Nurs 550 Final Study Guide Graded A+

Pelvic inflammatory disease pathophysiology {Ans: 1. STD-causing bacteria may enter vagina w/semen 2. Bacteria may pass through cervix and enter uterus 3. Bacteria enter fallopian tubes and ovaries, which can become infected 4. Infection can leave fallopian tubes and spread to other parts of body}Elderly GI function {Ans: Decreased saliva, less effective chewing Decreased acid production; decreased absorption of iron, calcium, vitamin D Slowed transit of the colon}A 33 year old construction worker comes for evaluation and tax of acute onset of low back pain. He notes that the pain is an aching located in the lumbosacral area. It has been present intermittently for several years; there is no known trauma or injury. He points to the left lower back. The pain does not radiate and there is no numbness or tingling in the legs or incontinence. He was moving furniture over the weekend. On exam you note muscle spasm, w/normal deep tendon reflexes and muscle strength. What is the most likely cause of the back pain? A. Herniated disc B. Compression fx C. Mechanical low back pain D. Ankylosing spondylitis {Ans: C. Mechanical low back pain}elderly CV systems {Ans: Orthostatic Hypotension: sudden drop in BP