Nokea
A woman is noted to have multiple soft warts on her perineum and rectal areas. The nurse suspects that this client has which type of infection?
- A. HIV
- B. HPV
- C. Syphilis
- D. Herpes simplex virus
Correct Answer: B
Rationale: The correct answer is B: HPV. Human papillomavirus (HPV) causes soft warts in the perineum and rectal areas. HPV is a common sexually transmitted infection known to cause genital warts. The other choices are incorrect because HIV does not typically present with warts, syphilis manifests with painless sores rather than soft warts, and herpes simplex virus causes painful blisters rather than soft warts in the specified areas.
You may also like to solve these questions
List in order of priority the immediate postoperative mastectomy nursing actions.
- A. Elevate the affected arm with pillows above the level of the right atrium to promote comfort and lymphatic channel return.
- B. Assess vital signs, being careful not to use the affected arm for blood pressure measurement, and monitor parenteral fluids.
- C. Monitor for hemorrhage by assessing drainage from dressing and drainage tubes.
- D. Teach and reinforce the use of relaxation techniques to help reduce anxiety and provide distraction.
Correct Answer: B
Rationale: The correct answer is B because assessing vital signs and monitoring parenteral fluids are essential postoperative nursing actions to detect any signs of complications such as hemorrhage or fluid imbalance. This prioritizes the patient's physiological stability and safety. Elevating the affected arm (A) is important for comfort but not as immediate as monitoring vital signs. Monitoring for hemorrhage (C) is crucial but comes after ensuring the patient's physiological stability. Teaching relaxation techniques (D) is important for holistic care but is not as immediate as monitoring vital signs and fluid balance.
The nurse is providing a 20-year-old woman diagnosed with fibrocystic disease with education about her condition. Which information should be included? Select all that apply.
- A. Pain or tenderness is never present with fibrocystic disease.
- B. The cysts are thought to be hormone related.
- C. The cysts can be of any size, can feel like small lumps or grapes, and can be soft or firm.
- D. It is not a common finding in women between the ages of 30 and 50.
Correct Answer: A
Rationale: The correct answer is A because pain or tenderness is not always present with fibrocystic disease. This information is important for the nurse to include when educating the patient. The other choices are incorrect because B is true - cysts are hormone-related, C describes the characteristics of fibrocystic disease, and D is false - fibrocystic disease is common in women between the ages of 30 and 50.
When the client is started on antiretroviral drugs for HIV, what will be important for the nurse to teach the client?
- A. This drug will cure the disease over a period of time.
- B. This drug will not cure the disease but could extend your life expectancy.
- C. This type of drug will be used prior to vaccines.
- D. This drug is readily available all over the world.
Correct Answer: B
Rationale: The correct answer is B: This drug will not cure the disease but could extend your life expectancy. Antiretroviral drugs for HIV do not cure the disease but help manage it by reducing viral load and boosting immune function, extending life expectancy. Choice A is incorrect because currently, there is no cure for HIV. Choice C is incorrect as antiretroviral drugs are not used prior to vaccines but are used to treat HIV infection. Choice D is incorrect because the availability of antiretroviral drugs may vary worldwide.
Mastectomy is usually recommended for which women?
- A. Those who have not had radiation to the breast
- B. Those who have multiple tumors in the breast in several quadrants
- C. Those with no extensive DCIS
- D. Those with a small tumor compared to breast volume
Correct Answer: B
Rationale: The correct answer is B: Those who have multiple tumors in the breast in several quadrants. Mastectomy is usually recommended for patients with multiple tumors in several quadrants to ensure complete removal of all cancerous tissue. This choice is correct because it addresses the need for more extensive surgery to effectively treat the cancer.
A: Those who have not had radiation to the breast - Incorrect, as radiation history is not the sole determinant for recommending mastectomy.
C: Those with no extensive DCIS - Incorrect, as the presence of DCIS alone may not warrant a mastectomy.
D: Those with a small tumor compared to breast volume - Incorrect, as tumor size relative to breast volume is not the primary factor in determining the need for mastectomy in cases of multiple tumors in several quadrants.
The nurse taught a class on HPV and cervical cancer. Which statement by the student indicates a need for further teaching?
- A. Most HPV infections resolve on their own within 1 to 2 years.
- B. I can get the HPV vaccination to prevent the most common types of HPV that could cause cervical cancer.
- C. Genital warts cause cervical cancer.
- D. A persistent infection of HPV type 16 or 18 can lead to cervical cancer.
Correct Answer: C
Rationale: The correct answer is C: Genital warts cause cervical cancer.
Rationale:
1. Genital warts are caused by certain types of HPV, not cervical cancer.
2. Most HPV infections do resolve on their own, making choice A correct.
3. HPV vaccination can prevent common types of HPV that cause cervical cancer, supporting choice B.
4. Persistent infection with high-risk HPV types, like 16 or 18, can lead to cervical cancer, aligning with choice D.
Summary:
Option C is incorrect because it inaccurately states that genital warts cause cervical cancer. The other choices are correct in their statements regarding HPV infections, vaccination, and the relationship between specific HPV types and cervical cancer.