A patient's gynecologic examination reveals dysplasic changes of the cervix. Which historical information would the nurse interpret as indicating an increased risk that these changes are related to cervical cancer?

1. The patient was treated for human papillomavirus 2 years ago.
2. The patient reports "getting drunk" a few times a year.
3. The patient did not become sexually active until marriage at age 22.
4. The patient reports eating fast food several times a week.


1
Rationale 1: Human papillomavirus has been linked to the development of cervical cancer.
Rationale 2: Alcohol consumption is not directly related to the development of cervical cancer.
Rationale 3: The nurse cannot determine the risk associated with sexual activity as it is unclear how many sexual partners the patient has had since marriage. Virginity until marriage at age 22 does not predict future sexual activity.
Rationale 4: The normal "fast food" diet is high in fat and low in fiber and is not a healthy life choice, but it is not implicated in the development of cervical cancer.

Nursing

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