Hi guys, it's me, Professor D, and welcome back to my YouTube channel. On this video, we're going to be doing another Kahoot, and we're going to be covering men and women's health issues. Now, before we get started, as always, I'm going to ask you to please support me and support this channel by liking this video.
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Without any further ado, guys, let's get started. Men and women's health. First question.
Which of the following should the nurse include when educating a patient about terazosin? You should take this medication in the morning to avoid dizziness. Expect an immediate improvement in symptoms after the first dose. Change position slowly when rising from a sitting to standing position.
This medication may cause urinary retention initially. What would you teach your patient about terrazosin? Very good. Change position slowly when rising from sitting or lying down.
Why? Because an adverse reaction of this medic, an adverse action of this medication, I should say, is orthostatic hypotension. And so you're going to teach the patient to change position slowly.
You're going to teach them to dangle before standing up. Now this medication, it's an alpha one adrenergic blocker. It's used to treat BPH symptoms such as, you know, nocturia, hesitancy, urgency, but you do need to know one of the most concerning symptoms.
adverse effects because safety is involved is orthostatic hypotension. Next question. Which of the following statements by the patient indicates a need for further teaching about estradiol? I should report any unusual vaginal bleeding to my healthcare provider.
This medication will decrease my risk of developing breast cancer. I need to take this exactly as ordered to manage my menopausal symptoms. I may have side effects like nausea or breast tenderness while on this medication. Very good.
This medication will decrease my risk of developing breast cancer. So the question is asking us which one requires further teaching. Again, whenever you're being asked what requires further teaching, which requires follow-up, which requires clarification, which would you question?
What they're really asking you is for the wrong answer choice. And when it comes to this medication, estradiol, the wrong answer choice would be this medication will decrease my risk of developing breast cancer. Absolutely not. This is a hormone replacement.
And here's the thing. It doesn't ink well. let me not say that. Let me say it another way.
This medication definitely does not decrease your risk for breast cancer. It doesn't cause breast cancer necessarily. But what happens is if you have cancer anywhere in your body, guess what this hormone replacement is going to do?
It's going to feed that cancer. That cancer is going to grow and it's going to grow rapidly. So increasing the risk of cancer increases that risk of that cancer growing.
This is why it's so important patients who are taking hormone replacements, not to, let me tell you, like to the fact that will increase the risk. If they're a smoker, no healthcare provider in their right mind is going to prescribe this to the patient because their risk is so high. increases your risk for cancer.
It also increases your risk for DVTs. So no smoking, absolutely none at all. Okay. Something else you need to know about this medication.
Yes, it's a hormone replacement. It's also used as like a contraceptive agent, but you got to remember contraceptive agents, guys, they just prevent you from getting pregnant, not contracting STDs. It doesn't protect you from chlamydia.
chlamydia gonorrhea syphilis hiv you name it make sure you guys know that okay look at the other choices the reason we're not choosing the other choices are because they're correct i should report any unusual vaginal bleeding to my health care provider uh yeah right we want to make sure you're not having something like what endometrial cancer or hyperplasia i need to take this medication exactly as order to manage my menopausal symptoms absolutely you I may have side effects like nausea or breast tenderness while taking this medication. Yes, because remember, this is a hormone. How are you guys doing on the live? Okay, let's keep going.
Thank you. I see all the hearts. Thank you. Which of the following statements by the patient indicates a correct understanding of how to take finasteride?
I will need to have regular blood tests to monitor my testosterone level. I should not relieve my, I should not, oh, I should not relieve of my symptoms within a week of starting this medication. It takes several months to notice improvement in my urinary symptoms, or I should stop taking this medication once my symptoms improve.
Okay. Let's talk about this. This was close.
Most of you guys chose the right answer, but it was very close. So we're talking about the medication finasteride, and we want to know which one is correct. And the correct answer choice is, it may take several months to notice improvement of my urinary symptoms.
And that's very true. And when I say several months, three to six months before the patient starts to note improvement. Why is this important to teach a patient? Because if you don't tell them that, they're going to say, hey, something's wrong with me. It's working for everyone else, but it's not working for me.
I'm going to stop taking this medication. So you have to warn them in advance. 24 of you guys chose, I will need to have regular blood tests to monitor my testosterone level.
This medication is a 5-alpha reductase inhibitor. It treats BPH. Okay.
This medication has to be taken long-term for you to see any substantial amount of improvement. Okay. Regular blood tests, no. But...
you teaching that patient that they're going to have to be on this medication for a good three to six months before they start to see improvement? Absolutely. Look at the next option.
