A 25-year-old woman who is not sexually active questions the nurse about the recommended frequency of Pap smears. What information should be provided?
a. Annual screening is recommended.
b. Screening is not needed for women who are not sexually active.
c. Screening in the woman who is not sex-ually active may be spaced every 5 to 7 years.
d. In the woman with negative screenings, the Pap test may be repeated every 2 years.
D
ACOG recommends that cervical cancer screening should begin at age 21 and be repeated every 2 years between ages 21 and 29 in asymptomatic women. Women with three consecutive nega-tive screenings at age 30 should have repeated testing every 3 years until age 65, when testing of asymptomatic women is no longer necessary. Women with cervical pathology or cancer should be screened annually for 20 years after treatment.
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Which of the following best describes the primary purpose of the Heart Disease, Cancer, and Stroke Amendments of 1965?
a. To improve coordination and planning of health care b. To increase the availability of high technology in health care c. To reduce overall health care costs d. To require certificates of need before expensive new construction or technologies are created
What data must the nurse have to establish a nursing diagnosis of a knowledge deficit?
1. The client is obese 2. The client does not speak or read English 3. The client is elderly and hard of hearing 4. There are gaps in the client's understanding
The extent to which people engage in behaviors such as planning, investing in the future, and delaying gratification is which cultural dimension?
a. Power distance b. Future orientation c. Institutional collectivism d. Gender egalitarianism
A 60-year-old male client comes into the emergency department with complaints of crushing chest pain that radiates to his shoulder and left arm. The admitting diagnosis is acute myocardial infarction. Immediate admission orders include oxygen by NC at 4L/minute, blood work, chest x-ray, an ECG, and 2mg of morphine given intravenously. The nurse should first:
a. Administer the morphine. b. Obtain a 12-lead ECG. c. Obtain the lab work. d. Order the chest x-ray.