As the new school nurse, you are doing a presentation to the junior high school students about the human papillomavirus
a. Explain how this is transmitted, the risk of infection, and how it can be treated.
b. What complications can this lead to?
c. What, if any, are the new treatments for preventative therapy?
Students' answers should include the following:
a. Most commonly transmitted STI in the United States
Condylomata or genital warts reoccur even after treatment.
Can be spread without skin-to-skin contact; penetration is not necessary
Podofilox gel and imiquimod cream to apply on warts; treatment may extend up to 16 weeks
May be cauterized for removal; local applications of chemicals to eradicate, not a cure
b. May be spread to other body areas
Can spread to respiratory passages during delivery
HPV are different than the strains that cause cervical cancer.
c. Prevention is the best way to not become infected.
Vaccination is now available for boys and girls aged 9 to 13 years before sexual activity.
Safe sex, use of condoms or abstinence, and vaccination
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A patient in the ICU is severely dehydrated. Which of the following findings would the nurse expect in this patient?
A) Orthostatic hypotension on standing B) Third heart sound C) Pitting edema D) Rales
The long-term asthmatic patient develops Cushing's syndrome. The nurse explains that this condition is probably the result of:
1. his taking corticosteroids for many years. 2. an abrupt withdrawal of cortisone therapy. 3. the lack of adrenocorticotropic hormone related to his pituitary gland. 4. poorly functioning adrenal glands.
What data in the client's history should the nurse recognize as being pertinent to a possible diagnosis of postpartum depression?
a. Teenage depression episode b. Unexpected operative birth c. Ambivalence during the first trimester d. Second pregnancy in a 3-year period
A patient with possible disseminated intravascular coagulation arrives in the emergency department with a blood pressure of 82/40, temperature 102° F (38.9° C), and severe back pain. Which physician order will the nurse implement first?
a. Administer morphine sulfate 4 mg IV. b. Give acetaminophen (Tylenol) 650 mg. c. Infuse normal saline 500 mL over 30 minutes. d. Schedule complete blood count and coagulation studies.