I should note relief of my symptoms within a week. No, I just told you it takes about three to six months. And last, I should stop taking this medication once my symptoms improve.
When in the history of pharmacology have you ever seen this teach a patient, oh, just stop taking the medication once you feel better? No. Even to stop taking medication, you have to be weaned off, or at least you have to have a talk with your healthcare provider about how you're going to stop taking that medication. When do you ever stop taking medication abruptly, number one? And number two, when does the patient ever make that decision?
Oh, I'm just going to stop taking my meds. Absolutely not. Okay, which statement by the patient indicates a need for further teaching about medroxyprogesterone acetate? I'll need to receive this injection every three months. I should increase my intake of calcium and vitamin D.
I should stop using condoms while on this drug. This medication may cause changes in my menstrual cycle. Which statement indicates a need for further teaching?
Very good. Those who are in the Kahoot, you did wonderful, but you guys on the live, so many of you guys were choosing blue and I don't understand why. Let's talk about this. What is this medication we're talking about? Medroxyprogesterone acetate.
This is Depo, the Depo shot. Okay. So the patient gets this shot.
They get it every three months and it is a contraceptive agent. It helps prevent you from getting pregnant, but it does not protect you against STDs. again, such as gonorrhea, chlamydia, syphilis, herpes, HIV, you name it.
So you have to teach a patient that, yeah, this is birth control, but it's not going to protect you from sexually transmitted infections. Everything else is right. I need to receive this injection every three months.
Yeah. I should increase my intake of calcium-validant vitamin D. Absolutely.
Why? Because this medication will put you at risk for osteoporosis. It can cause the bone to become porous.
And so you're going to teach a patient while they're getting these injections, they better be taking calcium every day. And what's the point of taking calcium if it's not being absorbed? You need vitamin D in order to absorb the calcium. That's why they're taking the vitamin D with the calcium. We don't want their bones to be porous.
And- This medication may cause changes in my menstrual cycle. Yes. Sometimes patients are placed on Depo, not necessarily for contraception, but because their menstrual cycle is all out of whack and the healthcare provider is trying to get it back to a normal cycle.
So everything's correct, except saying I should stop using condoms while on this drug. You better use condoms. You don't mess around and get something you don't want to get.
Okay, moving on. Which of the following should the nurse recommend to reduce the risk of osteoporosis? Engage in weight-bearing exercises like walking or weightlifting.
Limit calcium intake to reduce the risk of kidney stones. Avoid taking vitamin D supplements to prevent toxicity. Or high-impact exercises such as running should be avoided. While you guys are thinking of your answer, those of you on the live. Who's at higher risk for osteoporosis, men or women?
Very good. Engage in weight-bearing exercises such as walking or weightlifting. Why? We know that weight-bearing exercises, what does it do?
It pulls all of that calcium that was hanging out in the bloodstream and makes it go back into the bones where it belongs to make the bones nice and strong. All of the others are wrong. Limit calcium intake? No. They need calcium to make the bones stronger.
You need the vitamin D to absorb the calcium. Avoid taking vitamin D? No. Again, you need vitamin D to absorb the calcium, which makes the bones stronger. And last, high impact exercises such as running should be avoided?
No. You tell a patient, if a patient's at risk for harming themselves because they have some type of musculoskeletal issue where they can't run, then... That type of patient, you would tell them not to run. But just generally speaking, high impact exercises such as running, such as jogging should not be avoided. Why?
Because those are weight bearing exercises and it will help to pull the calcium back to the bone where it belongs. Oh, I'm sorry. Did my live pause? Are you guys with me?
Okay. Which of the following statements by the patient indicates a correct understanding of hormone replacement therapy? HRT will completely eliminate my risk for developing osteoporosis. I should report any unusual vaginal bleeding to my health care provider.
HRT will reduce my risk of cardiovascular disease in the long term. Or once I start HRT, I will need to take it for the rest of my life. Very good.
Guys, I gave you guys this answer when I was explaining another rationale earlier in this kahoot. Unusual vaginal bleeding should be reported. Why?
We want to make sure there's nothing going on like cervical cancer, endometrial hyperplasia, endometrial cancer. Look, in the whole answer, look what it says. Unusual vaginal bleeding. First of all, you shouldn't have vaginal bleeding.
And then we put that unusual in front of it. How could anyone choose anything else? Look at the other options. HRT will completely, excuse me, is it completely an all-inclusive? Did I not tell you to stay away from all-inclusives always?
Never, only, every, completely, completely eliminate the risk of developing osteoporosis? Absolutely not. If anything, it can increase your risk. Next. HRT will reduce my risk of cardiovascular disease in the long term.
