Nokea
The nurse instructs a group of women who attend the health clinic that persons who are particularly at risk for cervical cancer are persons who have which risk factor?
- A. smoke.
- B. wear tampons.
- C. have been sexually active since their teens.
- D. have multiple sexual partners.
- E. had chickenpox as a child.
- F. have a history of sexually transmitted infections (STI).
Correct Answer: A,C,D,F
Rationale: Women who have been sexually active since their teens, have multiple sexual partners, and have a history of STDs are more at risk for cancer of the cervix.
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The patient reports that she is free of gonorrhea and can now engage in sexual activity. Which response is most appropriate?
- A. If you have been free of symptoms for 2 weeks you are cured.'
- B. You should get a rapid plasma reagin (RPR) just to make sure.'
- C. No case is considered cured until you have had three consecutive negative cervical smears.'
- D. To confirm your cure, you should get a Venereal Disease Research Lab (VDRL).'
Correct Answer: C
Rationale: No case of gonorrhea is considered cured until you have had three consecutive negative cervical smears. The RPR and the VDRL are tests for syphilis.
On the second postoperative day, a patient who has had an abdominal hysterectomy complains of gas and abdominal distention. Which intervention would be most appropriate to stimulate a bowel movement?
- A. Offering carbonated beverages
- B. Encouraging ambulation at least four times per day
- C. Administering a 1000-mL soapsuds enema
- D. Applying an abdominal binder
Correct Answer: B
Rationale: Early ambulation is very helpful to return the bowel to normal function.
The nurse gives discharge instructions to a person who has had a modified radical mastectomy of the right side to perform the 'elbow pull-in.' Which step is the first step of the exercise?
- A. Pull elbows forward until they touch.
- B. Lower and straighten the arms.
- C. Extend arms sideways to shoulder level.
- D. Bring elbows back and extend arms.
- E. Clasp hands behind neck.
Correct Answer: C
Rationale: The exercise requires that you bring the arms out at shoulder level, clasp hands behind head and bring elbows to touch, then bring elbows back and extend arms lower and straighten arms.
Why do false-negative results in mammography occur in specific age-groups?
- A. Older women have greater density of breast tissue.
- B. Older women have less density of breast tissue.
- C. Younger women have greater density of breast tissue.
- D. Younger women have less density of breast tissue.
Correct Answer: C
Rationale: Because of the greater density of breast tissue, mammography is less sensitive in younger women, which may result in more false-negative results.
The patient with a swollen scrotum is amazed that diagnosis of the condition of hydrocele is diagnosed in which simple way?
- A. placing the scrotum on a warm pad.
- B. shining light through scrotum.
- C. squatting and letting the scrotum hang dependently.
- D. packing the scrotum in ice.
Correct Answer: B
Rationale: Shining a flashlight from behind the scrotum and visualizing the testes surrounded by fluid is called transillumination. That process is the simple diagnostic test for hydrocele.