Update | 100% Correct-Galen College.
Procedure for taking urine sample from catheter bag? - ANSWER -Old
catheter: clean port, take from there w/ syringe
New catheter: collect from bag
When do you FIRST do a self breast exam? - ANSWER -after first
period starts - "menarchy"
When to do a self breast exam? - ANSWER -7-10 days from the day
period starts, DO ONCE A MONTH
Names of self breast exam search patterns? - ANSWER -Wedge,
circles, lines
What are you looking for in a self breast exam? - ANSWER -
Asymmetry, dimpling, orange peel skin, drainage
What else should you do in a self breast exam? - ANSWER -Palpate the
tail of spence (armpit muscle), pinch nipple gently to check for drainage
How often to do a clinical self breast exam? - ANSWER -Once a year
When should men FIRST do a testie self exam? How often? -
ANSWER -at start of puberty
ONCE A MONTH
How is a self testie exam done? - ANSWER -start at base, work down,
palpate testies, retract foreskin
, What are you looking for in a self testie exam?? - ANSWER -painless
lumps, absent testie, discharge
How is a 24 hour urine test done? - ANSWER -Toss the first void, start
clock then, collect all urine for next 24 hours into one jug - marking each
end
What happens if you miss a sample during a 24 hour urine test? -
ANSWER -You start over
What is done before a 24 hour creatinine clearance test? - ANSWER -
Height and weight is take, blood sample is taken (to compare serum
creatinine levels to urine levels)
Levels should be what in a 24 hour creatinine test? - ANSWER -
HIGH!! HIGH IS GOOD - means kidneys are working and clearing
waste
When is a pap smear FIRST done? - ANSWER -when she becomes
sexually active or at age 21
When is the best time do to a pap smear? - ANSWER -7-10 days from
first day of period
Prep to do before a pap smear? - ANSWER -No sex for 24 hours, no
douching for 24-48 hours
What position is a pap smear done in? - ANSWER -Lithotomy (feet in
stirrups) -
PUT LEGS UP AT SAME TIME TO AVOID TEARING
How do you store urine for 24 hour test? - ANSWER -over ice or in
fridge
, What are the upper UTIs and the pain they create? - ANSWER -
Pyelonenephritis (kidney)
Ureteritis (ureters)
CAUSE FLANK AND/OR ASCENDING PAIN
What are the lower UTIs and the pain they create? - ANSWER -Cystitis
(bladder)
Urethritis (urethra)
CAUSE LOW ABD AND/OR PELVIC PAIN AND PAINFUL
URINATION
S/S OF UTI - ANSWER -fever, pain, urge and frequency, uremic frost,
hematuria (if stones)
What are the labs indicating a UTI? - ANSWER -Positive for:
leukocytes, nitrates, and ESR
Risk factors for UTI? - ANSWER -female, old age, hyperglycemia,
pregnancy, menopause, steroids and immunosuppressents
What is the first initial s/s of UTI in elderly? - ANSWER -confusion
because the infection causes hypoxia
What is the treatment for UTI? - ANSWER -Give broad spectrum
antibiotic first while you wait for cultures, send cultures, when
diagnosed; give specific antibiotic
What are teachings for UTI treatment/prevention? - ANSWER -Finish
all antibiotics, drink 3-5mL water a day, wear cotton underwear, avoid
pH unbalancing products, avoid baths and douching
What are some exception s/s of UTI? - ANSWER -Only see redness in
urethritis (bc it's outside)