A patient asks the healthcare provider about the benefits of receiving the human papillomavirus (HPV) vaccine. Which statement is the most appropriate response by the healthcare provider?

The HPV vaccine can help prevent cervical cancer.

The HPV vaccine will protect you from all types of the virus.

You will need to have a booster vaccination each year.

You will no longer need to get a routine cervical exam.

Answer and Explanation

The Correct Answer is A

Choice A reason: The HPV vaccine can help prevent cervical cancer, as it protects against the most common types of HPV that cause cervical cancer. HPV is a sexually transmitted infection that can infect the cervix and cause abnormal cell changes that may lead to cancer. The HPV vaccine is recommended for both males and females between the ages of 9 and 26.

Choice B reason: The HPV vaccine will not protect you from all types of the virus, as there are more than 100 types of HPV, and the vaccine only covers 9 of them. However, these 9 types are responsible for about 90% of cervical cancers and 80% of anal cancers. The vaccine also does not protect against other sexually transmitted infections, such as chlamydia, gonorrhea, or HIV.

Choice C reason: You will not need to have a booster vaccination each year, as the HPV vaccine is given in a series of 2 or 3 doses, depending on the age of the person. The vaccine provides long-lasting protection, and no additional doses are needed after completing the series.

Choice D reason: You will still need to get a routine cervical exam, as the HPV vaccine does not eliminate the risk of cervical cancer completely. The vaccine does not protect against all types of HPV, and some people may already be infected with HPV before getting the vaccine. Therefore, regular screening with a Pap test and/or an HPV test is still recommended for women aged 21 to 65 to detect any abnormal cells or HPV infection in the cervix.

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Correct Answer is D

Explanation

Choice A reason: The incidence of hepatitis C is not decreasing, but rather increasing, especially among young people who inject drugs. Hepatitis C is a chronic infection that can lead to liver damage and cancer.

Choice B reason: Hepatitis B is more contagious than HIV, as it can be transmitted by blood, semen, vaginal fluids, and other body fluids. Hepatitis B can also cause chronic infection and liver problems.

Choice C reason: A vaccine exists for hepatitis B but not for hepatitis C. Hepatitis B vaccine is recommended for all infants, children, and adults who are at risk of exposure. Hepatitis C vaccine is still under development.

Choice D reason: Hepatitis A is caused by eating contaminated food or drinking polluted water. It is an acute infection that usually resolves on its own. Hepatitis A vaccine is available for travelers and people who live in areas with poor sanitation.

A. Insulin B. Glipizide C. Acarbose D. Repaglinide

Correct Answer is A

Explanation

Choice A reason: Insulin is the preferred medication for gestational diabetes mellitus, as it does not cross the placenta and has no adverse effects on the fetus. It can be administered subcutaneously or intravenously, depending on the blood glucose level and the type of insulin.

Choice B reason: Glipizide is an oral antidiabetic agent that belongs to the sulfonylurea class. It stimulates the pancreas to secrete more insulin and lowers the blood glucose level. However, it is not recommended for gestational diabetes mellitus, as it can cross the placenta and cause hypoglycemia, macrosomia, or teratogenic effects on the fetus.

Choice C reason: Acarbose is an oral antidiabetic agent that belongs to the alpha-glucosidase inhibitor class. It delays the absorption of carbohydrates from the intestine and reduces the postprandial blood glucose level. However, it is not recommended for gestational diabetes mellitus, as it can cause gastrointestinal side effects, such as flatulence, diarrhea, or abdominal pain, and may interfere with the absorption of other nutrients.

Choice D reason: Repaglinide is an oral antidiabetic agent that belongs to the meglitinide class. It stimulates the pancreas to secrete more insulin and lowers the blood glucose level. However, it is not recommended for gestational diabetes mellitus, as it can cross the placenta and cause hypoglycemia, macrosomia, or teratogenic effects on the fetus.

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A patient asks the healthcare provider about the benefits of receiving the human papillomavirus (HPV) vaccine. Which statement is the most appropriate response by the healthcare provider?

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Naxlex Comprehensive Predictor Exams

Which of the following statements about the various forms of hepatitis is accurate?

Correct Answer is D

Explanation

A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?

Correct Answer is A

Explanation

Which of the following is a bacterial infection that spreads through any form of unprotected sex and by skin contact? Typically, it has stages of increasingly serious symptoms. If untreated, it may affect the heart, eyes, and brain. It can be treated with antibiotics.

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The overall number of cases of STIs is:

The nurse providing care in a women's health care setting must be aware of which sexually transmitted infection that can be successfully treated and cured?

What age group has the highest rates of STD infection?

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