MDC 3 EXAM 1 COMPREHENSIVE SCRIPT
COMPLETE SOLVED QUESTIONS AND
ANSWERS
◉ Toxic shock syndrome s/s
Answer: Fever,
sore throat,
hypotension,
edema,
sunburn like rash
N/V
Diarrhea
Myalgia (muscle pain)
◉ Toxic shock Prevention
Answer: • Wash hands before inserting tampon, do not use if dirty
• Change tampon every 3-6 hours
• Do NOT use superabsorbent tampons
• Use perineal pads instead of tampons at night
• Notify provider w/ fever, vomiting, diarrhea
• Not using tampons almost guarantees no TSS
,◉ Prostate Cancer Pt. teaching about screening
Answer: Begin at age 40 for high risk individuals
- Protein specific antigen (PSA)
- Early prostate cancer antigen (EPCA-2)
- Digital rectal exam (DRE)
• Leaning, on side, or lithotomy position
- Transrectal ultra sound (TRUS)
• Done is PSA is elevated or DRE is abnormal
• May need enema prior
• Place in left side lying position
• Contraindicated in latex allergies
◉ S/s of metastasis
Answer: • Elevated serum acid phosphatase
• Elevate serum alkaline phosphatase in bone metasitize
• Severe bone pain and swollen lymph nodes
• Weight loss
◉ early signs of metastasis
Answer: o Difficulty starting urine
o Frequent bladder infections
o Urinary retention
, ◉ Late signs of metastasis
Answer: o Hematuria
o Bone pain
◉ Pt. teaching for radical prostatectomy*****
Answer: - Teach catheter care, report signs of infection, assess
input and output
- Avoid heavy lifting, strenuous activity, and straining on toilet
- No baths for 2-3 weeks
- Provide pt with info about intimacy/sex therapy
• Ambulate by next day, wear sequential compression devices
• Avoid rectal procedures
• Avoid suppository and enemas
• Teach patient how to use leg bag
• Teach Kegel exercises
◉ BPH S/s
Answer: - Incomplete emptying, frequency, intermittency, urgency,
weak stream, straining, and nocturia
- Hematuria
- Irritability, depression, anxiety, social isolation
- Decreased libido
◉ BPH Medications
COMPLETE SOLVED QUESTIONS AND
ANSWERS
◉ Toxic shock syndrome s/s
Answer: Fever,
sore throat,
hypotension,
edema,
sunburn like rash
N/V
Diarrhea
Myalgia (muscle pain)
◉ Toxic shock Prevention
Answer: • Wash hands before inserting tampon, do not use if dirty
• Change tampon every 3-6 hours
• Do NOT use superabsorbent tampons
• Use perineal pads instead of tampons at night
• Notify provider w/ fever, vomiting, diarrhea
• Not using tampons almost guarantees no TSS
,◉ Prostate Cancer Pt. teaching about screening
Answer: Begin at age 40 for high risk individuals
- Protein specific antigen (PSA)
- Early prostate cancer antigen (EPCA-2)
- Digital rectal exam (DRE)
• Leaning, on side, or lithotomy position
- Transrectal ultra sound (TRUS)
• Done is PSA is elevated or DRE is abnormal
• May need enema prior
• Place in left side lying position
• Contraindicated in latex allergies
◉ S/s of metastasis
Answer: • Elevated serum acid phosphatase
• Elevate serum alkaline phosphatase in bone metasitize
• Severe bone pain and swollen lymph nodes
• Weight loss
◉ early signs of metastasis
Answer: o Difficulty starting urine
o Frequent bladder infections
o Urinary retention
, ◉ Late signs of metastasis
Answer: o Hematuria
o Bone pain
◉ Pt. teaching for radical prostatectomy*****
Answer: - Teach catheter care, report signs of infection, assess
input and output
- Avoid heavy lifting, strenuous activity, and straining on toilet
- No baths for 2-3 weeks
- Provide pt with info about intimacy/sex therapy
• Ambulate by next day, wear sequential compression devices
• Avoid rectal procedures
• Avoid suppository and enemas
• Teach patient how to use leg bag
• Teach Kegel exercises
◉ BPH S/s
Answer: - Incomplete emptying, frequency, intermittency, urgency,
weak stream, straining, and nocturia
- Hematuria
- Irritability, depression, anxiety, social isolation
- Decreased libido
◉ BPH Medications
