Chapter 12 Quiz Flashcards
Dilation and curettage
D&C
Curettage is the scraping of material from the wall of a cavity or other surface performed to remove tumors or other abnormal tissue for microscopic study
D&C
This is a procedure used to obtain tissue for a biopsy to correct cervical stricture and to treat dysmenorrhea
D&C
Is the radiography of a soft tissue of the breast done to allow for identification of various benign and neoplastic processes especially those not palpabke on physical examination
Mammography
When this procedure is scheduled advise the patient to refrain from using body powders deodorants and ointments on the breast areas because this could cause false positive results as well as removing jewelry and upper garments
Mammography
Instruct the patient not to douche use tampons or vaginal medications or have sexual intercourse for at least 24 hours before the examination collect careful menstrual and gynecolic history instruct patient to have one within 3 years of becoming sexually active or no later than 21 years of age
Pap smear
Is it means to detect abnormal cells and the presence of sperm can be done by aspiration or through an incision
Testicular biopsy
This consists of scrotal support ice packs and allergies and medications warm sits bad for edema also may be helpful and instruct the patient to call the healthcare provider if bleeding or elevated temperature occurs
Nursing interventions for testicular biopsy
This is the absence of menstrual flow
Amenorrhea
This is uterine pain with menstruation commonly called menstrual cramps
Dysmenorrhea
This is excessive bleeding at the time of regular menstrual flow
Menorrhagia
This is the appearance of uterine bleeding between regular menstrual periods or after menopause
Metrorrhagia
This is the normal decline of ovarian function resulting from the aging process begins in most women between the ages of 42 and 58 and is characterized by infrequent ovulation decrease menstrual function and eventual cessation of menstrual flow
Menopause
This includes shrinkage of vulval structures atrophic vulvitis shortening of the vagina and dryness of the vagina wall cystitis urinary frequency and urgency loss of skin turgor and elasticity increase subcutaneous by decrease breast tissue and thinning of hair of the axilla The Head and the pubis
Signs and symptoms of menopause
Hormone replacement therapy Replacement of estrogen and progesterone Estrogen therapy Calcium and vitamin d supplements Herbal and dietary modification SSRI Non-hormonal therapy
Medical management for menopause
Encourage patient to verbalize concerns assess knowledge of menopause provide education related to menopause referred patient to couple family and sex therapy and provide support and understanding explain the process of menopause explain according to keeping fit eating a well-bound thought getting adequate rest and sleep avoiding stress and fatigue and continue and contraception report any vaginal bleeding occurring 6 months or more after last menstrual period and important patient of water soluble lubricants
Nursing interventions for menopause
Is a man’s inability to attain or maintain an erect penis that allow satisfactory sexual performance this was also referred to as impotence in the past
Erectile dysfunction
Anatomic anomalies Advanced syphilis Congenital spinal cord abnormalities Amyotrophic lateral sclerosis Multiple sclerosis Cord compression caused by herniated disc Surgical interventions Low testosterone levels Hypertension Substance use or abuse
Signs and symptoms of erectile dysfunction
She’s a patient to administer prescribe medications and watch her side effects inform the patient about signs and symptoms of implants the injection of the implant including tenderness of the penis fever dysuria and signs of urinary tract infections and tell the patient to seek medical attention properly if infection occurs
Nursing interventions for erectile dysfunction
Acknowledge patient’s feelings and providing emotional support referred for counseling as necessary explain diagnostic procedures and providing information privacy and consultation as indicated of sexual concerns
Nursing interventions for amenorrhea
Present information on disease process procedures to be performed medications and treatments prepare for information on question and answer sessions according to patient’s needs teach procedures patient must know how to perform obtain feedback be sure learning has been taken place reinforce teaching is needed develop a trusting relationship and involve patient and the care
Nursing interventions for dysmenorrhea
Encourage verbalization of feelings acknowledge existence of syndrome and symptoms encourage patient to keep them menstrual symptom diary to document the cycle and the nature of the symptoms encourage patient to plan activities during the symptom free part of her cycle administer supplements of vitamin B6 calcium and magnesium as prescribed encourage attending self-help groups and reading self-help literature group support teams to reduce stress provide emotional support in a non-judgmental and caring manner and assist in identifying possible sources of anxiety and helping mechanisms
Nursing interventions for a woman with premenstrual syndrome
