NUR265/ NUR 265 Exam 4 Review: (2024/ 2025 Update) Advanced Med-Surg | Questions and Verified Answers| 100% Correct- Galen
NUR265/ NUR 265 Exam 4 Review: (2024/ 2025 Update) Advanced Med-Surg | Questions and Verified Answers| 100% Correct- Galen Q: Reverse isolation Precaution used for individuals who are immune-compro- mised to protect THEM from harmful organisms that may be brought in from outside. Transplant patients are placed on this (along with others). Everyone who enters room wears gown, gloves & mask. All equipment entering room needs to be disinfected. Q: precautions with HIV/AIDs patients Answer: standard precautions Q: Cancer Screening - Colorectal Answer: Colonoscopy - 50 years old every 10 years Q: colorectal cancer signs and symptoms Answer: Pain in the abdomen, blood in stool, change in bowel habits, constipation, narrow stools, or passing excessive amounts of gas, anemia or fatigue, abdominal discomfort or weight loss Family history Q: breast cancer signs and symptoms Answer: Breast discomfort, inverted nipple, lumps, or nipple discharge, redness, or swollen lymph nodes Q: Genetic Breast Cancer risks Answer: BRACA gene mutation (All women have BRCA1 and BRCA2 genes, but only some women have mutations in those genes.) Nulliparity, Jewish, non-breast feeding, 1st child over age of 30, obese Family history Q: cervical cancer signs and symptoms Answer: Pain in the pelvis, during sexual in- tercourse, abnormal menstruation, heavy menstruation, irregular menstruation, or spotting, abnormal vaginal bleeding or abnormal vaginal discharge, fatigue, nausea, or weight loss-Family history-HPV Vaccine - Approved ages 9 - 26.Pap Smear - 21 to 29 years Pap every three years Q: prostate cancer signs and symptoms Answer: Burning or pain during urination, diffi- culty urinating, or trouble starting and stopping while urinating, More frequent urges to urinate at night, Loss of bladder control, -Decreased flow or velocity of urine stream, Blood in urine (hematuria), blood in semen.-Family history-Yearly physical, stool for occult blood, prostate exam (DRE), PSA levels Q: testicular cancer signs and symptoms Answer: Pain in the lower back, fatigue, pain- less testicular lump, swelling of scrotum, swollen lymph nodes, or weight loss. Risk: cryptorchidism (undescended testis), family history, HIV, identical twins, broth- ers Family history Testicular Exam - monthly. (after shower) Q: lung cancer signs and symptoms Answer: Pain in the chest or rib, cough: can be persistent, dry, with phlegm, severe, or with blood (rust colored), frequent respiratory infections (pleural effusion, pneumonia, bronchitis), shortness of breath, or wheez- ing, fatigue or loss of appetite, fever, chest pressure, hoarseness, swollen lymph nodes, weakness, or weight loss Q: bladder cancer signs and symptoms Answer: most associated with smoking, Pain can occur during urination, dark urine, frequent urination, or blood in urine Q: Nadir Answer: Occurs approximately 10-14 days after chemotherapy administration. This is when blood counts are at their lowest (pancytopenia may occur) -severely immunocompromised. Q: Signs and symptoms Nadir Anemia, Leukopenia, and Thrombocytopenia
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