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Examination: Endometrial Ablation as an Alternative to Hysterectomy
FEBRUARY 2003, VOL 77, NO 2
Examination ENDOMETRIAL ABLATION AS AN ALTERNATIVE TO HYSTERECTOMY
choice when using this ablation method. a. fluid-filled balloon thermotherapy b. hydrothermal ablation therapy c. microwave and radio frequency vaporization d. monopolar electrosurgical vaporization
1.The term menorrhagia is defined as a. menstrual bleeding lasting longer than seven days. b. painful menstruation. c. abnormal bleeding between menstrual periods. d. temporary cessation of menstruation. 2. Treatment for menorrhagia would not include a. endometrial ablation. b. endometrial curettage. c. hormonal therapy. d. tuba1 ligation.
7.Saline is the fluid medium of choice for this ablation method. a. fluid-filled balloon thermotherapy b. hydrothermal ablation therapy c. microwave and radio frequency vaporization d. monopolar electrosurgical vaporization
3.Long-term use of androgenic steroids, such as danazol, can result in a. irreversible deepening of the patient's voice. b. increased thrombotic activity. c. lipid profile changes. d. hypoestrinism.
8.Loss of fluid through the fallopian tubes is not an issue during hydrothermal ablation therapy because a gravitation system is used for fluid instillation rather than a fluid pump. a. true b. false
4. Endometrial ablation is a surgical procedure that a. can be used as a treatment for endometrial cancer or hyperplasia. b. cauterizes endometrial fibroids. c. removes or destroys the endometrial lining of the uterus. d. cures endometriosis.
9. Which of the following nursing diagnoses is spe-
5.Uterine fluid-filled balloon thermotherapy is a procedure that causes thermal injury to the endometrium when is circulated in a balloon catheter placed in the uterine cavity. a. warm sorbitol b. superheated air c. warm 5% dextrose in water d. superheated carbon dioxide
cific to a patient undergoing endometrial ablation? a. risk for aspiration related to intraoperative positioning b. risk for acute pain related to tissue trauma secondary to the surgical procedure c. knowledge deficit regarding home care related to unfamiliarity with information d. risk for fluid volume imbalance related to intravasation of hypotonic fluids and potential blood loss
6.Sorbitol or glycine are the fluid mediums of
1QThe patient no longer is required to have an annual Pap smear after having undergone endometrial ablation. a. true b. false
AORN is accredited as a provider of continuing nursing educotion by the American Nurses Credentioling Center's Commission on Accreditation. AORN recognizes these activities as continuing educotion for RNs. This recognition does not imply that AORN or the
American Nurses Credentialing Center opproves or endorses praducts mentioned in the octivi/y, AORN is provider-approved by the California Board of Registered Nursing, Provider Number CEP 13019.
34 1 AORN JOURNAL
FEBRUARY 2003. VOL 77, NO 2
Answer Sheet ENDOMEXRIAL ABLATION AS AN ALTERNATIVE TO HYSTERECTOMY
lease fill out the application and answer form on this page and the evaluation form on the back of this page. Tear the page out of the Jour-nu1or make photocopies and mail to: AORN Customer Service c/o Home Study Program 2 170 S Parker Rd, Suite 300 Denver, CO 8023 1-571 I or fax with credit card information to (303) 750-3212.
ID Number
A score of 70% correct on the examination is
I
Session Number
required for credit. Additionally, please verify by signature that you have reviewed the objectives and read the article, or you will not receive credit.
Event # 03048 Session #7231 Contact hours: 3.5 Fee: Members $17.50; Nonmembers $35
Mark only one answer per question.
Program offered February 2003. The deadline for this program is Feb 28,2006. 1. Record your AORN member identification number in the appropriate section below (see your member card). 2. Completely darken the spaces that indicate your answers to examination questions one through 10. Use blue or black ink only. 3. Our accrediting body requires that we verify the amount of time you required to complete this 3.5 contact hour (175 minute) program. 4. Enclose fee if information is mailed.
