A client asks when she should make an appointment for her first Pap (Papanicolaou) smear to screen for cervical cancer. The nurse responds by telling the client:
a. "There is no need for Pap smears until after you have become pregnant."
b. "All females should have the first Pap smear after reaching menarche."
c. "All females should have the first Pap smear after they are 19 years of age."
d. "All females should have the first Pap smear after becoming sexually active."
ANS: D
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A nurse is caring for a client who had coronary artery bypass grafting yesterday. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Assist the client to the chair for meals and to the bathroom. b. Encourage the client to use the spirometer every 4 hours. c. Ensure the client wears TED hose or sequential compression devices. d. Have the client rate pain on a 0-to-10 scale and report to the nurse. e. Take and record a full set of vital signs per hospital protocol.
The patient takes insulin for diabetes mellitus. The physician orders metoprolol (Lopressor) for hypertension. After medication teaching, the nurse determines that learning has occurred when the patient makes which statement?
1. "I might not need to check my blood sugars as often with metoprolol (Lopressor)." 2. "I might be able to change from insulin to a pill with metoprolol (Lopressor)." 3. "I might need less insulin when I take metoprolol (Lopressor)." 4. "I might need more insulin when I take metoprolol (Lopressor)."
The nurse is caring for a patient with ulcerative colitis who is being treated with azathioprine. Which laboratory test result should be monitored periodically?
a. Microscopic urine examination b. Complete blood count (CBC) with differential c. Immunoglobulin survey d. Serum albumin
The nurse is using the ecologic model as a framework for preparing a community health program. Which program objective should the nurse understand best reflects the concepts of the model?
A. The participants will verbalize the role of self-actualization in relation to their health. B. Internal harmony is the foundational basis for health achievement. C. The participants will recognize health as the absence of disease. D. The participants will define health as the interaction between the agent, host, and the environment.