The nurse is caring for a young woman who is newly diagnosed with genital warts. She states, "I heard you can get cancer from STDs. Is that true?" Which of the following responses by the nurse is correct?
a. "No, you cannot get cancer from STDs."
b. "No, that is not true, but a diagnosis of cancer does increase the risk of contracting an STD."
c. "Yes, most STDs can lead to cancerous changes if not treated promptly."
d. "Yes, some STDs have been linked to cancer, so adequate treatment is very important."
ANS: D
Herpes, human papillomavirus (HPV), and hepatitis (not most sexually transmitted diseases [STDs]) have been associated with cancers.
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When the nurse begins the assessment interview with a client, aged 62 years, she notes that the client
gives answers to questions that seem somewhat vague or slightly unrelated to the question. The client also leans forward and frowns as she listens intently to the nurse. An appropriate question for the nurse to ask would be a. "I notice you frowning. Are you feeling annoyed with me?" b. "Are you able to hear clearly when I speak in this tone of voice?" c. "How can I make this interview a bit easier for you?" d. "You seem to be having some trouble focusing on what I'm saying. Is something distracting you?"
A 52-year-old patient reports that he must hold his paper farther and farther away from his face to read it. What is the nurse's most informative response?
a. "You are describing myopia. Glasses will help you read." b. "You may have astigmatism, but your eyes will finally adjust." c. "You have presbyopia. Nonprescription reading glasses will help you." d. "An eye infection may be the problem. Check with your physician for medica-tion."
Assessment for surfactant level via LS ratio in the amniotic fluid is a primary estimation of fetal maturity. What is the purpose of surfactant?
A) Prevent alveoli from collapsing on expiration B) Increase lung resistance on inspiration C) Encourage immunologic competence of lung tissue D) Promote maturation of lung alveoli
After reviewing the literature, the evidence-based practice committee institutes a practice change that bedrails should be left in the down position and hourly nursing rounds should be conducted
The results indicate over a 40% reduction in falls. What is the committee's next step? a. Evaluate the changes in 1 month. b. Implement the changes as a pilot study. c. Wait a month before implementing the changes. d. Communicate to staff the results of this project.