NR 325 – Final Exam Study Guide | Chamberlain University | Academic Year 2024–2025 |
Comprehensive Nursing Review Notes
BPH WITH URINARY RETENTION - NURSING ACTION insert a urinary catheter to
resolve/relieve urinary retention
PRIAPISM a painful erection lasting longer than 6 hours
not accompanied by sexual excitement
PRIAPISM - COMPLICATIONS penile tissue necrosis
hydronephrosis
PEYRONIE'S DISEASE curvature of the penis due to fibrous tissue deposits around the
corpora cavernosa
INSTILLATION OF HYPERTONIC SALINE SOLUTION TO INDUCE ABORTION - PATIENT TEACHING
uterine contractions take 12-36 hours to begin after hypertonic saline is instilled
expulsion of the fetus may take 1-2 days
PELVIC INFLAMMATORY DISEASE (PID) inflammation and infection of organs in the pelvic
region
may involve fallopian tubes, ovaries, uterus, and pelvic peritoneum
tubo-ovarian abscess may also form
,PELVIC INFLAMMATORY DISEASE - CAUSE often the result of untreated cervical infection
*CAUSATIVE ORGANISMS*
Chlamydia trachomatis
Neisseria gonorrhoeae
SILENT PID major cause of infertility
PELVIC INFLAMMATORY DISEASE (PID) - CLINICAL MANIFESTATIONS lower abdominal pain
spotting after intercourse
purulent cervical/vaginal discharge
fever/chills
PELVIC INFLAMMATORY DISEASE - COMPLICATIONS septic shock
perihepatitis (Fitz-Hugh-Curtis Syndrome)
peritonititis
embolism
ectopic pregnancy
infertility
,MENORRHAGIA excessive menstrual bleeding
MENORRHAGIA - COMPLICATION anemia is a likely complication
the nurse will need to monitor CBC
PELVIC INFLAMMATORY DISEASE (PID) - DIAGNOSTIC LABS leukocytes ↑
ESR ↑
PELVIC INFLAMMATORY DISEASE (PID) - DIAGNOSTIC TESTS *cultures* for Chlamydia
trachomatis
Neisseria gonorrhoeae
*pregnancy test* (to rule out ectopic pregnancy)
vaginal ultrasound
positive cervical motion tenderness
adnexal/lower abdominal tenderness
PELVIC INFLAMMATORY DISEASE - RISK FACTORS IUD use
history of STDs
, multiple sex partners
history of previous PID
PELVIC INFLAMMATORY DISEASE (PID) - PATIENT TEACHING follow treatment program even
when feeling better
maintain perineal hygiene (wiping front to back)
use tampons cautiously; change every 4 hours
practice safe sex/family planning strategies
report unusual vaginal discharge/odor
no intercourse for 3 weeks and partners should be examined/treated
physical rest/increased fluid intake
STD RECURRENCE recurrence of symptoms (reinfection) is because infected partners have
not been treated
sex partners should be treated simulaneously
GENITAL HERPES an STD caused by the herpesvirus
this infection is lifelong/incurable
Comprehensive Nursing Review Notes
BPH WITH URINARY RETENTION - NURSING ACTION insert a urinary catheter to
resolve/relieve urinary retention
PRIAPISM a painful erection lasting longer than 6 hours
not accompanied by sexual excitement
PRIAPISM - COMPLICATIONS penile tissue necrosis
hydronephrosis
PEYRONIE'S DISEASE curvature of the penis due to fibrous tissue deposits around the
corpora cavernosa
INSTILLATION OF HYPERTONIC SALINE SOLUTION TO INDUCE ABORTION - PATIENT TEACHING
uterine contractions take 12-36 hours to begin after hypertonic saline is instilled
expulsion of the fetus may take 1-2 days
PELVIC INFLAMMATORY DISEASE (PID) inflammation and infection of organs in the pelvic
region
may involve fallopian tubes, ovaries, uterus, and pelvic peritoneum
tubo-ovarian abscess may also form
,PELVIC INFLAMMATORY DISEASE - CAUSE often the result of untreated cervical infection
*CAUSATIVE ORGANISMS*
Chlamydia trachomatis
Neisseria gonorrhoeae
SILENT PID major cause of infertility
PELVIC INFLAMMATORY DISEASE (PID) - CLINICAL MANIFESTATIONS lower abdominal pain
spotting after intercourse
purulent cervical/vaginal discharge
fever/chills
PELVIC INFLAMMATORY DISEASE - COMPLICATIONS septic shock
perihepatitis (Fitz-Hugh-Curtis Syndrome)
peritonititis
embolism
ectopic pregnancy
infertility
,MENORRHAGIA excessive menstrual bleeding
MENORRHAGIA - COMPLICATION anemia is a likely complication
the nurse will need to monitor CBC
PELVIC INFLAMMATORY DISEASE (PID) - DIAGNOSTIC LABS leukocytes ↑
ESR ↑
PELVIC INFLAMMATORY DISEASE (PID) - DIAGNOSTIC TESTS *cultures* for Chlamydia
trachomatis
Neisseria gonorrhoeae
*pregnancy test* (to rule out ectopic pregnancy)
vaginal ultrasound
positive cervical motion tenderness
adnexal/lower abdominal tenderness
PELVIC INFLAMMATORY DISEASE - RISK FACTORS IUD use
history of STDs
, multiple sex partners
history of previous PID
PELVIC INFLAMMATORY DISEASE (PID) - PATIENT TEACHING follow treatment program even
when feeling better
maintain perineal hygiene (wiping front to back)
use tampons cautiously; change every 4 hours
practice safe sex/family planning strategies
report unusual vaginal discharge/odor
no intercourse for 3 weeks and partners should be examined/treated
physical rest/increased fluid intake
STD RECURRENCE recurrence of symptoms (reinfection) is because infected partners have
not been treated
sex partners should be treated simulaneously
GENITAL HERPES an STD caused by the herpesvirus
this infection is lifelong/incurable
