Elizabeth Snow
Men's Health
Denny and Kokum
LEJ (A)
LEJ (B)
100
Osteoporosis and osteoarthritis are commonly confused, describe the difference.
Osteoporosis is characterized by the significant loss of bone mass and strength with increased risk for fracture. Osteoarthritis is a degenerative joint disease characterized by the destruction of the articulate cartilage and overgrowth of bone
100
What is the gleason score?
Most frequent scoring used to grade prostate cancer and to guide physician in determining treatment. Men with score of 2-4 are at low risk, and 8-10 are at high risk of the prostate cancer extending beyond the prostatic capsule
100
What is the MAIN difference between Type 1 and Type 2 Diabetes?
-Type 1 is insulin dependent, whereas with Type 2, it can often be controlled through lifestyle changes or oral agents since it affects the insulin receptors, not insulin production.
100
What is placenta previa?
Answer: It is when the placenta attaches in the lower segment of the uterus rather than upper.
100
Day 3 of a newborn, how many voids and BMs should we expect, and what kind of stool?
3 voids, and 3 BMs (transitional stools).
200
What are two examples of discharge teachings that a nurse could provide for Mrs. Elizabeth Snow, following her total hip replacement?
Examples of possible answers… -Follow your home exercise program as directed by your physical therapist. -Do not stop using your walker or crutches until your therapist or surgeon says it is safe to do so. -Balance your activity with rest periods to prevent becoming overtired. -Walk often. Do not stand in one place for longer than 10 minutes. -Do not sit longer than 1 hour without getting up and walking. Elevate your leg while sitting. -Your surgeon will let you know when it is safe to start driving again. -Do not resume sexual activity until advised by your surgeon to do so. -Proper care of the incision site. -Using cold and heat items for pain and swelling. -How to prevent infection. -How to prevent dislocation. -Pain relief (i.e. medications). -How to prevent a blood clot.
200
What are the first signs of penile cancer?
small lump or ulcer and palpable lymph nodes may be present in the inguinal region
200
What are the manifestations (signs) of Type 1 Diabetes?
Three P's! Polyuria(increased urination), polydipsia(increased thirst), and polyphagia(increased hunger).
200
Calculate the EDB if the first day of Britney's last menstrual period was July 24th, 2012.
- 3 months + 7 days May 1st, 2013
200
What is pathologic jaundice? Name two causes of this type of jaundice.
Pathologic jaundice occurs before the first 24 hours of life. Causes: hemolytic disease, incompatibility of blood between mother and fetus in utero
300
What is the blood glucose level for adults with type 1 diabetes before eating and after eating?
What is 4.0-7.0 mmol/L before eating and <9.0mmol/L after eating.
300
Increased BP after 20 weeks gestations, accompanied by proteinuria are characteristic of which gestational problem?
What is preeclampsia?
300
Go through each assessment part for what BUBBLEHER stands for and how you will assess the mom.
B- breasts (soft, look for mastitis, no engorgement, presence of colostrum, assess nipples for cracks, inversion, redness or pain) U- Uterus (check fundus height, should be around umbilicus 6-12 hrs postpartum) B- bladder (palpate bladder, ask about voiding, is it painful, how often, do you feel you can empty entirely) B- bowels (last BM, narcotics may cause constipation, fear of going) L - Lochia (explain all three stages, if clots check to see if it is tissues, earthy odor, scant to moderate amount) E- episiotomy/tears (REEDA) H- hemorrhoids/dvt (size/pain,discomfort. - check for one leg swelling, heat, pain, redness) E - Emotions (bonding/attachment, support network) R- rest and relaxation
400
N & V, urinary frequency, fatigue, breast tenderness, increased vaginal discharge, nasal stuffiness and nosebleeds and ptyalism are discomforts associated with this trimester of pregnancy
What is the first trimester?
400
Describe the color of lochia (rubra, serosa, alba) and how long each lasts.
Rubra: ~3 days, bright red Serosa: 3-10, clearer red, pinkish Alba: 10~: yellowish white
500
What is the newborn nonstress test?
Evaluates fetal status, based on the knowledge that the fetus has adequate oxygenation and intact CNS, and accelerations of FHR with fetal movement. · NST requires an electronic fetal heart rate monitor to record these accelerations and is quite consistent in identifying a fetus at risk. · Heart rate will accelerate during fetal movement. Reactive test: shows at least 2 accelerations of FHR with fetal movement, lasting 15 seconds or more, over 20 minutes. (Desired result) o Nonreactive test: reactive criteria is not met o Unsatisfactory test: data can’t be interpreted and there was inadequate fetal activity
500
Immunizations at 6 months.
What is DTaP-IPV-Hib, Pneumococcal conjugate (PCV13) (for high risk children only), and the Influenza.
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