A 52-year-old female client had been treated for human papillomavirus. After 3 years of testing, the client's Pap smears are normal. The nurse realizes that the client's next Pap smear should be in:
1. 2 years
2. 3 years
3. 5 years
4. 10 years
2
If the client is between the ages of 30 to 70 and has three normal Pap smear results, the client does not need to have another Pap smear for 3 years. If the client is between the ages of 21 to 30 and has normal Pap smear results, the client needs another Pap smear in 2 years. If the client is over the age of 70 and the last three Pap smear results were normal, within 10 years, the Pap smears can be discontinued.
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The nurse assesses assigned patients and determines which patient is at highest risk for altered skin integrity?
a. Young adult in traction who has a low-protein diet and dehydration b. Elderly patient diagnosed with well-controlled type 2 diabetes c. Middle-aged adult with metabolic syndrome taking antihypertensives d. Adolescent in bed with influenza having periods of high fever and diaphoresis
The nurse is assessing a client before surgery. Which assessments contraindicate the client having surgery as scheduled? (Select all that apply.)
a. Potassium level of 2.8 mEq/L b. International normalized ratio (INR) of 4 c. Prothrombin time (PTT) of 30 seconds d. Calcium level of 8.8 mEq/dL e. Positive pregnancy test f. Platelet count of 150,000
A medical?surgical nurse is implementing a plan of care for a hypertensive client. Which of the following is the most important information to consider?
1. Whether the client utilizes any complementary and alternative therapies 2. Whether the client has ever had symptoms from hypertension 3. When the client last saw the physician 4. The client's family history
Some predictors of performance on the NCLEX-RN exam are listed below. Which is not necessarily correct?
a. HESI exit exam c. ACT score b. confidence in one's abilities d. absence of emotional distress