Nokea
A client, age 42, visits the gynecologist. After examining her, the physician suspects cervical cancer. The nurse reviews the client's history for risk factors for this disease. Which history finding is a risk factor for cervical cancer?
- A. Onset of sporadic sexual activity at age 17
- B. Pregnancy complicated with eclampsia at
- C. Spontaneous abortion at age 19 age 27
- D. Human papilloma virus infection at age 32
Correct Answer: D
Rationale: The human papillomavirus (HPV) infection is a major risk factor for cervical cancer. HPV is a sexually transmitted infection that is linked to almost all cases of cervical cancer. Therefore, a history of HPV infection increases the risk of developing cervical cancer. The other choices, such as onset of sexual activity at age 17, pregnancy complications, and spontaneous abortion, are not directly linked to an increased risk of cervical cancer.
You may also like to solve these questions
In which of the ff clients will an MRI scan be contraindicated?
- A. Overweight clients
- B. Clients with metal implants in their body
- C. Clients over the age of 60
- D. Clients with brain tumor CARING FOR CLIENTS WITH CENTRAL AND PERIPHERAL NERVOUS SYSTEM DISORDERS
Correct Answer: B
Rationale: An MRI scan uses strong magnetic fields and radio waves to create detailed images of the body's internal structures. Clients with metal implants in their body, such as pacemakers, artificial joints, or other metallic objects, may experience potential risks and complications during an MRI scan. The strong magnetic field can interact with the metal in the body, causing movement, heating, or potential damage to the surrounding tissues. Hence, it is contraindicated to perform an MRI scan on clients with metal implants to avoid harm and ensure their safety.
Which food should be avoided by the patient on a low-sodium diet?
- A. Apples
- B. Chicken
- C. Cheese
- D. Broccoli
Correct Answer: C
Rationale: Cheese is high in sodium and should be avoided by patients on a low-sodium diet. It is a common source of hidden sodium in many diets. Other high-sodium foods that should be limited or avoided include processed meats, canned soups, processed snacks, and condiments. Patients should focus on eating fresh fruits and vegetables, lean proteins like chicken (with no added salt), and whole grains to maintain a low-sodium diet.
At a public health fair, a nurse discusses the dangers of sun exposure. Prolonged sun exposure has been blamed for which form of cancer?
- A. Malignant melanoma
- B. Basal cell epithelioma
- C. Squamous cell carcinoma
- D. All of the above
Correct Answer: D
Rationale: Prolonged sun exposure is indeed a known risk factor for all three types of skin cancer listed in the choices. Malignant melanoma is a serious form of skin cancer that develops in the melanocytes, the cells that produce skin pigment. Basal cell epithelioma and squamous cell carcinoma are two other common types of skin cancer that are largely attributed to sun exposure. It is crucial to protect your skin from the harmful effects of the sun by applying sunscreen, wearing protective clothing, and seeking shade when necessary to reduce the risk of developing skin cancer.
Nurse Angelo is attending for a child with Cushing's syndrome; which of the following nursing interventions would be most necessary?
- A. Observing the child for signs and symptoms of metabolic acidosis
- B. Handling the child carefully to prevent bruising
- C. Monitoring vital signs for hypertensionand tachycardia
- D. Monitoring the child for signs and symptoms of hypoglycemia
Correct Answer: C
Rationale: In a child with Cushing's syndrome, excessive levels of cortisol are present in the body. Cortisol can lead to hypertension (high blood pressure) and tachycardia (elevated heart rate). Therefore, closely monitoring vital signs for signs of hypertension and tachycardia is essential for early detection and management of these potential complications. Prompt identification and treatment of these cardiovascular issues can help prevent further complications and ensure the child's well-being.
The nurse is caring for a client who is receiving antibiotics to treat a gram-negative bacterial infection. Because antibiotics destroy the body's normal flora, the nurse must monitor the client for:
- A. Platelet dysfunction
- B. Stomatitis
- C. Oliguria and dysuria
- D. Diarrhea
Correct Answer: D
Rationale: When a client is receiving antibiotics to treat an infection, especially a gram-negative bacterial infection, the antibiotics may disrupt the balance of normal flora in the gastrointestinal tract. This disruption can lead to an overgrowth of pathogenic bacteria, resulting in diarrhea. Clostridium difficile-associated diarrhea is a common complication of antibiotic therapy due to the disruption of normal gut flora. Therefore, the nurse must monitor the client for signs and symptoms of diarrhea and intervene promptly to prevent complications such as dehydration and electrolyte imbalances. Platelet dysfunction, stomatitis, and oliguria/dysuria are not typically associated with the destruction of normal flora due to antibiotic therapy for a gram-negative bacterial infection.