The nurse in the outpatient clinic notes that the following patients have not received the human papillomavirus (HPV) vaccine. Which patients should the nurse plan to teach about benefits of the vaccine (select all that apply)?
a. 24-year-old man who has a history of genital warts
b. 18-year-old man who has had one male sexual partner
c. 28-year-old woman who has never been sexually active
d. 20-year-old woman who has a newly diagnosed Chlamydia infection
e. 30-year-old woman whose sexual partner has a history of genital warts
ANS: A, B, D
The HPV vaccines are recommended for male and female patients between ages 9 through 26. Ideally, the vaccines are administered before patients are sexually active, but they offer benefit even to those who already have HPV infection.
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A client with chronic renal failure informs the nurse he frequently uses over-the-counter medications to manage headaches. The nurse's best response would be:
A) "As long as you don't exceed the recommended dose, it is okay." B) "It would be better to use herbal supplements than most over-the-counter analgesics." C) "The FDA ensures that all over-the-counter medications are safe to consume." D) "You should check with your primary care provider before using any over-the-counter medications."
A patient asks to see his medical record (chart). How would the nurse respond?
A) "I can't let you do that without a doctor's order." B) "Our hospital policy is that you can't do that." C) "I will get your chart and provide you with privacy to read it." D) "Why would you want to do that? It will only make you worry."
An abnormal amount to feed a newborn at one feeding would be
A) 15 to 25 mL. B) 25 to 30 mL. C) 50 to 75 mL. D) 100 mL.
The nurse observes that after administration of a drug the patient has developed itching and a skin rash. The nurse interprets these findings as which of the following?
A) Toxicity B) Allergic reaction C) Angioedema D) Crystalluria