The nurse considers several new female patients to receive additional teaching on the need for more frequent Pap test and gynecological examinations
Which assessment findings reveal the patient at highest risk for cervical cancer and having the greatest need for patient education?
a. 13 years old, nonsmoker, not sexually active
b. 15 years old, social smoker, celibate
c. 22 years old, smokes 1 pack of cigarettes per day, has multiple sexual partners
d. 50 years old, stopped smoking 30 years ago, has history of multiple pregnancies
ANS: C
Females considered to be at higher risk include those who smoke, have multiple sex partners, and have a history of sexually transmitted infections. Of all the assessment findings listed, the 22-year-old smoker with multiple sexual partners has the greatest number of risk factors for cervical cancer. The other patients are at lower risk: not sexually active, celibate, and do not smoke.
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You observe Charcot's triad of sign and symptoms in a patient under your care. This is commonly seen in which of the following disorders?
A. Cirrhosis B. Pancreatitis C. Cholangitis D. Portal hypertension
The nurse is assessing a patient who is 6 hours postoperative from coronary artery bypass graft (CABG) surgery
The patient's heart rate is 120, blood pressure is 90/50, urine output is decreased, chest tube output is decreased, heart sounds are muffled, and peripheral pulses are diminished. What action should the nurse take first? 1. Notify the physician immediately. 2. Recheck vital signs in 15 minutes. 3. Reposition the patient. 4. Increase the intravenous fluids.
What percentage of the RDA is considered adequate for each nutrient?
A) 50 percent B) 67 percent C) 75 percent D) 100 percent
The nurse observes a female client rubbing the chest of her asthmatic daughter with a coin. Which of the following reflects a culturally sensitive, or transcultural, response to this client?
A) "Stop! You're hurting your child!" B) "What is it that you are doing right now?" C) "I'll have to inform the doctor that you are not following instructions." D) "You are making your daughter cry."