2024 Hondros 160 final WITH STUDY DIAGRAMS INCLUSIVE 100% SOLUTION

Breathing exercise used to improve gas exchange Pursed lip breathing PSA prostate specific antigen used to test for BPH. Proscar (finasteride) prevents the conversion of testosterone to dihydrotestosterone (DHT) in the body. DHT is involved in the development of benign prostatic hyperplasia (BPH). Can cause ED and decreased semen production Not for women or children Viagra (sildenafil) erectile dysfunction, monitor for hypotension, do not take nitrate while on this medication, be cautious while taking beta blockers with this medication complications of syphillis can lead to infertility or sepsis if left untreated HSV-2 (herpes simplex virus type 2) fluid filled vesicles that can be found in the mouth, genital, and anal regions. What is to be expected with TURP? Patient will be bleeding via urethra after TURP: Continuous bladder irrigation via 3-way cath will be needed to prevent blood from clotting in the urethra and obstructing urine output Large bags of saline (isotonic) are hung and the bladder will be flushed until output turns FROM cherry-red TO light/pale pink or yellow Maintain patency of catheter; kinks will cause spasms/pain and blood may clot and obstruct urethra TURP after care... Monitor catheter for patency Monitor VS and urine color q 2 hours for 24 hours: hemorrhage possible To determine output, subtract input of saline irrigant from total output Advise patient not to try to void around catheter: will cause spasms Teach patient not to lift anything heavy for 1-3 weeks after surgery Possible post op complications..... Pneumonia, DVT, PE, atelectasis (collapse of lung tissue), Resp. Depression due to meds, wound healing (infection, dehiscence, evisceration), injury, falls, constipation, bladder distension (after foley is removed) Post op preventative measures... IS, CDB (while splinting), leg exercises, ambulate ASAP, assistive devices, monitor I & Os, monitor wound healing, timely pain management Drug Schedules I-V Schedule I: street drugs with no medical use. Schedule II: narcotics approved for medical use. Opiod analgesics/Adderall, Ritalin Schedule III: anabolic steroids, low dose codeine, hormone supplements. Schedule IV: benzodiazepines, sleeping mediactions Schedule V: cough suppressants, anti-diarrheal, anti-vomiting medications Diabetic foot care No hot water, podiatrist cut toe nails, no lotion or powder between toes, no filing NG tube insertion 1. check order, gather equipment, introduce yourself, identify Pt., provide privacy, explain procedure, hand hygiene, gloves. 2. Assess abdomen for bowel sounds (5-25 in each quadrant) 3. Assess gag reflex and mental status 4. Measure tube from nose, ear, xyphoid process, tape tube after measured. 5. Place pt in high Fowler's position 6. Assess naries for patency. Determine which nostril to use. 7. Wrap tube around fingers to loosen it. 8. Lubricate 9. Instruct pt to extend neck back while inserting tube (curved end downwards), advance towards ears. 10. Stop once past nasopharynx, allow rest period. 11. Instruct pt to tuck chin and take sips of water. Advance tube with each swallow. (Dry swallows if NPO or aspiration risk) 12. Stop at tape, tape tube to nose and cheek. 13. Get verification of placement with chest X-ray. 5 vital signs temperature, pulse, respiration, blood pressure, pain Decreased O2 (hypoxia) O2 therapy (no more than 2 liters and nasal canula only for COPD pts), high Fowler's position/orthopneic position, breathing treatments O2 Safety Precautions No pertroleum jelly, highly flammable, no smoking Obtaining ABG