The patient's Pap smear result is ASC-US. The best way for the nurse to explain this result is "ASC-US means: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "Abnormal squamous cells of undetermined significance."
2. "Cancer has invaded the upper cervix."
3. "A sexually transmitted infection is present."
4. "The Pap should be repeated in 4 months."
5. "The cervical cells are abnormal, but the reason why is unknown."
1,3,4,5
Rationale 1: ASC-US stands for abnormal squamous cells of undetermined significance. This result is equivocal, and requires follow-up either through repeating the Pap every 4–6 months or with a colposcopic examination for more detailed information. ASC-US does not indicate cancer.
Rationale 2: ASC-US does not indicate cancer.
Rationale 3: Cervicitis caused by human papilloma virus (HPV) or another sexually transmitted infection can lead to an ASC-US result, but the results can also be caused by recent sexual intercourse. ASC-US does not indicate cancer.
Rationale 4: This result is equivocal, and requires follow-up either through repeating the Pap every 4–6 months or with a colposcopic examination for more detailed information.
Rationale 5: ASC-US stands for abnormal squamous cells of undetermined significance. The cervical cells are abnormal, but the reason why is unknown.
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