A nurse is reinforcing teaching with a 30-year-old client who is concerned about cervical cancer. Which of the following statements should the nurse make?

"Cervical cancer screenings should begin at age 40

"Plan to continue cervical cancer screenings for the rest of your life."

"You should get a Papanicolaou (Pap) test and human papillomavirus test every 5 years."

"If you are immunized against human papillomavirus, you don't need cervical cancer screenings."

Answer and Explanation

The Correct Answer is C

A. "Cervical cancer screenings should begin at age 40.": Screenings start at age 21, not 40.
B. "Plan to continue cervical cancer screenings for the rest of your life.": Screenings can stop after age 65 if the client has had adequate prior screening and no high-risk factors.
C. "You should get a Papanicolaou (Pap) test and human papillomavirus test every 5 years.": Current guidelines recommend Pap and HPV co-testing every 5 years for women aged 30–65.
D. "If you are immunized against human papillomavirus, you don't need cervical cancer screenings.": HPV vaccination reduces risk but does not eliminate the need for routine screening.

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Correct Answer is B

Explanation

A. Administer a glycerin suppository: While this may help, addressing bowel hypoactivity through ambulation is less invasive and more appropriate initially.
B. Ambulate the client in the hallway. Ambulation stimulates peristalsis, which can help resolve hypoactive bowel sounds and abdominal discomfort, making it the priority action.
C. Request the client to be NPO: Making the client NPO might be necessary later if symptoms worsen or there is suspicion of ileus or obstruction, but it is not the first action.
D. Offer an analgesic medication: Pain relief is essential, but analgesics (especially opioids) can worsen bowel hypoactivity. Prioritize interventions that restore bowel function first.

A. "I will lie down for 30 minutes after each meal." B. "I will increase vitamin C intake by drinking orange juice." C. "I will sleep flat on my back at night." D. "I will eat six small meals each day."

Correct Answer is D

Explanation

A. "I will lie down for 30 minutes after each meal.": Lying down after meals increases reflux risk; clients should remain upright for 2–3 hours after eating.
B. "I will increase vitamin C intake by drinking orange juice.": Citrus juices are acidic and can aggravate GERD symptoms.
C. "I will sleep flat on my back at night.": Sleeping flat increases reflux; elevating the head of the bed is recommended.
D. "I will eat six small meals each day.": Smaller, more frequent meals reduce gastric distension and lower the risk of reflux.

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A nurse is reinforcing teaching with a 30-year-old client who is concerned about cervical cancer. Which of the following statements should the nurse make?

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