A 16-year-old girl asks, "Do I need to have a Pap smear just because I'm sexually active?" What is the nurse's correct response?
1. "No, you do not need to be screened for cervical cancer until you are 21 years old."
2. "Yes, all sexually active females should be screened for both cervical cancer and human papilloma virus (HPV)."
3. "Yes, all women under the age of 29 should be screened for both cervical cancer and human papilloma virus (HPV)."
4. "No, but you will need to begin your screenings for both cervical cancer and human papilloma virus (HPV) when you are 18 years old."
1
Explanation:
1. 2012 guidelines issued by the U.S. Preventive Services Task Force (USPSTF) recommend initiating cervical cancer screening at age 21.
2. Engaging in sexual activity is not an indication for routine cervical cancer or for HPV screening.
3. 2012 guidelines issued by the U.S. Preventive Services Task Force (USPSTF) recommend cervical cancer screening without HPV cotesting in women ages 21 to 29.
4. 2012 guidelines issued by the U.S. Preventive Services Task Force (USPSTF) recommend initiating cervical cancer screening at age 21.
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A 74-year-old woman was diagnosed with rheumatoid arthritis 1 year ago, but has achieved adequate symptom control through the regular use of celecoxib (Celebrex), a COX-2 selective NSAID
The nurse should recognize that this drug, like other NSAIDs, influences what aspect of the pathophysiology of nociceptive pain? A) Distorting the action potential that is transmitted along the A-delta (?) and C fibers B) Diverting noxious information from passing through the dorsal root ganglia and synapses in the dorsal horn of the spinal cord C) Blocking modulation by limiting the reuptake of serotonin and norepinephrine D) Inhibiting transduction by blocking the formation of prostaglandins in the periphery
Which are modifiable risk factors?
1. Obesity, blood pressure, smoking, and sedentary lifestyle 2. Gender, smoking, blood pressure 3. Diabetes, obesity, age 4. Smoking, diet, genetics
A client who is receiving oxytocin (Pitocin) infusion for the augmentation of labor is experiencing a contraction pattern of more than eight contractions in a 10-minute period. Which intervention would be a priority?
a. Increase rate of Pitocin infusion to help spread out contraction pattern. b. Place oxygen on client at 8 to 10 L/min via face mask and turn client to left side. c. Stop Pitocin infusion. d. Call physician to obtain an order for initiation of magnesium sulfate.
Which should the nurse assess the client for that is receiving intravenous gentamicin (Garamycin)?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Neuromuscular toxicity B. Nephrotoxicity C. Cardiotoxicity D. Neurotoxicity E. Acute toxicity