When preparing a teaching plan for a female adolescent with a sexually transmitted infection (STI), the nurse plans to address the fact that the adolescent is at increased risk for cervical cancer. Which STI would the adolescent most likely have?
genital warts
genital herpes
syphilis
chlamydia
The Correct Answer is A
A. Genital warts: Genital warts are caused by the human papillomavirus (HPV), particularly types 16 and 18, which are strongly associated with the development of cervical cancer. Persistent HPV infection leads to cellular changes in the cervix, making regular Pap smears and HPV vaccination essential preventive measures.
B. Genital herpes: Herpes simplex virus type 2 (HSV-2) causes painful vesicular lesions but is not linked to cervical cancer. Although recurrent herpes infections can cause discomfort and emotional distress, they do not cause malignant transformation of cervical cells.
C. Syphilis: Caused by Treponema pallidum, syphilis can lead to systemic complications affecting multiple organs if untreated. However, it is not associated with cervical cancer risk, as it does not cause persistent cellular damage to the cervix.
D. Chlamydia: Chlamydia trachomatis infection can lead to pelvic inflammatory disease and infertility but does not directly cause cervical cancer. Its link to cancer is indirect, mainly through chronic inflammation, but HPV remains the primary viral cause of cervical malignancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Newborns do not expand their lungs fully with each respiration.": While newborns may have shallow breathing due to immature respiratory muscles, lung expansion does not directly affect the accuracy of respiratory rate measurement.
B. "The rate and rhythm of breath are irregular in newborns.": Newborns commonly exhibit periodic breathing, where the rate and rhythm fluctuate with brief pauses. Counting for a full minute ensures an accurate average respiratory rate and helps detect any abnormal patterns such as apnea.
C. "Newborns are abdominal breathers.": Although newborns primarily use the diaphragm for breathing, resulting in visible abdominal movement, this characteristic does not affect the need to count respirations for a full minute.
D. "Activity will increase the respiratory rate.": While true that crying or movement increases respiration, the nurse counts the rate during quiet rest. The irregular rhythm not activity level is the key reason for measuring over a complete minute.
Correct Answer is A
Explanation
A. "This medication is being prescribed to help with your symptoms because it has a lower incidence of uterine cancer.": Combining progesterone with estrogen in women who still have a uterus helps protect the endometrial lining. Estrogen alone can cause endometrial hyperplasia, increasing the risk of uterine cancer, while progesterone counteracts this effect.
B. "If you notice breast tenderness, bloating, nausea, or changes in your weight, notify your health care provider immediately.": Although these are possible side effects of hormone replacement therapy, they are not the reason both hormones are prescribed together.
C. "You need to take this medication 1 to 2 hours after eating to best promote adequate absorption.": Estradiol-progesterone absorption is not significantly affected by food intake, so timing the medication with meals is not a primary concern.
D. "This is one of the most recommended medications to help prevent bone loss as you continue to age.": While hormone therapy can help reduce osteoporosis risk, the main purpose of adding progesterone is to prevent endometrial cancer, not to enhance bone protection.
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