The nurse is counseling a mother who wants her teenage daughter to have a Pap smear and pelvic examination. Which statement by the nurse is most accurate?
a. "If your daughter is over 18, she needs a pelvic examination and Pap smear."
b. "A teenager does not need this examina-tion unless she is sexually active."
c. "Teach her to have her first examination by the age of 21 at the latest."
d. "It is not needed unless you are worried about sexually transmitted diseases."
C
A woman needs to have her first pelvic examination with Pap smear by the age of 21, or within 3 years of becoming sexually active. The other statements are not accurate.
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To detect a "thrill" upon cardiac assessment, the nurse will perform
A) inspection of the chest. B) palpation of the chest. C) percussion of the lung fields. D) auscultation of the heart sounds.
The nurse encourages the client to obtain routine dental care because plaque formation can lead to
a. herpes simplex infection. b. oral cancer. c. periodontal disease. d. stomatitis.
A community health nurse is part of a group working with local and state legislators to expand health insurance coverage for those with inadequate or no insurance. Which outcome would the nurse hope to achieve if the group is successful?
A) Increased use of early screenings B) Increased emergency room visits C) Increased episodic care D) Increased disparities in care
The triage nurse is taking vital signs of a 59-year-old African American male who has arrived to be treated for a laceration in his right hand. His blood pressure is 180/104
The nurse applies a dressing to his hand and plans for continuation of his care for the laceration. When questioning the client about his blood pressure, he states he did not know if that was normal for him and that he was not on any medication. In analyzing the blood pressure, the nurse decides A) this is normal for someone in pain from an injury. B) this finding is abnormal and presents an opportunity to initiate secondary prevention to prevent the progression of illness. C) the blood pressure may not be accurate, therefore, it does not need to be addressed. D) this patient needs to have his pressure taken in a standing position.