It increases your risk for cardiovascular disease. Remember, that's another thing I already explained to you earlier. I was telling you when it comes to hormone replacement therapy, increases your risk for things like what? Deep vein thrombosis, heart disease.
You better not be smoking. Once I start HRT, I'll need to take it for the rest of my life. That's inaccurate.
That's not true. Once you start, you can stop. You don't have to be on it for the rest of your life.
Now, it's a hormone replacement. You're going to need to be weaned off. You're not going to be able to stop abruptly, but you absolutely can stop. Which of the following recommendations should the nurse provide to the patient with PCOS?
PCOS, that's polycystic ovarian syndrome. Here are your choices. A low-protein, high-carb diet is recommended.
Weight loss through a healthy diet and regular exercise can help with symptoms. PCOS has no association with insulin resistance, so no dietary change is needed. Or PCOS is cured after the first pregnancy, so no changes are necessary after birth. Okay. I'm very, very happy that most of you guys chose the correct answer.
Weight loss through a healthy diet and regular exercise can help with these symptoms. And that's absolutely true. With PCOS, we don't know exactly what causes it, but we know this imbalance of hormones and women of child, what's the word I'm looking for?
Childbearing age, right? They can have this hormonal imbalance and it could cause them to get acne. It could cause them to get facial hair.
It could cause them to gain a lot of weight. It could cause them to have insulin resistance. So teaching that patient a healthy diet and regular exercise absolutely can help decrease those symptoms. Everything else here is wrong.
Look at the first one. Low protein, high carb diet. No.
Again, a healthy balanced diet with regular exercise. Next, PCOS. Look, the last two guys automatically you should have gotten rid of. PCOS has no association.
Isn't that an absolute? And next, PCOS is cured after the first pregnancy, so no changes are necessary after birth. Hello, stay away from all-inclusives.
99.9% of the time when you guys are doing those test questions and you see an all-inclusive, the answer is wrong. Do not choose an answer choice with an all-inclusive unless you know beyond the shadow of a doubt that that is the correct answer. And usually, it's not. Okay? There was something else I wanted to say to you.
Um, maybe there wasn't nevermind. Just joking. All right.
True or false and elevated PSA. That's the prostate specific antigen is a definitive diagnosis for prostate cancer. True or false.
If I could see the 18 people face-to-face that chose true, so I could wrap my hands around your neck and start to squeeze and shake. I just told you to stay away from all-inclusive answers. Definitive? What do you think definitive means?
An elevated PSA is a definitive diagnose for cancer. No, it's not. Because guess what?
The PSA could be elevated if the patient's got prostatitis, that prostate's inflamed. They don't have prostate cancer. They just have an inflammation of the prostate.
PSA can be elevated in other conditions. If that PSA is elevated, that is not a definitive diagnosis for prostate cancer. But I'm very proud of the 37 that chose false.
It arises in BPH. That doesn't mean you have prostate cancer. All right, for best results, sildenafil should be taken on a full stomach.
Is this true or is this false? False. Thank you, Empress.
Empress said biopsy is used. That's right. Biopsy.
That's how you get the definitive diagnosis. Absolutely. False. False. It needs to be taken on an empty stomach.
This is your anti-impotent drug. This is the drug that makes the man, you know what I'm talking about? Yeah. So that drug, it needs to be taken on an empty stomach.
And I want you to think about how it works. Okay. In order for that man to be able to, right.
What happens? Blood pools down there and makes down there be able to. So what do you think's happening to the blood in your vessels? If all the blood is going down there, patients are already at risk for their blood pressure being low. So you're going to teach that patient to stay away from antihypertensive agents, drugs that will already lower the blood pressure.
Because remember, all of their blood is already going down there to make them, you think they need something to make it worse? So they need to stay away from antihypertensive agents. They need to stay away from nitrates because nitrates cause what? Vasodilation. You think that type of patient needs any more vasodilation?
Absolutely not. Matter of fact, you're going to teach that patient if they have for longer than four hours, they better call 911. That's a medical emergency because we don't want them to get to the point where it has to get cut off. Okay.
All right. And guys, that's right. Kimbo.
Kimbo says, can we give with nitroglycerin? You better not. You will lose your license.
No nitrates. What does nitroglycerin do? It causes vasodilation. Absolutely not.
No nitrates, no antihypertensive medications. All right, guys, that is the end of this Kahoot. As I promised, it was very short.
But if you guys want to see more Kahoots on these topics, just let me know in the comment section. I will definitely make more Kahoots for you. Let's see how you guys did.