Reproductive Cancers
With Fibrocystic breast condition , where are cyst commonly found in the breast and are they cancerous?
In the upper outer quadrant and no not cancerous
What immunosuppressant might a Patient with SLE be taking? What would you Patient teach about this medication?
Methotrexate, Wear sunscreen and protect yourself from sunlight/UV rays
Singed eyebrows and sooty sputum are indicative of___ in a burn victim
Inhalation burn
This type of cancer presents as dark in discoloration with irregular borders
Melanoma
Hypotension is the most common symptom for which type of shock?
All of them
what reproductive cancer can be prevented with an HPV vaccine?
Cervical cancer
A patient is complaining of fatigue, joint pain, and a newly developed rash on their face. What test might need to be ran on this patient and what does the nurse suspect the patient has?
an ANA titer and SLE (systemic Lupus erythematoses)
What vaccine should be provided to the patient during that emergent phase?
Tetanus
This raised waxy nodule with pearly borders and the most common type of skin
Basal cell carcinoma
What position do you want to put a patient in who is experiencing shock?
Supine with feet elevated
A nurse is assessing a Middle aged female patient that is complaining that for month she is feeling bloated, frequent urination and having a difficulty eating regardless of the recent weight Gain. What might this patient be showing symptoms of?
Ovarian Cancer
A Patient with RA is complaining about having excessive dry eye and dry mouth, what complication of RA might this be?
Sjorgens Syndrome
How much LR would be administered to a patient in the first 24 hours, 8hrs and 16hours for a 150lb patient with 36% burns affecting their body? What would their fluid rates be?
24hrs-9,818 mL
8hrs-4,909mL/ 614mL/hr
16hrs- 4909mL/307mL/hr
Avoid midday sun
wear protective clothing
apply sunscreen
avoid tanning beds
examine your skin monthly
What is the difference between Obstructive and Distributive Shock?
Obstructive: Blockage of the great vessels or heart
Ex: PE, Tension Pneumothorax, Cardiac Tamponade
Distributive: Extreme vasodilation that causes patient bp to plummet
3 types: Septic, Neurogenic, Anaphylactic
When caring for a Patient with a post op Mastectomy, what would you like to avoid?
Blood draws, BP, Giving injections ect... On the affected side.
A patient is having bilateral swelling in their knee joints, morning stiffness and the nurses notices a boutonnière deformity in their fingers. What might the nurse suspect this patient has?
RA
A patient is being assessed to determine the percentage of burns on the body. Patient has a superficial burn on both anterior aspects of their arms, a deep partial burn on the anterior below the left knee. What would be the patients TBS %
18%
This type of surgery is where you shave layers of skin and give them to the lab for a review until no cancer is found
MOHS
A nurse is caring for a patient with septic shock and notices oozing and bleeding around the IV,What does the nurse suspect?
A patient with prostate cancer just had a prostatectomy, what might the nurse remind the P about sexual activity?
Explain to patients that common potential long-term complications of open radical prostatectomy are erectile dysfunction (ED) and urinary incontinence.
What medication might be used to treat autoimmune disorders?
Methotrexate, Prednisone, NSAIDS (for pain)
Describe each Degree of Burn
Superficial Burn: 1st Degree: Skin Pink or red in color
Superficial Partial thickness: 2nd degree:Skin is red or pink w/ mild to moderate edema and some pain and blisters
Deep Partial Thickness Burn (2nd degree): Skin is red or white moderate edema w/ dry soft eschar
Full thickness burn: 3rd degree: Skin has severe edema hard eschar and not painful
4th degree: extends to tend or bone, affected area will be black w/ hard eschar and not painful
Explain ABCDE assessment for melanoma
A- Asymmetry (bad)
B-Border- irregular
C-Color various in discolorization
D-Diameter over 6mm
E -evolving changes in appearance
increased heart and respiratory rates or a slight increase in diastolic blood pressure may be the only sign of this stage of hypovolemic shock.
Initial Stage