A sexually active 18-year-old female presents to the nurse practitioner for abnormal uterine bleeding. A finding that does not usually suggest cervical cancer is:
infection with HPV.
hardening of the cervix.
an irregular, cauliflower-like cervical growth.
a cervical polyp.
The Correct Answer is D
Rationale:
A. Infection with HPV, especially high-risk strains, is strongly associated with cervical cancer.
B. Hardening of the cervix can indicate malignant changes.
C. An irregular, cauliflower-like cervical growth is a classic visual finding in cervical cancer.
D. A cervical polyp is typically benign and does not usually suggest cervical cancer, though it may cause abnormal bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Gentian violet can be used for fungal infections but is less preferred due to staining and potential irritation, especially in infants.
B. Oral fluconazole is generally reserved for severe or widespread Candida infections, or when topical therapy fails; it is not first-line for uncomplicated diaper-area candidiasis.
C. Topical clotrimazole, applied three times daily for 7 days, is the treatment of choice for localized Candida albicans infections in the diaper area. It is effective, safe, and well-tolerated in infants.
D. Topical hydrocortisone may reduce inflammation but does not treat the underlying fungal infection and may worsen Candida overgrowth if used alone.
Correct Answer is B
Explanation
Rationale:
A. The varicella vaccine is not indicated after infection, as the child has already developed immunity.
B. Acetaminophen (Tylenol) can be administered to manage fever and discomfort associated with chickenpox. This is supportive care, which is the mainstay of treatment.
C. Retapamulin (Altabax) is a topical antibiotic used for bacterial skin infections, not viral infections like chickenpox.
D. Hydrocortisone cream is generally not recommended for chickenpox lesions due to the risk of secondary infection; soothing measures like calamine lotion or oatmeal baths are preferred for pruritus.
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