A community health nurse is doing a screening for cervical cancer at a women's health fair. Which of the following clients would have the highest risk factor for cervical cancer?
1. The client who had a difficult vaginal delivery 2 years ago
2. The client who has a history of genital herpes
3. The client who was married at age 27
4. The client who has a sister with breast cancer
Correct Answer: 2
Rationale 1: There is not current evidence to support this option.
Rationale 2: High risk factors for cervical cancer include sexual activity at an early age, multiple sexual partners, and a history of syphilis, herpes genitalis, or Trichomonas vaginitis.
Rationale 3: There is not current evidence to support this option.
Rationale 4: There is not current evidence to support this option.
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The nurse is discussing the results of recent laboratory tests with a female client, who tested positive for a sexually transmitted infection. Which statement by the nurse is the most therapeutic?
1. "If you did not sleep around, this would not be happening." 2. "The best way to prevent this from happening again is to not have sex until you are married." 3. "I understand that this result is concerning. I would like to discuss how to prevent this from occurring again." 4. "You may never be able to have children because of this diagnosis."
The patient, age 32, is admitted with possible appendicitis after being evaluated by the physician. It is appropriate for the nurse to administer
a. fluid and electrolyte replacement. b. heat to decrease discomfort. c. a cleansing enema. d. an oral laxative.
A nurse aide reports to the nurse that a 94-year-old client's rectal temperature is 35.8°C. The nurse interprets this value as
A) a sign of infection. B) a normal value for older clients. C) an inaccurate reading by the nurse aide. D) a sign of anemia.
In assisting with the two factors that have an effect on fetal status, namely, pushing and positioning, nurses should:
1. encourage the woman's cooperation in avoiding the supine position. 2. advise avoiding the semi-Fowler position. 3. encourage the woman to hold her breath and tighten her abdominal muscles to produce a vaginal response. 4. instruct the woman to open her mouth and close her glottis, letting air escape after the push.