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Summary NUR 320 Test 3 Study Guide

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This is a comprehensive and detailed study guide on test 3 for Nur 320. An Essential Study Resource just for YOU!!

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  • January 22, 2025
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Test #3 Study Guide
STDs/STIs – know about different infections and can they be latent or lay dormant in the body
1. Some people don’t know they are infected because symptoms are absent or go unnoticed.
2. Common symptoms include: discharge from the vagina, penis or anus; pain during sex or when urinating;
blisters or sores in the genital area and fever.
3. Any contact with another person’s body fluids around the head or an open lesion on the skin, anus or
genitalia can transmit an STI.
4. EMBARRASSMENT

Curable STIS:
 Syphilis
 Gonorrhea
 Chlamydia (bacterial)- causes infertility, pelvic inflammatory disease (PID), and neonatal
complications. If pregnant woman has chlamydia they can pass that onto their baby.
 Trichomoniasis
 Pelvic Inflammatory Dz

Viral STIS:
 Human Papillomavirus (HPV) genital warts
o MOST COMMON STI IN U.S. aka genital warts, spread through direct contact with warts, semen
or other fluids—can cause cancer.
 Herpes Simplex Virus (HSV) type II
 Human Immunodeficiency Virus (HIV)-
o Transmission Routes: contaminated IV needles, anal intercourse, vaginal intercourse, oral-genital
sex and transfusion of blood products
 Acquired Immunodeficiency Disease (AIDs)--- we can reverse AIDs into HIV as long as a person stays on
med daily

Sexual Health for senior citizens – still sexually active
 84.6% of 500 people surveyed over 60 years old were still sexually active.
 Physiological sexual response changes with aging, but aging does not lead to diminished sexuality


Know about different contraceptives (how and when are different types used)
 Most effective (99%): sterilization, implant, IUD
 92-97% effective: shot, pill, ring, patch
 78-82% effective: diaphragm, condoms (external and internal), sponge, cervical cap
 71-78% effective: spermicide, fertility awareness, withdrawal

The proper steps for a finger stick blood sugar
 Gather tools
 Wash hands with soap and water
 Insert test strip
 Wipe with alcohol and let dry

,  Prick fingertip—wipe away initial drop first
 Squeeze for second drop of blood
 Touch test strip to blood
 View results
 Discard lancet
 Record results

Common STIs (least versus most common)
 Human Papillomavirus Infection (HPV)
o Most common STI in US (aka genital warts)—spread through direct contact with warts, semen or
other fluids. Can lead to cancer
 Chlamydia (bacterial)
o Causes infertility, pelvic inflammatory disease (PID) and neonatal complications
 Human Immunodeficiency Virus (HIV)
o Primary transmission routes; contaminated IV needles, anal intercourse, vaginal intercourse, oral-
genital sex and transfusion of blood products.

Know about PCAs – Who should be pushing the button: The patient is the only person who should press
the button to administer the pain medication when PCA is used.

Pain Management techniques
 One way to maximize pain relief while potentially decreasing opioid use is to administer analgesics around
the clock (ATC), rather than on a prn basis

Nonpharmacological Pain Relief:

 Relaxation, guided imagery
 Biofeedback—voluntary control
 Distraction, music
 Cutaneous stimulation: touch, massage, transcutaneous electrical nerve stimulation (TENS), heat/cold, 10-
20 min), acupressure

Pharmacological Pain Relief:

 Analgesics
o Nonopioids (NSAIDs): Acetaminophen (Tylenol): no anti-inflammatory effects. Aspirin/Ibuprofen:
mild to moderate pain relief- can lead to GI bleeding and renal insufficiency
o Opioids- moderate to severe pain…. Can lead to constipation
o Adjuvants/co-analgesics
 Delivery systems
o Patient controlled analgesia (PCA): patient needs to be the one pressing this button!!
o Local/regional anesthesia
o Topical agents

Acute/transient pain: protective, identifiable, short duration; limited emotional response (Ex. Arm break)

Chronic/persistent noncancer: Opioids are not good for this type of pain. Is not protective, has no purpose, may or
may not have an identifiable cause.

Chronic Episodic: Occurs sporadically over an extended duration. NSAIDs first then opioids.

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