NUR 2502 / NUR2502 Exam 1 (Latest 2021 / 2022): Multidimensional Care III / MDC 3 - Rasmussen College
S/S: *Syphilis* Correct Answer: ▪
... [Show More] chancre
▪ fever
▪ headache
▪ muscle aches
▪ rash
Late:
▪ organ failure
▪ blindness
▪ neuro changes
A 20-year-old sexually active male reports symptoms of a low-grade fever, headache, malaise, muscular aches, sore throat, and a rash on his hands and feet. What condition does the nurse anticipate?
A. HIV
B. HPV
C. Syphilis
D. Gonorrhea Correct Answer: C. Syphilis
Which stage of syphilis is this?
▪ Ulcer called chancre develop at the site of entry and can occur anywhere.
▪ Highly infectious stage, begins as a small papule, then breaks down to a painless, indurated, smooth weeping lesion Correct Answer: Primary syphilis
Which stage of syphilis is this?
▪ Develops 6 weeks to 6 months, becomes systemic circulating in the blood.
▪ Commonly mistaken for the flu. Rash appears on the palmar surfaces of hands and feet. Patchy alopecia Correct Answer: Secondary syphilis
Treatment: *Syphilis* Correct Answer: ▪ Penicillin G
▪ What do you ask before giving? "Do you have any allergies?"
Treatment: *Chlamydia* Correct Answer: Azithromycin single dose 1 g IM
Patient Education: *Chlamydia* Correct Answer: ▪ *Abstinence* (7 days) until treatment is completed
▪ *Expedited Partner Therapy (EPT)* - Educate the patient on the importance of contacting their sexual partners to enable them to seek testing and possible treatment.
Prevention: *Vulvovaginitis*
(SATA?) Correct Answer: • Wear cotton underwear.
• Always wipe front to back after having a bowel movement or urinating.
• Do not douche or use feminine hygiene sprays.
• Do not use scented products.
• Use ice packs to help inflammation
Patient has heavy vaginal bleeding - What are you checking and what manifestations do you expect?
(SATA?) Correct Answer: ▪ iron levels
▪ CBC (H&H)
▪ hormone levels
▪ low blood pressure
S/S:
▪ dizziness
▪ weakness
▪ fatigue
▪ SOB
Patient Education: *Urinary Incontinence*
(SATA?) Correct Answer: ▪ Kegel exercises
▪ Bladder training
▪ No drinking after 5pm or 6pm
▪ Avoid foods or drinks with caffeine
▪ Skin care
▪ Proper hygiene
S/S: *BPH* Correct Answer: ▪ distended bladder
▪ visible mass above the symphysis pubis
▪ **difficulty initiating urination**
▪ decreased urine stream
▪ diminished force of urinary stream
▪ urinary hesitancy
▪ urinary frequency
▪ urinary urgency
▪ urinary retention
▪ incontinence
▪ incomplete emptying of the bladder
▪ **dribbling post-voiding**
▪ nocturia
▪ hematuria
▪ straining with urination
▪ obstruction of urine flow
**presents as a uniform, elastic non-tender enlargement**
Pharmaceutical Treatment: *BPH* Correct Answer: alpha-1 blockers (doxazosin) - better for patients with hypertension too
What medications should patients with BPH avoid? Correct Answer: anticholinergics
Pharmaceutical Treatment: *Erectile Dysfunction* Correct Answer: ▪ phosphodiesterase - 5 (PDE-5) inhibitors (ex: sildenafil, vardenafil, tadalafil)
Risk factors for ED
(SATA?) Correct Answer: ▪ **Stress**
▪ **Increasing age**
▪ **Smoking**
▪ Obesity
▪ **Hypertension**
▪ **Medications such as antihypertensives**
▪ **Endocrine disorders (Diabetes mellitus, thyroid)**
▪ Chemotherapy
▪ **Alcohol and drug abuse**
▪ **Trauma or surgery to the pelvic area**
▪ Lumbosacral injuries
▪ Pelvic fractures
▪ Neurological diseases (Parkinson's and multiple sclerosis)
▪ Inflammation of seminal vesicles, urethra, and prostate
▪ **Prostatectomy, TURP**
▪ Poor overall health that prevents sexual intercourse
▪ **DVT, PE**
▪ **Cardiac issues**
Therapeutic communication... Correct Answer: ▪ respect to privacy
▪ nonjudgmental
▪ open ended Qs
"Tell me more..."
"It sounds like..."
Prostate Cancer - Where is the most common site for metastasis? Correct Answer: bone
Blood levels that might be elevated if prostate CA has metastasized to the bone
(SATA?) Correct Answer: Phosphorus (>4.5)
Potassium (> 5.0)
Magnesium (> 2.5)
Calcium (>10.5)
Creatinine (> 1.2)
BUN (> 20)
Liver enzymes
What do we use to screen prostate CA? And when should this start? Correct Answer: ▪ PSA
▪ age 40 (risk), 50 (non risk) + prostate exam [Show Less]