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 This statement is outdated and incorrect, as vaccination can still benefit some with prior exposure.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 A
Explanation
Choice A reason: Clubbing, characterized by bulbous nail bed enlargement, is associated with chronic hypoxemia from conditions like asthma or COPD. It results from long-term low oxygen levels, making it the expected finding in this patient with chronic respiratory issues.
Choice B reason: Onychomycosis is a fungal nail infection unrelated to hypoxemia or asthma. Clubbing is directly linked to chronic oxygen deficiency, so this is not the expected nail condition in this patient’s context.
Choice C reason: Spooning (koilonychia) is associated with iron deficiency anemia, not hypoxemia or asthma. Clubbing is the nail abnormality seen in chronic respiratory conditions, so this is incorrect for the patient’s condition.
Choice D reason: Paronychia is an infection around the nail, typically from trauma or bacteria, not hypoxemia. Clubbing is the hallmark nail change in chronic asthma with low oxygen, so this is not the expected finding.
Correct Answer is D
Explanation
Choice A reason: A social group sharing traits like location or language describes ethnicity or community, not race. Race is primarily based on physical characteristics, not geographic or linguistic ties, making this an incorrect definition.
Choice B reason: The process of acquiring norms and beliefs refers to socialization or culture, not race. Race is defined by physical traits, not learned behaviors or cultural practices, making this an incorrect description.
Choice C reason: Shared attitudes, values, and roles define culture or ethnicity, not race. Race focuses on inherited physical characteristics, like skin color or facial features, not behavioral or social patterns, making this incorrect.
Choice D reason: Race is defined as a group sharing similar physical characteristics, such as skin color, facial features, or other genetic traits. This aligns with biological and anthropological definitions, making it the correct description of race.
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