NCLEX PN - Cancer/STD's
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| thrombocytopenia-alters coagulation SO: | hi bleeding risk & use smallest needle for shots
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| Breast exam-what to report: | hard, non-tender mass. (upper outer quad is most common site)
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| Stomatitis (CA pt) rinse mouth with: | diluted solution hydrogen perozide (helps w/moisture & comfort)
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| Left sided heart failure:ss | bibasilar fine crackles
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| Ovarian CA-most risk is: | over 40, infertile, never preg.,
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| Breast self exam when? | monthly 7 to 10 days after menses starts
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| Testicular cancer peaks at | between 20 and 40
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| Right sided stroke ss | L handed weakness, impulseveness & poor judgement
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| Familial polyposis strong risk factor for | colorectal CA, risk increases over 40
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| Stomatitis is a sore | mouth (from chemo)
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| Start testicular exams | before age 20
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| Syphilis - hallmark sign | painless chancre
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| Herpes zoster is an acute | inflammation of the dorsal root ganglia causing localized, vascular skin lesions following a dermatome.
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| Herpes zoster AKA | shingles
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| Herpes simplex I is a | viral infection affecting the skin & mucus membrane, produces cold sores or fever blisters
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| Herpes simplex II effects: | genital area causing painful clusters of small uncerations.Warts appear as rough, flesh or gray color skin projections.
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| Herpes initial sign | burning or tingling on vulva, perineum or vagina
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| Viral hepitis TX | complete bed rest with bathroom priviledges
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| condylomata acuminata is AKA | genital warts; caused by HPV
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| genital warts puts pt at hi risk for | cervical CA-pap test yearly
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| HPV | human papillomavirus
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| sickle cell crisis TX | oral and IV fluids
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| sickle cell crisis caused by | red blood cells clumping to cause occlusion, ischemia and extreme pain
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| pyloric stenosis - after surgery | NPO until wound heals & encourage parent involvement
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| fat emboli - may occur with | fracture of long bones and pelvis
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| ss of fat embolis are | cyanosis, dyspnea, tachycardia, chest pain, tachypnea, apprehension, restless, confused, petechiat, & Pa02
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| congenital hop dislocation | use prone position w/hips abducted because abduction puts the femoral head into the acetabulim for correct alighment
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| acne vulgaris comes from an | increase in hormones; growth of anaerobic bacteria and heredity
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| Comedonis | black and white heads
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| Recent tonsillectomy ss of preopt hemorrhage is | frequent swallowing
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| rheumatic fever | need prophylactic antibiotics for over 5 years!
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| Burn patient | low hematocrit from hemodiultion (when the concentration of erychrocytes & other blood elements are lowered by volumn overload
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| Amputation pt-above knee-when to start exercise on other leg: | next day
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| Celiac DZ ss | protuberant abdomen from fat stools, gas and undigested food
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| Celiac DZ diet | no wheat, rye, oats, barley
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| Celiac-evaluate therapy by | monitor size, appearence & # stools
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| hip replacement must prevent | internal rotation of affected leg, also prevent adduction
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| Heberden's nodes are | bony growths that occur at distal interphalangeal joints
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| Bochard's nodes are | growths that involve the proximal interphalangeal joints
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| Tophi | deposits of sodium urate crystals in cronic gout, (not osteoarthritis)
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| Romberg test | assess cerebellar function
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| Phalen's test | assess carpal tunned syndrome
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| Rinne test | compares air & bone conduction in both ears to screen for or confirm hearing loss
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