The nurse is counseling a woman who has multiple sexual partners and has recently been diag-nosed with the human papillomavirus (HPV). The importance of regularly scheduled Pap smears is discussed primarily because:
1. This woman has a high risk for cervical cancer
2. Her sexual practices also put her at risk for HIV
3. This woman's age puts her at risk for uterine cancer
4. Regular screening results in improved client outcomes
ANS: 1
Researchers estimate that 80% to 90% of cervical cancer cases are linked to HPV infection. It is true that regular screenings do improve client outcomes; the purpose of the Pap smear is directly related to cervical cancer. HPV does not increase the risk of uterine cancer nor would it be de-tected by a Pap smear. While having multiple sexual partners does increase the risk of contracting HIV, it would not be diagnosed with a Pap smear.
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Which technique is correct when the nurse is assessing the radial pulse of a patient? The pulse is counted for:
a. 1 minute, if the rhythm is irregular. b. 15 seconds and then multiplied by 4, if the rhythm is regular. c. 2 full minutes to detect any variation in amplitude. d. 10 seconds and then multiplied by 6, if the patient has no history of cardiac abnormalities.
When a cardiac defect causes mixing of arterial and venous blood in the right side of the heart, the nurse might expect to find:
a. Cyanosis. b. Signs of pulmonary congestion. c. Increased oxygenation of the tissues. d. Diuresis.
What are the goals of organized athletics for preadolescent children? (Select all that apply.)
a. Physical fitness b. Basic motor skills c. A positive self-image d. Commitment to winning
An infant who is diagnosed with a mild heart defect will not have surgical correction for at least 2 years. Which information should the nurse include in the discharge teaching regarding management in the home environment?
1. "Your child will have a low-grade fever until the defect is repaired." 2. "It is important for your child to maintain normal activity." 3. "Your child is not at risk for congestive heart failure." 4. "It is important to avoid antipyretics for the treatment of fever."