The nurse recognizes that a Papanicolaou (Pap) smear is indicated for which client?
a. A 12-year-old who has not yet reached menarche
b. A 30-year-old who had a normal Pap smear 12 months ago
c. A 45-year-old who had a total hysterectomy for cervical cancer
d. A 55-year-old who had a total hysterectomy to treat endometriosis
ANS: C
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A nurse is assigned to administer insulin glargine to a client at a health care facility. What precaution should the nurse take when administering this drug?
A) Administer glargine via IV route. B) Avoid mixing glargine with other insulin. C) Shake the vial vigorously before withdrawing insulin. D) Be sure the insulin has been refrigerated.
A healthcare worker who is asymptomatic has a screening TST result of 10 mm of induration during a pre-employment physical. What will the nurse reading this test tell the patient?
a. "This is a negative test, so you are cleared for employment." b. "You have latent TB and will need to take isoniazid for 6 to 9 months." c. "You need to have a chest radiograph and a sputum culture." d. "You will begin taking a four-drug regi-men to treat tuberculosis."
When assessing the liver of a patient, in which quadrant should the nurse percuss?
A) Upper left quadrant B) Upper right quadrant C) Lower right quadrant D) Lower left quadrant
The school nurse recommends to a family that they consider the use of an outpatient clinic for the upcoming tonsillectomy of their child because the advantages of this service are: (Select all that apply.)
a. Reduction of risk of infection b. Less stress to the child c. Reduced cost d. Requires no insurance coverage e. No prolonged separation of the child from the family