sammy rak deck Flashcards

(44 cards)

1
Q

cervical cancer risk factors

A

HPV
first coitus under the age of 20
multiple sex partners
sexual activity
smoking
multiparity
HIV
oral contraceptives
nutritional deficiency
chronic cervical infections
low socioeconomic status
(broke, teenage whore smoking in front of her more than 5 kids otw to pick up her HPV, HIV, nutritional deficiency and birth control meds)

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2
Q

what is multi-parity

A

having more than 5 kids

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3
Q

what cervical cancer nutritional deficiencies

A

folate
vitamin c
beta carotene

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4
Q

early signs of cervical cancer

A

thin/watery discharge
spotting
post menopausal bleeding
heavy bleeding (menorrhagia)

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5
Q

s/s of late stage of cervical cancer

A

dark, foul discharge
pelvic pain
abdominal pain
lower back pain
weight loss
rectal bleeding
dysuria

(skinny girl with a dirty smelly pussy so does anal which makes her back, stomach, pelvis and pee hurts)

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6
Q

diagnostic tests for cervical cancer

A

pap smear
cone biopsy
dilation and curettage
colposcopy

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7
Q

breast cancer risk factors

A

BRCA-1 & 2
being old
female family hx
early menarche (before 12)
nulliparity
Having 1st kid after 30
menopause after 52
radiation exposure (teen-30 y/o)
benign fibrotic breast disease hx
obesity
hormone replacement therapy
estrogen use for more than 5 yrs
birth control
alcohol
ashkenazi jews

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8
Q

breast cancer prevention

A

early screening

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9
Q

early breast cancer screening types

A

self breast exam
mammogram
genetic testing
ultrasound
clinical breast exam

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10
Q

where is breast cancer usually found

A

upper outer quadrant

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11
Q

breast cancer s/s

A

non tender, fixed and hard lump
irregular borders
dimpling of breasts
retracted nipples

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12
Q

early s/s of breast cancer

A

irregular borders

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13
Q

late s/s of breast cancer

A

dimpling of breast
unusual shape
nipple retraction

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14
Q

what age should mammograms start

A

40

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15
Q

what diagnostic test is performed if a lump is found on a breast

A

biopsy

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16
Q

what should pt wear & do after lumpectomy to prevent lymphatic fluid from building up

A

compressive sleeve and arm exercises

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17
Q

removal of only the breast tissue is what procedure

A

total mastectomy

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18
Q

a total mastectomy would be done a patient with breast cancer with cancer that is what?

A

localized (in situ)

19
Q

removal of breast tissue and auxiliary lymph nodes without removing pectorals is called?

A

modified radical mastectomy

20
Q

removal of breast tissue, lymph nodes and pectoral muscles is called

A

total radical mastectomy

21
Q

what should you do with extremity of a pt s/p mastectomy and why?

A

elevate it to return venous flow

22
Q

when can a jp drain be removed

A

when output is less than 30 cc

23
Q

what arm would you check BP and perform lab draws in a pt s/p left mastectomy?

24
Q

how many weeks can a pt s/p mastectomy not use lotion on affected area

25
what procedure should you ask the pt if they want s/p mastectomy?
breast augmentation
26
post mastectomy exercises
stress ball first 24 hrs hand crawl up wall hair combing
27
what should mastectomy pt avoid going after surgery
heavy lifting
28
what to do with arm after mastectomy? how long and how many times
elevate on pillow for 45 mins 3x/day
29
is burning/tingling sensation in chest normal after mastectomy
yes
30
what kind of razor should post mastectomy pt use
electric razor
31
what should pt s/p mastectomy protect seen from
mosquitos
32
s/s of infection s/p mastectomy
foul smiling drainage fever
33
what kind of clothes can chemo pt not wear
tight clothes
34
hormonal therapy for chemo pts
tamoxifen
35
ovarian cancer chemo drugs
cytotoxan adriamycin taxol
36
nursing interventions for pt s/p mastectomy
turn pt have them cough deep breaths spirometer
37
hysterectomy types
open abdominal laparoscopical
38
what should pt go into surgery with for laparoscopy
compression stockings
39
how to prevent dvt in laparoscopy pt
plantar flexion, dorsal flexing, point toes back and forward
40
pt s/p laparoscopy with chest pain, SOB and crackles is at risk for
PE
41
what should a pt s/p laparoscopy not do
smoke bear down/strain nothing in vagina for 6 weeks
42
what should u monitor for in pt s/p laparoscopy
urine output and flatulence
43
can a pt get pregnant after a radical trachelectomy
yes
44
how often should a pt with persistent vaginal discharge douche after a radical trachelectomy?
twice a day