, secure, and affordable place to live.

Sexually transmitted infections (STIs)

Infections that can be spread through sexual contact.

Partner violence

Any kind of physical, sexual, or emotional abuse that occurs within a romantic relationship.

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Gender-affirming care

Care that helps individuals align their physical appearance and social expression with their gender identity.

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Vertigo

A symptom where the world appears to be spinning or moving, even though the person is stationary.

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Visual disturbance

A brief interruption of vision, often described as seeing flashing lights or dark spots.

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Concussion

A type of injury caused by forceful impact, often leading to a concussion.

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Bright flashes of light

A symptom that suggests damage to the brain, often occurring after an injury.

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Dark floating spots

A symptom that suggests damage to the brain, often occurring after an injury.

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What is genital herpes?

Genital herpes is a sexually transmitted infection (STI) caused by the herpes simplex virus (HSV). It is characterized by painful blisters or sores on the genitals, buttocks, or thighs.

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What is a biopsy?

A biopsy is a procedure where a small sample of tissue is taken from the body for examination under a microscope. It is used to determine the cause of a health condition, like confirming a herpes diagnosis.

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Why might a biopsy be performed for genital herpes?

A biopsy might be performed during a procedure related to genital herpes to help confirm the diagnosis and determine the type of herpes virus involved.

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Is there a cure for genital herpes?

Genital herpes is a lifelong condition, but there are ways to manage the symptoms and prevent outbreaks. Some treatments include antiviral medications and lifestyle changes.

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What is the importance of informed consent in a biopsy?

It is important for a healthcare professional to explain the purpose of a biopsy and the potential risks and benefits. The client should have the opportunity to ask questions and make an informed decision.

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What is retinal detachment?

A serious eye condition where the retina, the light-sensitive layer at the back of the eye, detaches from the underlying tissue.

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What is dementia?

Dementia is a general term for a decline in mental ability severe enough to interfere with daily life. It affects memory, thinking, language, judgment, and behavior.

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What is a key characteristic of dementia?

Dementia is a progressive condition, meaning it worsens over time.

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How does dementia manifest?

There are many types of dementia, and the symptoms can vary depending on the type.

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How is Alzheimer's disease related to dementia?

Alzheimer's disease, a common type of dementia, affects memory, thinking, and behavior.

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What complication is the patient experiencing?

A side effect of cancer treatment, where the hands and fingers become swollen and stiff, limiting mobility.

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Kidney cancer

Cancer that originates in the kidneys, a pair of organs responsible for filtering waste and producing urine.

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What type of cancer is the patient being treated for?

Hodgkin's lymphoma is a type of cancer affecting the lymphatic system.

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Chemotherapy

A type of treatment for cancer that uses medications to destroy cancer cells.

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Multiple chemotherapy agents

Multiple chemotherapy agents are often used to target cancer cells from different angles and increase the effectiveness of treatment.

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Why is it important for the nurse to understand the client's experience?

Side effects of cancer treatment can range from mild to severe and can impact daily life.

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How can this complication affect the client's daily life?

This side effect can impact a patient's ability to perform basic tasks, leading to discomfort and frustration.

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Older adult and kidney function

Older adults may have age-related changes in kidney function, which can affect how their body processes medications.

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Monitoring clients on chemotherapy

Nurses need to be aware of potential side effects and complications of chemotherapy, especially in older adults, and monitor clients closely.

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What should the nurse do in response to the client's experience?

The nurse should communicate with the healthcare team and suggest strategies to manage this side effect.

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Study Notes

Reproductive Disorders

  • Common genital herpes symptom: painful blisters/sores in genital area
  • UTI complication for male clients: prostatitis
  • Genital herpes medication effect: decreases symptoms, does not cure
  • Prostatitis causes: sexually transmitted infections (STIs)
  • Dietary supplement interaction with nitrates: should be avoided by clients with erectile dysfunction
  • Lymphedema priority: elevate affected limb
  • Gonorrhea testing: cervix, rectum, or mouth culture swab
  • Chlamydia risk factors: belonging to Black race, having multiple sex partners, having sex with men
  • Erectile dysfunction lab tests: testosterone, blood glucose, and total cholesterol.

Other Topics

  • Chlamydia transmission: sexual contact only

  • Gonorrhea detection: urine

  • Chlamydia treatment: Azithromycin

  • Increased estrogen and perimenopause bleeding: heavy or prolonged menstrual bleeding is possible

  • Common cause of PID: Chlamydia Infection

  • Risk factors for PID/infertility: multiple sexual partners

  • Transgender healthcare concerns: mental health, stable housing, sexually transmitted infections, and partner violence

  • Genital wart treatment: cryotherapy

  • Male reproductive cell: sperm

  • Self-testicular exams frequency: monthly

  • Sexually transmitted infection prevention with condoms: condoms decrease the risk of transmission, but do not eliminate the risk

  • Erectile dysfunction plan of care: review medication list, screen for depression, physical activity assessment, tobacco use

  • Prostatitis risk factors: previous prostatitis, type 2 diabetes mellitus, urinary catheter

  • Syphilis symptoms: painful urination, green or yellow discharge

  • Fibrocystic breast changes: caused by hormone changes

  • Complications from PID: complications include infertility.

  • Migraines: Aura symptoms include facial tingling, and blind spots.

  • Traumatic brain injury (TBI) consequences: disruption of cellular function, blood vessel damage

  • Rupture of cerebral aneurysm symptoms: light sensitivity, loss of consciousness, visual disturbances, and nausea/vomiting.

  • Transient ischemic attack (TIA) assessment question: work-related questions.

  • Hypertension blood pressure management for TIA: client should maintain systolic BP between 120 and 129 mmHg

  • TIA diagnostics: CTA or computerized tomography angiography

  • Coup injury: primary focal injury

  • Contrecoup injury: opposite side of brain injury

  • Subarachnoid hemorrhage (SAH): re-bleeding of injury

  • Modifiable stroke risk factors: hypertension

  • Bacterial Vaginosis risk factor: douching after intercourse

  • Medication for Ménière's disease: Furosemide

  • Loss of hearing assessment techniques: face the client when talking

  • Ménière's disease symptoms: spinning sensation (vertigo), light sensitivity, dark spots or flashes

  • Manifestations of retinal detachment: spinning sensations, flashing lights, or dark spots

  • Age-related macular degeneration risk factors: light blue color eyes

  • Glaucoma risk factors: severe nearsightedness

  • Hearing loss risk factors: smoking tobacco products

  • Retinal reattachment procedure instructions: client should not drive themselves to store after the procedure

  • Cataracts symptoms: blurry vision and hazy objects

  • Tinnitus symptoms: ringing in ears and is distracting

  • Clopidogrel for cataract surgery: should not be given before surgery

  • Medical treatment for Ménière's disease: furosemide

  • Client's communication difficulties in dementia: client can't get out of bed due to the room spinning

  • Manifestations of Lewy body dementia: alpha synuclein protein is responsible for manifestations

  • Delirium causes in older clients: blood glucose level 254 mg/dL

  • Risks of sepsis in clients with HIV/AIDS: complications of opportunistic infections like pneumonia.

  • Septic shock warning signs: decreased blood pressure

  • Primary prevention example: vaccination against HPV

  • Lupus diagnosis validation statement from client: history of occupational silica dust exposure.

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