NUR 2502 Multidimensional Care III

MDC3 EXAM 1

1. Breast Cancer Testing for Men

-       Usually presents as hard, painless, subareolar mass "lump" behind nipple

2. MI can cause?

-       Acute Kidney Injury (AKI)

3. Gardasil protects against

-       HPV 6, 11, 16, 18

4. What drug would be given to someone that has BPH and HTN?

-       Doxazosin

5. Breast Cancer Testing for Women

Teach to use multiple methods for early detection
- Mammography

- Breast self-awareness/self-examination

- Clinical breast examination

6. Breast cancer Physical assessment

-       Location, shape, size, consistency, mobility of mass

-       Skin changes

-       Lymph nodes

7. Breast cancer Psychosocial assessment

-       Fear, shock, disbelief

-       Previous history of mental illness, age, and life circumstances can increase distress

-       Encourage expression

-       Refer to support group

-       Assess for concerns related to sexuality

8. Breast cancer Laboratory assessment

-       Pathologic study of breast mass tissue and lymph nodes

-       Liver enzymes, serum calcium, alkaline phosphatase

9. Breast cancer Imaging assessment

-       Mammography

-       Tomosynthesis

-       Ultrasonography

-       MRI

-       Chest x-ray, CT for metastasis

10. Breast cancer Risks for Men

-       Family history (M or F) of breast cancer

-       BRCA 1/2 mutation

-       Elevated estrogen levels

-       Exposure to radiation

-       Diabetes

-       Gynecomastia

-       Testicular disorders

-       Obesity

11. Breast cancer risk for Women

-       Often genetic, form is usually more aggressive

-       Increased age

-       Family history

-       Early menarche, nulliparity, late menopause

-       Lack of breastfeeding

-       Postmenopausal obesity

-       Use of postmenopausal HRT

-       Alcohol consumption

-       Mutations in BRCA1 and BRCA2

12. Nonsurgical management for Risk for metastasize (Health maintenance)

-       Complementary and integrative health

13. Surgical management for Risk for metastasize (Health maintenance)

-       Preoperative care

-       Operative procedures

-       Postoperative care

14. Adjuvant therapy for Risk for metastasizing (Health maintenance)

-       Radiation, chemotherapy, or combination

-       Drug therapy

-       Stem cell transplantation

15. What multiple methods for early detections of breast cancer do you use?

-       Mammography

-       Breast self-awareness/self-examination

-       Clinical breast examination

16. Endometrial Cancer S/s

-       Post-menopausal bleeding is most common s/s

-       Lower back, pelvic, and abdominal pain

-       Watery, bloody vaginal discharge

17. Endometrial Cancer Exams and testing

-       Pelvic examination may reveal palpable uterine mass

-       CA-125 tumor marker; alpha-fetoprotein (AFP) both elevated; hCG to rule out pregnancy before treatment

-       Transvaginal ultrasound

-       Endometrial biopsy

-       Chest x-ray

-       IVP

-       Abdominal US

-       CT of pelvis; MRI of abdomen and pelvis

-       Liver, bone scans

18. Pt teaching post-op (total hysterectomy with bilateral salpingectomy)

-       Goal is 5 years without reoccurrence

-       Never use estrogen therapy without progesterone for women who have a uterus

-       Avoid straining, driving, lifting more than 5 pounds, douching, and sexual intercourse until provider approves

-       Report signs of infections asap

19. Uterine Leiomyoma S/S

-       Heavy vaginal bleeding.

-       Feeling of pelvic pressure

-       Constipation and urinary frequency or retention.

-       Possible abdominal

-       Dyspareunia (painful intercourse)

-       infertility

20. Cervical Cancer Pt. peaching post-op ablation

-       Laser ablation- removal of lesion

-       Report fever, heavy bleeding, or smelly discharge

-       Vaginal discharge is normal

-       Take showers not baths

-       Avoid heavy lifting (more than 10lbs), douches, tampons, penetration (usually 3 weeks)