AORN (ID) # Name Address City State RN license # State Phone number (
Zip
Fee enclosed or bill the credit card indicated 0MC 0Visa nAmerican Express Card # Expiration date Signature (for credit card authorization)
343 AORN JOURNAL
17 Discover
FEBRUARY 2003, VOL 77, NO 2
Learner Evaluation ENDOMITRIAL ABLATION AS AN ALTERNATIVE TO HYSTERECTOMY
The following evaluation is used to determine the extent to which this Home Study Program met your learning needs. Rate the following items on a scale of 1 to 5 . OBJECTIVES
To what extent were the following objectives of this Home Study Program achieved? ( 1 ) Define menorrhagia. ( 2 ) Discuss the types of hormone therapy available to treat menorrhagia. (3) Identify the fluid medium of choice used during each of the endometrial ablation approaches. (4) Describe the phases of care for a patient undergoing endometrial ablation.
I
Session Number
(Low) (High) (Low) (High)
PURPOSVGOAL
To educate the perioperative nurse about endometrial ablation as an alternative to hysterectomy. CONTENT
(5)Did this article increase your knowledge of the subject matter? (6) Was the content clear and organized? (7) Did this article facilitate learning? (8) Were your individual objectives met? (9) How well did the objectives relate to the overall purpose/goal? a. need for contact hours b. price c. subject matter relevant to current position d. number of contact hours offered
TEST QUESTIONS/ANSWERS
(10) Were they reflective of the content? ( 1 1 ) Were they easy to understand? (1 2 ) Did they address important points? LEARNER INPUT
( 1 3) Will you be able to use the information from this Home Study in your work setting? a. yes b. no (14) I learned of this Home Study via a. the Journal I receive as an AORN member. b. the Journal that I obtained elsewhere. c. the AORN web site. d. SSM Online. (15) What factor most affects whether you take an AORN Journal Home Study?
What other topics would you like to see addressed in a future Home Study Program? Would you be interested or do you know someone who would be interested in writing an article on this topic? Topic(s):
Author name(s) and address(es):
344 AORN JOURNAL
Examination ENDOMETRIAL ABLATION AS AN ALTERNATIVE TO HYSTERECTOMY
choice when using this ablation method. a. fluid-filled balloon thermotherapy b. hydrothermal ablation therapy c. microwave and radio frequency vaporization d. monopolar electrosurgical vaporization
1.The term menorrhagia is defined as a. menstrual bleeding lasting longer than seven days. b. painful menstruation. c. abnormal bleeding between menstrual periods. d. temporary cessation of menstruation. 2. Treatment for menorrhagia would not include a. endometrial ablation. b. endometrial curettage. c. hormonal therapy. d. tuba1 ligation.
7.Saline is the fluid medium of choice for this ablation method. a. fluid-filled balloon thermotherapy b. hydrothermal ablation therapy c. microwave and radio frequency vaporization d. monopolar electrosurgical vaporization
3.Long-term use of androgenic steroids, such as danazol, can result in a. irreversible deepening of the patient's voice. b. increased thrombotic activity. c. lipid profile changes. d. hypoestrinism.
8.Loss of fluid through the fallopian tubes is not an issue during hydrothermal ablation therapy because a gravitation system is used for fluid instillation rather than a fluid pump. a. true b. false
4. Endometrial ablation is a surgical procedure that a. can be used as a treatment for endometrial cancer or hyperplasia. b. cauterizes endometrial fibroids. c. removes or destroys the endometrial lining of the uterus. d. cures endometriosis.
