Exam (elaborations)
NR 325 Final Exam
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Exam of 6 pages for the course NR 325 at NR 325 (NR 325 Final Exam)
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NR 325 Final ExamBPH Correct Answer -sx: difficulty starting a urine stream, a
decreased flow of urine, urinary frequency
-RF: increased DHT or estrogen
-complications: urinary retentions, UTI, bladder calculi,
hydronephrosis
-diagnostic: digital rectal exam, PSA
-tx: 5a reductase inhibitors (finasteride) - decreases DHT
-A-adrenergic blockers (tamsulosin)
-surgical therapy: TURP
BPH health promotion Correct Answer -alcohol, caffeine, or
other bladder irritants can increase prostatic sx, compounds
found in cough and cold remedies (sudafed and phenylephrine)
worsen sx of BPH since they are a-adrenergic agonist that cause
smooth mm contraction
cancer pain meds Correct Answer give pain meds schedule
around the clock with additional meds for breakthrough pain,
dont wait for the patient to tell you their pain is high
Cervical Cancer Correct Answer -RF: HPV,
immunosuppression, low socioeconomic status, chlamydia,
smoking
Chlamydia Correct Answer -can easily go undiagnosed from
little sx.
-complications: epididymitis (can result in male infertility), PID
(the more episodes of PID a women has the more likely of
infertility), rare reactive arthritis
, -tx: azithromycin or doxycyline for 7 days
Doxycycline (Vibramycin) Correct Answer • Patients on this
drug should avoid unnecessary exposure to sunlight.
• Do not take with antacids, iron products, or dairy products.
• Pregnant women should not take doxycycline.
Endometrial Cancer Correct Answer -RF: exposure to estrogen,
obesity, increasing age, never being pregnant, early menarche,
late menopause, smoking, DM, family history of endometrial
and colorectal cancer
-sx: abnormal uterine bleeding especially in postmenopausal
women
-tx in early stage: total hysterectomy and bilateral salpingo-
oopherectomy with lymph node biopsies, surgery may be
followed by external or internal radiation
Finasteride (Proscar) Correct Answer • Women who may be or
are pregnant should not handle tablets due to potential risk to
male fetus (anomaly).
Genital Herpes Correct Answer -HSV1 and HSV 2
-can transmit infection between outbreaks
-triggers include stress, fatigue, sunburn, general illness,
immunosuppression, menses
-complications: blidness, encephalitis, aseptic meningitis
-tx: acyclovir, famciclovir, valacyclovir
Genital Warts Correct Answer -caused by HPV
-complications: cancer of the cervix, vagina, vulva, penis,
rectum, throat, pharynx
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