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Examen

NURS 218 EXAM #4 Questions 100% Solved.

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NURS 218 EXAM #4 Questions 100% Solved. Cluster headache - answer- excruciating stabbing or burning sensations located in the eye or cheek - pathophysiology: idiopathic - Drug therapy: subcutaneous sumatriptan and oxygen Tension Headache - answer- nonmigraine headache in which pain is felt in all or part of the head - Pathophysiology: heightened sensitivity of pain pathway and misinterpretation of signals - Drug therapy: rest, stress reduction, and acetaminophen migraine headache - answer- paroxysmal (sudden, periodic) attacks of mostly unilateral headache - Pathophysiology: trigeminal nerve stimulation and vasodilation - Drug therapy: Abortive therapy - medication to treat symptoms ©SIRJOEL EXAM SOLUTIONS 10/11/2024 1:41 PM - Non-steroidal anti-inflammatory agents - Acetaminophen-aspirin w/ caffeine - triptans Preventative therapy - to prevent the development of a migraine Naproxen - answerAction- nonselective inhibitor or cyclooxygenase which inhibits COX-1 and COX-2 Use: treatment of migraine pain, other pain, and inflammation Effects: bronchospasm and anaphylaxis Acetaminophen - answerAction: an analgesic Use: headaches Effects: liver damage in overdose Asprin - answerAction: mediator of inflammation by inhibiting prostaglandins Use: headaches ©SIRJOEL EXAM SOLUTIONS 10/11/2024 1:41 PM Effects: GI upset Caffeine - answerAction: constriction of blood vessels; vascular constriction Use: headaches and energy Effects: excitement, insomnia, jitters Sumatriptan - answerAction: binds to serotonin receptors producing constriction of the cranial blood vessels and relieving pain Use: abortive therapy for migraine headaches Effects: dizziness, anxiety, fatigue, and chest pain Patient Teaching Guidelines - answer- take with food to prevent GI upset - Report dark tarry stool and abdominal pain - don't exceed prescribed dose - dispose of needles safely - teach how to administer Epilepsy - answera group of chronic neurologic disorders characterized by recurrent seizures convulsion - answerany sudden and violent contraction of one or more voluntary muscles Spasticity - answer- increased muscle tone or contraction and stiff, awkward movements

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©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM



NUR 218 EXAM #6 Exam Questions 100%
Solved.


What are the major structures of the male internal and external genitalia? - answer✔Penis


- Corpora cavernosa

- Corpus Spongiosum

- Glans

- Corona

- Urethra

- Foreskin

Scrotum:

- Rugae

- Cremaster muscle

- Testis

- Epididymis

- Vas deferens

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


Inguinal area

- inguinal ligament

- inguinal canal

- femoral canal


What are the 3 cylindric columns of erectile tissue in the penis? - answer✔Two corpora

cavernosa on the dorsal side and the corpus spongiosum ventrally

What is located at the distal end of the shaft the corpus apongiosum and expands into a cone of

erectile tissue? - answer✔the Glans


What is the shoulder where the glans joins the shaft? - answer✔Corona


What is the conduit for both the genital and urinary systems AND transverses the corpus

spongiosum and its meatus forms a slit at the glans tip? - answer✔Urethra


What is located over the glans which the skin folds in and back on itself, forming a hood or flap-

often is surgically removed shortly after birth by circumcision? - answer✔Foreskin AKA

prepuce


What is a loose protective sac which is a continuation of the abdominal wall? - answer✔Scrotum


What is the thin skin lying in folds in the scrotal wall and after adolescence the scrotum becomes

deeply pigmented and has large sebaceous follicles? - answer✔Rugae

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


What controls the size of the scrotum by responding to ambient temperature? -

answer✔Cremaster muscle




**Elevates and descends to keep the testes a 3 degrees C below abdominal temperature which is

best temperature for producing sperm**


What is the name of the scrotal halves that produce sperm? - answer✔Testis


What is the shape of the testes and dimensions? - answer✔Solid oval shape which is compressed

laterally and measured 4-5 cm long by 3 cm wide in the adult

What is the coiled duct system that caps the testicle and transports and stores sperm that is

produced in the testis? - answer✔Epididymis


What is mascular duct that combines with other vessels to form the spermatic cord, runs up the

inguinal canal of the abdomen, behind the bladder where join the seminal vesicle to form the

ejaculatory duct that empties into the urethra? - answer✔Vas deferns


What is the groin in the juncture of the lower abdominal wall and the thigh, holds the inguinal

canal, a narrow tunnel passing obliquely between layer of the abdominal muscle, 4-6 cm long in

adult? - answer✔Inguinal area


What are some developmental differences in the infants male genitalia? - answer✔Infants:


- prenatally the testes develop in the abdominal cavity near the kidneys

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


- later months of gestation the testes migrate, pushing abdominal wall in front of them and

dragging the vas deferens, blood vessels, and nerves behind

- testes descend along the inguinal canal into the scrotum before birth

- As birth, testes measure 1.5-2 cm long and 1 cm wide

- only a slight size increase occurs during prepubertal years


What are some developmental differences in the aging adult male genitalia? - answer✔- older

man doesnt experience a definite end to fertility as the women does

- production of sperm decreases around 40 y/o, although continuing in 80s - 90s

- testosterone productions decline after age 30 but very gradually, so resulting physical changes

are not evident until later

- amount of pubic hair decreases and turns gray

- penis size decreases

- due to decreased tone of dartos muscle, the scrotal contents hang lower, the rugae decrease, and

the scrotum looks pendulous

- testes decrease in size and less firm to palpation

- prostate gland surrounding the upper urethra undergoes expected tissue hyperplasia in about

80% of men over 60 y/o

- While not cancer, BPH (benign prostatic hyperplasia ca

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