An office nurse plans to vaccinate a client against HPV. This is an example of which of the following kinds of prevention?

Multiple myeloma

Cervical cancer

Ovarian cancer

Hodgkin's lymphoma

Answer and Explanation

The Correct Answer is B

A) Multiple myeloma: The HPV vaccine is not related to the prevention of multiple myeloma, which is a type of cancer that affects plasma cells in the bone marrow. Prevention strategies for multiple myeloma focus on managing risk factors, but HPV vaccination is not one of these strategies.
B) Cervical cancer: The HPV vaccine is specifically designed to prevent human papillomavirus (HPV) infection, which is a major risk factor for cervical cancer. By protecting against HPV, the vaccine helps prevent the development of cervical cancer, making it a form of primary prevention for this type of cancer.
C) Ovarian cancer: HPV vaccination is not related to the prevention of ovarian cancer. Ovarian cancer prevention strategies do not include the HPV vaccine, as HPV primarily affects the cervical region and some other genital areas, but not the ovaries.
D) Hodgkin's lymphoma: HPV vaccination is not used to prevent Hodgkin's lymphoma, a type of cancer that affects the lymphatic system. The prevention of Hodgkin's lymphoma typically involves addressing general cancer risk factors and monitoring for early symptoms, but it does not include the HPV vaccine.

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Correct Answer is C

Explanation

A) Right knee +1; Left knee 0: The scale for grading reflexes typically ranges from 0 to 4. A score of 0 indicates no reflex, which does not align with the description of having a diminished but not absent reflex. A score of +1 suggests a reduced but present reflex, which would be appropriate for a diminished reflex on the left side.

B) Right knee +3; Left knee +2: A score of +3 indicates an exaggerated or brisk reflex, while +2 denotes a normal reflex. Since the right knee reflex is normal, it should be documented as +2. A diminished reflex on the left side is more accurately reflected by a score of +1, not +2.
C) Right knee +2; Left knee +1: This is the most accurate documentation. A score of +2 denotes a normal reflex, which applies to the right knee. A score of +1 reflects a diminished reflex, which is appropriate for the left knee where the reflex is present but reduced.
D) Right knee +4; Left knee +3: A score of +4 represents a very brisk or hyperactive reflex, which is not consistent with a normal finding. Similarly, a score of +3 would indicate an exaggerated reflex, which does not fit the description of the right knee being normal. The correct grading for a normal reflex is +2, and for a diminished reflex is +1.

A. Tricuspid and mitral B. Mitral and aortic C. Aortic and pulmonic D. Pulmonic and tricuspid

Correct Answer is C

Explanation

A) Tricuspid and mitral: The tricuspid and mitral valves are best auscultated over the areas where the heart's valves are closest to the chest wall, specifically at the lower left sternal border and the apex, respectively. A louder S2 in the 2nd intercostal space right sternal border does not indicate the closure of these valves.
B) Mitral and aortic: The mitral valve is auscultated at the apex, and the aortic valve is best heard at the 2nd intercostal space right sternal border. While a louder S2 may be associated with the aortic valve, it is not consistent with the mitral valve.
C) Aortic and pulmonic: The aortic valve and pulmonic valve are located in the areas where S2 (second heart sound) is predominantly heard. The aortic valve is located at the 2nd intercostal space right sternal border, and the pulmonic valve is heard at the 2nd intercostal space left sternal border. A louder S2 in the 2nd intercostal space right sternal border indicates a louder closure of the aortic valve and potentially the pulmonic valve as well.
D) Pulmonic and tricuspid: The pulmonic valve is auscultated at the 2nd intercostal space left sternal border, while the tricuspid valve is heard best at the lower left sternal border. A louder S2 in the 2nd intercostal space right sternal border does not indicate the closure of the tricuspid valve.

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An office nurse plans to vaccinate a client against HPV. This is an example of which of the following kinds of prevention?

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Naxlex Comprehensive Predictor Exams

A client's patellar reflex is normal for the right side but diminished on the left. Using the scale for grading reflexes, how should the nurse document this finding?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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