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what position will a pt having a vaginal hysterectomy be placed in during surgery
lithotomy
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post surgery, pt has c/o gas and distention. no bm in 2 days. what intervention will you do
- small up and down flush enema
- ambulation QID
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coping stategies for a pt that has inoperable cancer. how would you assist them to recognize and clarify fears and develop coping stategies
- encourage discussion
- be an active listener
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TAHBSO-will they still have hot flashes
yes
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how would a pt fell after having modified radical mastectomy? give a dx
- disturbed body image
- fear r/t the cancer dx and surgical intervention
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arm exercises should be given for discharge instructions with a
mastectomy
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s/s of TSS
flulike symptoms for 1st 24 hrs- increase temp, vomiting, dizziness, headache, myalgia, hypotension, sore throat, rash, decrease urine output, increase BUN
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TSE should be taught to males at what age
monthly beginning at puberty
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describe how to perform a TSE
once a month, after bath/shower, grab testis with both hands and palpate gently between thumb and index finger
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what causes epididymitis
- s. aureus
- e. coli
- strep
- n. gonorrhoeae
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what is rubin's test? what might pt c/o post test
- insufflation of the fallopian tubes with co2
- shoulder pain
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d/c teaching for a pt recovering form a modified radical mastectomy
- no procedures on the arm
- guard against infections
- no sleeping on that side
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what is a papanicolaou smear
- simple smear method of examining stained exfoliative peeling and sloughed off tissue or cells
- early detection of cervical cancer
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baseline mammogram is done
between ages 35-39
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female infertility is most often r/t
tubal insufficiency and ovarian and uterine conditions such as endometriosis or congential defects
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give instructions for gential herpes virus
- keep lesions clean and dry
- wash hands
- loose absorbant clothing
- sitz bath
- no sex during outbreak
- use condoms when no symptoms occur
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severe chronic pelvic inflammatory disease complications are
adhesions and strictures of the fallopian tubes, infertility, and increase risk of ectopic pregnancy
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s/s of gonorrhoeae
- urethritis
- dysuria
- infection with discharge
- edema
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a/p repair of colporrhapy repair of cystocele and rectocele would return to the PACU with a
retention cath
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why is a mammogram the most useful tool for dx of breast cancer
can detect tumors that cannot be palpated
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position of arm postop modified radical mastectomy with rationale
- in sling or elevated on a pillow with wrist higher than elbow, elbow higher than shoulder
- to facilitate the flow of fluids to prevent lymphodema
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postop nursing interventions for abdominal hysterectomy would be
- monitor vs
- prevent urinary retention, intestional distention, and venous thrombosis
- meticulous cath care
- incentive spirometer
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BSE in postmenopausal women should be performed when
monthly
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teaching for abdominal hysterectomy
- no sex for 4-6 weeks after surgery
- no heavy lifting
- no walking stairs
- no prolonged car rides
- no tight clothing
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nursing interventions for hydrocele
- maintain bed rest
- scrotal support with elevation
- ice to edematous areas
- change dressings frequently
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withdrawn and non interacting pt fixing to get a unilateral orchiectomy for tx of testicular cancer. what action to take
provide emotional support
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breast abnormalities
- fibrocystic breast condition
- acute mastitis
- chronic mastitis
- breast cancer
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what information do you need to collect when you pt has profuse, purulent urethral discharge and painful urination
history of sexual contact
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teaching about HPV
- verbal reassurance
- position pt comfortably
- change position slowly
- maintain body alignment
- provide pain relief
- change dressings often
- teach yearly pap smear
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why is a foley inserted prior to a laparoscopy
to maintain bladder decompression for an open view
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why are older women more reluctant to seek medical care for reproductive problems
- cultural factors
- embarrassment
- lack of knowledge
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baseline mammograms need to be performed on women
between ages 35-39
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why are false negative results in mammography occuring in specific age groups
less sensitive in younger women
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what causes vaginal fistulas
an ulcerating process resulting from cancer, radiation, weakening of tissues by pregnancies and surgical interventions
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dc instructions for modified radical mastectomy
no procedures on affected arm side, guard against infections, referral to physical therapy, avoid lifting objects, no sleeping on affected side, no constriciting clothing or bracelets or watches, diuretics and low sodium diet, isometric exercises
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