Nokea
Which statement is true of the Gardasil vaccine?
- A. It requires two more immunizations at 6 months after the first dose.
- B. It reduces incidence of cervical cancer.
- C. It reduces the incidence of human papilloma virus (HPV).
- D. It can be given only to females.
- E. It should be given before a person becomes sexually active.
- F. It is safe for people as young as 8 years of age.
Correct Answer: A,B,C,E
Rationale: Gardasil is a vaccine that is effective against HPV and reduces the incidence of cervical cancer; it can be given to males and females before they become sexually active. It is not recommended for children under 11 years of age.
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Which statement is TRUE regarding diagnostic tests for cervical cancer?
- A. All persons who have a cervix remaining should be screened up to the age of 75.
- B. Cervical cancer screening should begin at 25 years of age
- C. Traditional Pap tests are less than 30% accurate in screening for cervical cell abnormalities
- D. False-positive and false-negative results rarely occur with traditional Pap diagnostic tests.
Correct Answer: B
Rationale: The American Cancer Society recommends that annual cervical cancer screening begin at 25 years of age. Pap tests are less than 100% accurate in screen for abnormalities.
A patient, age 41, has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. She asks the nurse if she will have 'hot flashes.' Knowledge of which fact will guide the nurse's response?
- A. Only the uterus was removed, and the ovaries are still producing estrogen and she will not have hot flashes.
- B. The patient is too young to have hot flashes associated with menopause.
- C. The uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menopause and may have hot flashes.
- D. The uterus and fallopian tubes were removed, and she will not experience 'hot flashes.'
Correct Answer: C
Rationale: A total abdominal hysterectomy with bilateral salpingo-oophorectomy is the removal of the uterus, fallopian tubes, and ovaries. If the ovaries are removed in these surgeries, the surgery will induce menopause and hot flashes may occur.
___ are the most benign tumors of the uterus and arise from the uterine muscle tissue.
Correct Answer: Fibroids
Rationale: Fibroids are benign tumors arising from the muscle tissue of the uterus.
Which factor influences older women's reluctance to seek medical care for problems of the reproductive system?
- A. Embarrassment and cultural factors
- B. Denial
- C. Religious convictions
- D. Lack of free time
Correct Answer: A
Rationale: Many older women are reluctant to seek medical care for problems of the reproductive system. This may be related to cultural factors, embarrassment, or lack of knowledge.
A 20-year-old patient presents in the emergency room with a temperature of 103°F, blood pressure of 92/58, headache, and desquamation of both palms. Which question will the nurse make sure to ask about during the interview?
- A. Any recent traveling outside the country
- B. Immunization against influenza
- C. Method of birth control
- D. Use of tampons
Correct Answer: D
Rationale: These are signs of toxic shock frequently brought on by leaving a tampon in place too long. The nurse should inquire about tampon use, headache, muscle pain, and fatigue.