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

Answer and Explanation

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 This statement is outdated and incorrect, as vaccination can still benefit some with prior exposure.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.

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Correct Answer is B

Explanation

Choice A reason: A normal tympanic membrane is not white with prominent capillaries. Such an appearance may indicate inflammation or infection (e.g., otitis media), where increased vascularity or opacity occurs, making this an abnormal and incorrect characteristic.

Choice B reason: A normal tympanic membrane is pearly gray, slightly translucent, with a visible cone of light reflecting off its taut surface. This reflects healthy middle ear anatomy, with no fluid or inflammation, making this the correct description.

Choice C reason: A pulled-in tympanic membrane suggests negative middle ear pressure, often due to eustachian tube dysfunction, not a normal finding. The normal membrane is flat or slightly concave, making this an incorrect characteristic.

Choice D reason: Light pink with a slight bulge suggests inflammation or fluid (e.g., otitis media), not a normal tympanic membrane. Normal membranes are pearly gray and flat, not pink or bulging, making this an incorrect description.

A. Malnutrition B. Overhydration C. Severe edema D. Severe dehydration

Correct Answer is D

Explanation

Choice A reason: Malnutrition may cause skin changes like dryness or thinning but does not typically cause tenting. Tenting reflects loss of skin elasticity due to fluid deficit, not primarily nutritional deficiency, making this an incorrect interpretation of the finding.

Choice B reason: Overhydration causes skin edema, leading to pitting or swelling, not tenting. Tenting occurs when skin lacks moisture and elasticity, which is the opposite of fluid excess, making this an incorrect interpretation of the observed skin turgor.

Choice C reason: Severe edema results in swollen, pitting skin due to fluid retention, not tenting. Tenting indicates a lack of interstitial fluid, as seen in dehydration, making this an incorrect interpretation of the skin turgor finding.

Choice D reason: Skin tenting, where skin slowly returns to its normal position after pinching, indicates severe dehydration. This occurs due to reduced interstitial fluid and loss of skin elasticity, commonly seen in significant fluid loss, making this the correct interpretation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse examines a patient’s tympanic membranes with an otoscope. The nurse understands the normal tympanic membrane exhibits which normal characteristic?

Correct Answer is B

Explanation

The nurse finds that a patient’s skin tents when assessing skin turgor. How would the nurse interpret this finding?

Correct Answer is D

Explanation

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