The nurse is about to tell a patient that her Pap smear result was abnormal. Which statement should the nurse include?
1. "The Pap smear is used to diagnose cervical cancer."
2. "A loop electrosurgical excision procedure (LEEP) is needed."
3. "Colposcopy to further examine your cervix is the next step."
4. "Your cervix needs to be treated with cryotherapy."
3
Rationale 1: The Pap smear is a screening tool for cervical abnormalities; it is not diagnostic.
Rationale 2: Although LEEP (the removal of the surface tissue of the cervix) might be performed to treat cervical dysplasia or carcinoma in situ, this patient has not had a diagnostic examination yet.
Rationale 3: Colposcopy is an examination of the cervix through a magnifying device.
Rationale 4: Cryotherapy, or freezing of the cervix, is one treatment option for precancerous cervical lesions.
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A client presents with an inability to make decisions and function independently. The nurse knows these symptoms are indicative of which of the following disorders?
1. Dependent personality disorder 2. Paranoid personality disorder 3. Schizotypal personality disorder 4. Schizoid personality disorder
The nurse is having trouble correcting a health problem with a strategy that has worked in the past. What should the nurse do about the health problem?
A) Nothing since the strategy no longer works B) Avoid dwelling on the unpleasant health problem C) Identify new strategies to correct the health problem D) Continue to implement the strategy that has worked in the past
A nurse assesses a patient's capillary refill time as less than 3 seconds. What does this assessment indicate?
a. Hypertension b. Tissue perfusion c. Excess fluid volume d. Increased blood viscosity
Vicky has just learned she has vaginal cancer. She is upset and doesn't understand how this has happened. She turns to you, the clinical educator, for more information
a. Discuss what causes vaginal cancer. b. Who is likely to have vaginal cancer? c. What symptoms would you expect to find? d. What is the treatment for this? e. What is the prognosis and nursing care involved?