NR 509 Final Exam Study Guide Review
Questions Containing 91 terms with
Certified Answers 2024.
Know that in a 47-year-old man ED is usually ___________ rather than
testosterone - Answer: psychologic
Erectile dysfunction may be from psychogenic causes, especially if - Answer: early
morning erection is preserved.
it may also reflect decreased testosterone, decreased blood flow in the
hypogastric arterial system, impaired neural innervation, and diabetes
, NR 509 Final
When performing a breast exam, know what abnormal masses should do when
the arm - Answer: may be fixed to skin or underlying tissues (may cause dimpling
of skin or retraction when arms are lifted over head or hands are pressed against
hips)
Fibroadenoma and cysts mobility - Answer: very mobile/mobile
Know that a high proportion of breast masses are noted during ________ -
Answer: BSE
Breast stage 1 - Answer: preadolescent- elevation of nipple only
Breast stage 2 - Answer: breast bud stage- elevation of breast and nipple as a
small mound; enlargement of areolar diameter
breast stage 3 - Answer: further enlargement of elevation of breast and areola,
with no separation of their contours
breast stage 4 - Answer: projection of areola and nipple to form a secondary
mound above the level of breast
breast stage 5 - Answer: mature stage- projection of nipple only; areola has
receded to general contour of the breast (although in some individuals the areola
continues to form a secondary mound)
, NR 509 Final
Know where pain is located with pancreatitis: acute - Answer: epigastric, may
radiation straight to the back of other areas of the abdomen; 20% with severe
sequelae of organ failure
Know where pain is located with pancreatitis: chronic - Answer: epigastric,
radiating to back
Know how hepatitis A is transmitted - Answer: Transmitted through fecal-oral
route. Fecal shedding followed by poor handwashing contaminates water and
foods leading to infection of household and sexual contacts
Stress incontinence - Answer: the urethral sphincter is weakened so that transient
increases in intra-abdominal pressure raise the bladder pressure to levels that
exceed urethral resistance. Causes include childbirth and surgery, postmenopausal
atrophy of the mucosa, and urethral infection. May follow prostate surgery in
men.
urge incontinence - Answer: detrusor contractions are stronger than normal and
overcome the normal urethral resistance. The bladder is typically small.
Mechanisms: Decreased cortical inhibition of detrusor contractions from stroke,
brain tumor, dementia, and lesions of the spinal cord above sacral level. Also
hyperexcitability of sensory pathways ie: bladder infections, tumors, and fecal
impaction. Deconditioning of voiding reflexes ie: frequent voluntary voiding at low
bladder volumes.