A client's Pap test reveals cervical cells with dysplasia changes. The nurse understands that information obtained during the client's health history and identified as a major risk factor for cervical cancer is:
drinking a glass of red wine with dinner.
infection with human papilloma virus (HPV).
having a PAP test performed annually by her gynecologist.
being married for 21 years to the same person.
The Correct Answer is B
A. This statement is false in terms of being a major risk factor for cervical cancer. While excessive alcohol consumption may have various health implications, moderate drinking, such as a glass of red wine with dinner, is not directly linked to an increased risk of cervical cancer.
B. Infection with certain high-risk strains of HPV is a major risk factor for cervical cancer. HPV is a sexually transmitted virus that can cause changes in cervical cells, leading to dysplasia and potentially progressing to cancer if not monitored and treated.
C. In fact, regular Pap tests are a preventive measure that can help detect cervical changes early before they develop into cancer. They are not a risk factor but rather a protective factor against the progression of cervical dysplasia to cancer.
D. While sexual history can influence HPV transmission, simply being married to the same person for an extended period does not inherently increase the risk of cervical cancer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7"]
Explanation
(desired dose * volume of solution) / (concentration of drug * time) = rate.
For an infusion of 7 units per hour with a concentration of 100 units in 100 mL, the calculation would be: (7 units/hour * 100 mL) / (100 units * 1 hour) = 7 mL/hour.
Therefore, the nurse should set the IV pump to 7 mL per hour to deliver a continuous infusion of insulin at the prescribed rate.
Correct Answer is B
Explanation
A. While antibiotics may be necessary if a UTI is confirmed, requesting a prescription would not be the immediate nursing action. The nurse must first assess the situation thoroughly and obtain necessary diagnostic information before medications can be prescribed.
B. This option is the most appropriate immediate action. Obtaining a full set of vital signs helps assess
the client’s overall condition, including the degree of fever and any signs of systemic infection. Collecting
a urine specimen will facilitate further evaluation, such as a urinalysis and culture, to confirm a UTI and identify the appropriate antibiotic treatment.
C. While increasing fluid intake can help with urinary tract health and dilute the urine, it is not an immediate priority in this situation. The client may need more urgent assessment and possible medical intervention rather than just dietary changes.
D. Although protective isolation may be warranted given the client’s immunocompromised state due to chemotherapy and radiation, it is not the immediate priority based on the current symptoms. The focus should first be on assessing and addressing the potential UTI.
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