9. Which of the following nursing diagnoses is spe-
5.Uterine fluid-filled balloon thermotherapy is a procedure that causes thermal injury to the endometrium when is circulated in a balloon catheter placed in the uterine cavity. a. warm sorbitol b. superheated air c. warm 5% dextrose in water d. superheated carbon dioxide
cific to a patient undergoing endometrial ablation? a. risk for aspiration related to intraoperative positioning b. risk for acute pain related to tissue trauma secondary to the surgical procedure c. knowledge deficit regarding home care related to unfamiliarity with information d. risk for fluid volume imbalance related to intravasation of hypotonic fluids and potential blood loss
6.Sorbitol or glycine are the fluid mediums of
1QThe patient no longer is required to have an annual Pap smear after having undergone endometrial ablation. a. true b. false
AORN is accredited as a provider of continuing nursing educotion by the American Nurses Credentioling Center's Commission on Accreditation. AORN recognizes these activities as continuing educotion for RNs. This recognition does not imply that AORN or the
American Nurses Credentialing Center opproves or endorses praducts mentioned in the octivi/y, AORN is provider-approved by the California Board of Registered Nursing, Provider Number CEP 13019.
34 1 AORN JOURNAL
FEBRUARY 2003. VOL 77, NO 2
Answer Sheet ENDOMEXRIAL ABLATION AS AN ALTERNATIVE TO HYSTERECTOMY
lease fill out the application and answer form on this page and the evaluation form on the back of this page. Tear the page out of the Jour-nu1or make photocopies and mail to: AORN Customer Service c/o Home Study Program 2 170 S Parker Rd, Suite 300 Denver, CO 8023 1-571 I or fax with credit card information to (303) 750-3212.
ID Number
A score of 70% correct on the examination is
I
Session Number
required for credit. Additionally, please verify by signature that you have reviewed the objectives and read the article, or you will not receive credit.
Event # 03048 Session #7231 Contact hours: 3.5 Fee: Members $17.50; Nonmembers $35
Mark only one answer per question.
Program offered February 2003. The deadline for this program is Feb 28,2006. 1. Record your AORN member identification number in the appropriate section below (see your member card). 2. Completely darken the spaces that indicate your answers to examination questions one through 10. Use blue or black ink only. 3. Our accrediting body requires that we verify the amount of time you required to complete this 3.5 contact hour (175 minute) program. 4. Enclose fee if information is mailed.
AORN (ID) # Name Address City State RN license # State Phone number (
Zip
Fee enclosed or bill the credit card indicated 0MC 0Visa nAmerican Express Card # Expiration date Signature (for credit card authorization)
343 AORN JOURNAL
17 Discover
FEBRUARY 2003, VOL 77, NO 2
Learner Evaluation ENDOMITRIAL ABLATION AS AN ALTERNATIVE TO HYSTERECTOMY
The following evaluation is used to determine the extent to which this Home Study Program met your learning needs. Rate the following items on a scale of 1 to 5 . OBJECTIVES
To what extent were the following objectives of this Home Study Program achieved? ( 1 ) Define menorrhagia. ( 2 ) Discuss the types of hormone therapy available to treat menorrhagia. (3) Identify the fluid medium of choice used during each of the endometrial ablation approaches. (4) Describe the phases of care for a patient undergoing endometrial ablation.
I
Session Number
(Low) (High) (Low) (High)
PURPOSVGOAL
To educate the perioperative nurse about endometrial ablation as an alternative to hysterectomy. CONTENT
(5)Did this article increase your knowledge of the subject matter? (6) Was the content clear and organized? (7) Did this article facilitate learning? (8) Were your individual objectives met? (9) How well did the objectives relate to the overall purpose/goal? a. need for contact hours b. price c. subject matter relevant to current position d. number of contact hours offered
TEST QUESTIONS/ANSWERS
(10) Were they reflective of the content? ( 1 1 ) Were they easy to understand? (1 2 ) Did they address important points? LEARNER INPUT
( 1 3) Will you be able to use the information from this Home Study in your work setting? a. yes b. no (14) I learned of this Home Study via a. the Journal I receive as an AORN member. b. the Journal that I obtained elsewhere. c. the AORN web site. d. SSM Online. (15) What factor most affects whether you take an AORN Journal Home Study?
What other topics would you like to see addressed in a future Home Study Program? Would you be interested or do you know someone who would be interested in writing an article on this topic? Topic(s):
Author name(s) and address(es):
344 AORN JOURNAL