What ethnicity is highest risk for BPH? Correct Answer-African Americans
What labs should be monitored for patient with BPH? (3)
Why? Correct Answer-BUN, creatinine, UA
because obstruction can cause bladder to not empty fully & cause urine to back up into ureters and kidneys
Risk factors fo...
N3661 - Exam 3 (Med Surg - Cleary) questions with
correct answers
What ethnicity is highest risk for BPH? Correct Answer-African
Americans
What labs should be monitored for patient with BPH? (3)
Why? Correct Answer-BUN, creatinine, UA
because obstruction can cause bladder to not empty fully & cause urine
to back up into ureters and kidneys
Risk factors for BPH (7) Correct Answer-older age
chronic alcohol use
smoking
obesity
high fat,protein, carbs diet (low fiber)
diabetes
cardiac disease
Education points for patient with BPH (4) Correct Answer-frequent
ejaculation will decrease prostate size
void when you feel the urge
avoid caffeine & alcohol
dont take meds that reduce bladder tone (aka antihistamines)
,Regarding medications for BPH, what should the nurse educate patient
of? (3) Correct Answer-can take 6-12 months to notice effects
watch for gynecomastia (breast enlargement)
postural hypotension
Patient is taking FloMax for BPH but also has a prescription for their
GERD. What GERD prescription would cause undesirable side effect
with FloMax? Correct Answer-famotidine
increases postural hypotension
Patient undergoes prostatectomy, when should urine be expected to be
light pink? Correct Answer-within 24 hours
What is TURP? When is this done? Correct Answer-transurethral
resection of the prostate
when prostate is found to be cancerous or too large
What is CBI? aka ______ Correct Answer-continuous bladder irrigation
aka Murphy drip
Patient is on a Murphy drip, what color should the urine be? Correct
Answer-light pink or pink
How do you calculate output when patient is on CBI? Correct Answer-
(continuous bladder irrigation)
,subtract irrigation volume from total output volume to get urine output
What can indicate the CBI is occluded? Correct Answer-aka Murphy
drip
patient reports bladder spasms and urge to void
What genes increase risk for breast and/or ovarian cancers? Correct
Answer-BRCA1 and BRCA2
Risk factors for breast cancer (6) Correct Answer-BRCA1 or BRCA2
smoker
birth control
no children or first pregnancy after 30y
obesity
dense breast tissue
Breast tumors are typically:
firm/soft
tender/nontender
small/large
mobile/nonmobile Correct Answer-firm
nontender
small
nonmobile
, Different surgical options for breast tumors (3) Correct Answer-
lumpectomy: saves breast tissue
partial or total mastectomy
modified radical mastectomy: breast tissue, lymph nodes & muscles
removed (only w/ radical, modified leaves muscles)
What is a sentinel node? Correct Answer-the first few lymph nodes in
which a tumor drains into
What happens during a sentinel tumor biopsy? Correct Answer-tracer
material injected into tumor which drains into sentinel nodes, during
biopsy tumor and sentinel nodes are removed and sent for testing
What is collateral circulation? Correct Answer-development of new,
small blood vessels in response to lack of block flow (ie blockage, but in
this case refers to removal of lymph nodes)
removal of lymph tissue means lymph fluid unable to rejoin circulation,
results in edema
Within what timeframe is collateral circulation be expected to be
developed after mastectomy? Correct Answer-4 weeks
Education points for patient post ALND? (4) Correct Answer-axillary
lymph node dissection
avoid BP, injections, & blood draws in affected extremity
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