During a health history, a 22-year-old woman asks, “Can I get that vaccine for human papilloma virus (HPV)? I have genital warts and I’d like them to go away!” What is the nurse’s best response?
Let’s check with the physician to see if you are a candidate for this vaccine
This vaccine is only for girls who have not yet started to become sexually active
The vaccine cannot protect you now that you already have an HPV infection
The HPV vaccine is for girls and women ages 9 to 26 years, so we can start that today
The Correct Answer is C
Choice A reason: Checking with the physician delays addressing the patient’s misunderstanding. The HPV vaccine does not treat existing infections or warts, as it is preventive, making this response less direct and informative than needed.
Choice B reason: The HPV vaccine is not limited to those not yet sexually active; it is recommended up to age 26, even for those with sexual history. This statement is outdated and incorrect, as vaccination can still benefit some with prior exposure.
Choice C reason: The HPV vaccine prevents new HPV infections but does not treat existing infections or genital warts, which are caused by specific HPV strains. Since the patient already has warts, the vaccine won’t help, making this the correct response.
Choice D reason: While the HPV vaccine is approved for ages 9–26, it does not treat existing infections or warts. Starting it without clarifying its preventive role misleads the patient, making this an incorrect and misleading response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Asking about other drug allergies is relevant but secondary to understanding the penicillin allergy’s nature. Without clarifying the reaction’s severity (e.g., anaphylaxis vs. rash), the nurse cannot fully assess the risk, making this a less immediate response.
Choice B reason: Asking about the frequency of penicillin use does not address the nature or severity of the allergic reaction. This information is irrelevant to managing the allergy and ensuring patient safety, making it an inappropriate initial response.
Choice C reason: Asking the patient to describe their reaction to penicillin clarifies the type and severity of the allergy (e.g., rash, anaphylaxis). This informs safe medication administration and prevents adverse reactions, making it the most critical and appropriate response.
Choice D reason: Documenting the allergy is necessary but premature without understanding the reaction’s specifics. Assuming the allergy without verification could lead to incomplete charting or mismanagement, making this a less priority response compared to gathering details.
Correct Answer is D
Explanation
Choice A reason: Referred pain originates in one area but is felt elsewhere, not due to abnormal impulse processing. Neuropathic pain involves nerve dysfunction, so this is incorrect for the pain type described.
Choice B reason: Visceral pain arises from internal organs, not nerve processing issues. Neuropathic pain results from abnormal peripheral or central nerve activity, so this is incorrect for the pain mechanism.
Choice C reason: Cutaneous pain is skin-related, caused by direct stimuli, not abnormal nerve processing. Neuropathic pain involves nerve dysfunction, making this incorrect for the described pain type.
Choice D reason: Neuropathic pain results from abnormal pain impulse processing in the peripheral or central nervous system, such as in neuropathy or nerve injury. This matches the description, making it the correct choice.
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