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A 50-year-old woman comes in for her annual pelvic checkup with complaints of occasional urinary urgency (abrupt need to urinate), sometimes with “near incontinence” just as she is reaching the toilet. She denies intake of any potentially bladder-irritating substances, such as beverages containing caffeine or synthetic sweeteners. She also mentions that she is having difficulty with decreased lubrication during intercourse and that her menses are very irregular. On physical examination, you notice some thinning of the vaginal mucosa.
Based on your understanding of the major role that estrogen plays in maintaining continence, discuss your plan for patient education.
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- Mrs. Vanessa Narciso, a 35 weeks pregnant client approaches the hospital and verbalizes "Nurse Marina, my water broke. Which of the Following findings would Nurse Marina expect? Nitrogen paper indicated acidic pH of fluid Contractions occurring every 3 minutes Female patterns when vaginal fluid dries on a glass slide Cervical dilatation of 11 cmWhich of the following statements, if identified by the nursing student, would specify that teaching about cervical mucus changes as an sign for ovulation has been understood? If my cervical mucus is thick and white, I will need to avoid intercourse or use back-up method of contraception. If my cervical mucus is thin and watery, Fam probably fertile 'If my cervical mucus is yellowish and thick, I am probably fertile The thin, dear mucus will block the sperm from getting into my cervixKelly is a 36-year-old female who has a history of type 2 diabetes, several respiratory infections as a child, and two full-term pregnancies (5 and 7 years ago). Two days ago, she began feeling a burning sensation when urinating. Her pain is progressively getting worse. Kelly assumes that she has a urinary tract infection (UTI) and makes an appointment at her primary clinic to seek relief. Aside from Kelly’s complaint, which other symptoms are likely for her condition? (Select all that apply.) Strong urge to urinate Frequent urination in small amounts Red, pink, or light brown colored urine Right upper quadrant pain Cloudy urine Pelvic pain
- Mrs. Johnson, a 45-year-old woman, presents with complaints of frequent urination, lower back pain, and swelling in her ankles. Upon further examination, her medical history reveals a previous diagnosis of polycystic kidney disease. Simultaneously, she expresses concerns about irregular menstrual cycles and difficulty conceiving. Design a comprehensive plan of care considering both the disorders of the kidney and urinary tract, as well as disorders of the reproductive system, to address Mrs. Johnson's health concerns.Postpartum hemorrhage can cause hypovolemic shock. If a postpartum patient is experiencing hypovolemic shock resulting from uterine atony, important nursing diagnosis is fluid volume deficit related to excessive blood loss. Which of the following complications is most likely responsible for a delayed postpartum hemorrhage? Uterine subinvolution Perineal laceration Clotting deficiency Cervical lacerationA 38-year-old Filipino patient, G3P2+0 presented to the emergency department on the 18th of October 2019 complaining of acute onset of lower abdominal pain associated with a history of amenorrhea for three months. She was unsure of the date of her last menstrual period and had no previous antenatal follow-up. She was medically free, and her past obstetric history included a normal uncomplicated vaginal delivery, followed by a cesarean section which was performed four years back. She had no allergies and was not taking any medication or contraception. Upon presentation, she complained of generalized lower abdominal pain, which was of a sudden onset, continuous, not radiating, and not relieved by oral analgesia. The pain was associated with nausea and symptoms of anemia such as dizziness and shortness of breath, but there was no history of loss of consciousness, gastrointestinal or urinary tract symptoms. There was no history of fever or symptoms suggestive of pelvic inflammatory…
- A 32-year-old client presents to the health clinic with right inguinal bulging when straining, and complains of pain in the area radiating to the right thigh. He states concern about his testicular size and asymmetry. He also inquires about testicular self-examination (TSE). State the difference between the size and height of the testes.A 32-year-old client presents to the health clinic with right inguinal bulging when straining, and complains of pain on the area radiating to the right thigh. He states a concern about his testicular size and asymmetry. He also inquires about testicular self examination (TSE). The following questions will assist the nursing student in the assessment of this male client suspected for inguinal herniation. How do you palpate the scrotum and testicles? What significant findings will you check for? How do you palpate for the epididymis and spermatic cord. What is the difference in terms of their consistency? How do you check for inguinal femoral, and scrotal herniations? Enumerate the critical steps when teaching Testicular Self Examination?A 32-year-old client presents to the health clinic with right inguinal bulging when straining, and complains of pain on the area radiating to the right thigh. He states a concern about his testicular size and asymmetry. He also inquires about testicular self examination (TSE). The following questions will assist the nursing student in the assessment of this male client suspected for inguinal herniation. Identify and describe the stages of the Tanner's Sexual Maturity Rating Scale for the male client. State the difference between the size and height of the testes. When and how do you perform a transillumination test?
- Mrs. Aunor a 43-year-old G1PO comes into the Maternity Center for her routine OB visit at 38 weeks. She denies any problems since she was seen the week before She reports good fatal movement and dentes any leakage of fluid per vagina, vaginal bleeding or regular uterine contractions. She reports that sometimes she feels crampy at the end of the day when she gets home from work, but this discomfort is alleviated with getting off her feet. The fundal height measurement is 36 cm; it measured 37 cm the week before. Her cervical examination is 2 cm dilated. Which of the following is the most appropriate next step in the management of this patient? a. Instruct the patient to return to the center in 1 week for her next routine visit b. Send the patient for a sonogram to determine the amniotic fluid index c. Order the patient to undergo a nonstress test d. Do a ferm test in the office e. Admit the patient for induction caused by diagnosis of fetal growth legNarciso, year-old GIPO comes into the in for her routine OB at 38 weeks denies any problems since she was examined the week before She has fetal movement and disagrees any with, vaginal bleeding or regular uterine contractions. She describes that sometimes she feels crampy at the end of the day when she gets home from work, but this discomfort is alleviated with getting off her feet. The fundal height measurement 36 measured 37 weeks before. Her cervical examination 2. Which of the following is the most appropriate next step in the management of this patient? Order the patient to undergo a nonstress rest Admit the patient for induction caused by a diagnosis of fetal growth leg Instruct the patient to return to the clinic in 1 week for her next routine visit Send the patient for a sonogram to determine the amniotic fluid index Do a firm test in the officeA female patient age approximately 23-25 years and her body weight is quite normal, BMI is also normal. She don't have any major health related problems. Recently she diagnosed with Poly cystic ovary syndrome (PCOS) and healthcare professionals prescribe her with this medication named Rosen 28 plus, i attached the image below. My question is, if she continue this medication for longer periods of time does any complications occurs? Or is there any problems or health related complications occurs if she continues with this medication for longer time? I will rate you positive if you accurately answer my question. Thank you.