What are the indications for a hysterectomy in the client who has fibromas?
Severe menorrhagia leading to anemia, severe dysmenorrhea requiring narcotic analgesics, severe uterine enlargement causing pressure on other organs, severe low back and pelvic pain
List the symptoms and conditions associated with cystocele
incontinence/stress incontinence, urinary retention, and recurrent bladder infections.Conditions associated with cystocele include multiparity, trauma in childbirth, and aging
What are the most important nursing interventions for the postoperative client who has had a hysterectomy with an A&P repair?
Avoid rectal temps and/or rectal manipulation; manage pain; and encourage early ambulation
Describe the priority nursing care for the client who has had radiation implants
Do not permit pregnant visitors/caretakers in room.Discourage visits by small children.Confine client to room. RN must wear radiation badge. RN limits time in room.Keep supplies and equipment within client’s reach
What screening tool is used to detect cervical cancer
What are the American Cancer Society’s recommendations for women ages 30 to 70 with three consecutive normal results
Women ages 30 to 70 with 3 consecutive normal results may have pap smear every 2 to 3 years
Cite 2 nursing diagnoses for a client undergoing a hysterectomy for cervical cancer
Altered body image related to uterine removal.Pain related to postoperative incision
What are the 3 most important tools for early detection of breast cancer?How often should these tools be used
Breast self-exam monthly; mammogram baseline at age 35 followed by exams every 1 to 2 years in 40s and every year after age 50; physical examination by a professional skilled in examination of the breast
Describe 3 nursing interventions to help decrease edema post mastectomy.
Position arm on operative side on pillow.Avoid BP measurements, injections, or venipunctures in operative arm.Encourage hand activity and use
Name 3 priorities to include in a discharge plan for the client who has had a mastectomy
Arrange for Reach-to-Recovery visit.Discuss the grief process with the client.Have physician discuss with the client the reconstruction options
What is the most common cause of nongonococcal urethritis
What is the causative agent for syphilis?
Treponema pallidum (spirochete bacteria)
Malodorous, frothy, greenish-yellow vaginal discharge is characteristic of which STD
Which STD is characterized by remissions and exacerbations in both males and females?
Herpes Simplex Type II
Outline a teaching plan for the client with an STD
Signs and symptoms of STD.Mode of transmission.Avoid sex while infected.Provide concise written instructions regarding treatment and request a return verbalization to ensure the client understands.Teach “safer sex” practices
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