MN 551 Patho Unit 8
A 60-year-old woman who is 11 years menopausal has presented to the emergency
department stating, "I haven't had my period in years, but lately I've been bleeding
again, and quite heavily in the last few days." The care team needs to rule out
endometrial cancer. How should they best explain the most accurate plan for confirming
or ruling out the diagnosis? - ANS-"We can do a Pap smear right now and we will get
the results as soon as we can."
"We are going to order blood work that will measure your hormone levels."
*******"We're going to have to open your cervix with a speculum and take scrapings
from the wall of your uterus."
"We're going to book a CT scan for you as soon as possible so that we can see what is
inside your uterus."
A 66-year-old man has presented to a nurse practitioner to get a refill for his antiplatelet
medication. The patient has a history of ischemic heart disease and suffered a
myocardial infarction 5 years ago and has unstable angina; he uses a transdermal
nitroglycerin patch to control his angina. The patient has a 40-pack-year smoking history
and uses nebulized bronchodilators at home for the treatment of transient shortness of
breath. He has long-standing hypertension that is treated with a potassium-sparing
diuretic and a ß-adrenergic blocking medication. During the nurse's assessment, the
man notes that he has been unable to maintain his erection in recent months. Which of
the following aspects of the man's health problems and treatments would the nurse
identify as NOT being contributing to his erectile dysfunction (ED)? - ANS-His age
His smoking history
His ischemic heart disease
His hypertension
******His use of bronchodilators
His antihypertensive medications
A 60-year-old woman who is 11 years menopausal has presented to the emergency
department stating, "I haven't had my period in years, but lately I've been bleeding
again, and quite heavily in the last few days." The care team needs to rule out
endometrial cancer. How should they best explain the most accurate plan for confirming
or ruling out the diagnosis? - ANS-"We can do a Pap smear right now and we will get
the results as soon as we can."
"We are going to order blood work that will measure your hormone levels."
*******"We're going to have to open your cervix with a speculum and take scrapings
from the wall of your uterus."
"We're going to book a CT scan for you as soon as possible so that we can see what is
inside your uterus."
A 66-year-old man has presented to a nurse practitioner to get a refill for his antiplatelet
medication. The patient has a history of ischemic heart disease and suffered a
myocardial infarction 5 years ago and has unstable angina; he uses a transdermal
nitroglycerin patch to control his angina. The patient has a 40-pack-year smoking history
and uses nebulized bronchodilators at home for the treatment of transient shortness of
breath. He has long-standing hypertension that is treated with a potassium-sparing
diuretic and a ß-adrenergic blocking medication. During the nurse's assessment, the
man notes that he has been unable to maintain his erection in recent months. Which of
the following aspects of the man's health problems and treatments would the nurse
identify as NOT being contributing to his erectile dysfunction (ED)? - ANS-His age
His smoking history
His ischemic heart disease
His hypertension
******His use of bronchodilators
His antihypertensive medications
