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Cycle of abuse
phase 1-tension gradually escalates, phase 2-acute battering teaching her a lesson, phase 3-Kindness and loving honeymoon phase
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Cause of amenorrhea
endocrine disorders, DM, Dilantin, drug abuse or oral contraceptives
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Manifestations of endometriosis
pelvic pain, dysmenorrhea, painful intercourse, abnormal menstrual bleeding, infertility
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Treatment of dysmenorrhea
heat, massage, effleurage; relaxation techniques; exercise and good nutrition; medication mgmt.
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Hormonal changes in post menopause client
ovary stops producing estrogen
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Menopause therapy
hormone replacement (estrogen and progesterone causing increased risks of BC and HD) and estrogen only replacement (increased risk for strokes)
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Post menopausal bleeding
usually sign of uterine cancer
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Complications of gonorrhea
reportable communicable disease; perinatal complications include PROM, PTL, neonatal sepsis, IUGR, maternal postpartum sepsis; blindness of newborn
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Manifestations of rectocele
often asymptomatic; rectal pressure; constipation; uncontrollable gas; fecal incontinence; dyspareunia
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Pt education regarding Flagyl
no booze
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Nursing education for clients with prolapse uterus or cytocele
pessary implantation, hygiene that reduces odor
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Risk factors for vaginal infections
tissue trauma, vaginal intercourse, multiple partners, douching; chemical irritants, allergens and foreign bodies
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Fibroadenomas characteristics
simgle lump, well delineated, palpable, moveable, round, lobular, firm, usually asymptomatic, unilateral, no nipple discharge
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Patient education regarding HPV
may be mild pain; get annual paps; all sex partners must be treated; use condoms; vaccine against the strains that cause cancer given to girls 11-12 years old
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Fibrocystic breast disease causes
not wearing support bra, too much caffeine or stimulants
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Normal PSA lab and follow up
>4.0 are elevated; annual PSA and DRE for men at high risk; may have transrectal ultrasound, prostate fluid or tissue analysis
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Phosphodiesterase-5 inhibitors
take 1 hr before sex, erection can last 1-2 hours
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Lifestyle changes for PCOS
losing weight
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Supportive care for women post breast biopsy
monitor anesthesia, bleeding, pain mgmt., activity restrictions; DC: may remove dressing after 48 hours, steri strips 7-10 days, supportive bra, avoid jarring or high impact activities for 1 week
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Supportive care for invasive testicular procedures
ice, NSAIDS, sitz bath, nerve block
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Priapism
uncontrolled persistent erection
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Organic ED
gradual deterioration of function
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Functional ED
psychological, usually have nocturnal and morning erections with sudden onset follows a high period of stress
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Testicular self examination
monthly immediately after a bath or shower; examine each testicle by gently rolling it between your thumbs; tumors usually appear deep in center of testicle; look for lumps, smooth and rounded masses or change; tell dr
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Care post cervical procedure
no sex, tampons, douche; take showers rather than tubs; no lifting of heavy objects; report heavy vaginal bleeding, foul smelling drainage or fever
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Magnesium to treat PMS
300-400 mg daily; dark leafy veg; nuts and seeds, fish, beans, brown rice, avocados, low fat dairy, bananas, dried fruit, dark chocolate
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