A 25-year-old single woman comes to the gynecologist's office for a follow-up visit related to her abnormal Papanicolaou (Pap) smear. The test revealed that the patient has human papillomavirus (HPV). The patient asks, "What is that? Can you get rid of it?" Your best response is:
Just a little lump on your cervix. We can freeze it off.
You probably caught this from your current boyfriend. He should get tested for this.
HPV is a type of early human immunodeficiency virus (HIV). You will die from this.
HPV stands for human papillomavirus. It is a sexually transmitted infection (STI) that can lead to cervical cancer. There is no known cure but symptoms are treatable.
The Correct Answer is D
Choice A reason: This is a misleading and dismissive response that does not explain what HPV is or how it can affect the patient's health. It also implies that the patient's condition is trivial and easily resolved, which is not true.
Choice B reason: This is a judgmental and accusatory response that does not answer the patient's question. It also assumes that the patient's current partner is the source of the infection, which may not be the case. HPV can remain dormant for years and be transmitted by previous partners.
Choice C reason: This is a false and alarming response that does not provide accurate information about HPV or HIV. It also scares the patient unnecessarily and does not offer any hope or support.
Choice D reason: This is the best response as it provides a clear and factual explanation of what HPV is and how it can affect the patient's health. It also acknowledges that there is no cure for the infection but that the symptoms can be managed with proper treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Assessing the fetal heart rate pattern is the priority nursing action following an amniotomy because it can indicate the well-being of the fetus and the presence of any complications, such as cord compression, prolapse, or infection.
Choice B reason: Observing the color and consistency of fluid is an important nursing action following an amniotomy, but it is not the priority. It can provide information about the gestational age, the presence of meconium, or the risk of infection.
Choice C reason: Assessing the client's temperature is an important nursing action following an amniotomy, but it is not the priority. It can help detect signs of infection, such as chorioamnionitis, which can affect both the mother and the fetus.
Choice D reason: Evaluating the client for the presence of chills and increased tenderness using palpation is an important nursing action following an amniotomy, but it is not the priority. It can also help detect signs of infection, such as chorioamnionitis, which can cause fever, abdominal pain, and uterine contractions.
Correct Answer is B
Explanation
Choice A: Decreased production of erythrocytes
This is not the primary cause of iron deficiency anemia during pregnancy. While erythrocyte production may be affected in certain conditions, it is not directly linked to iron deficiency anemia in pregnancy¹.
Choice B: Inadequate intake of iron
This is the correct answer. During pregnancy, the body needs more iron to make hemoglobin for the increased volume of blood. If the intake of iron is not sufficient, it could lead to iron deficiency anemia¹.
Choice C: Dilution of hemoglobin concentration
While it's true that the blood volume increases during pregnancy, leading to a relative dilution of hemoglobin, this is not the primary cause of iron deficiency anemia. The main issue is the lack of sufficient iron intake¹.
Choice D: The fetus establishing iron stores
While the fetus does require iron, which it gets from the mother, this is not the primary cause of iron deficiency anemia during pregnancy. The main issue is still the mother's inadequate intake of iron¹.
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