A client's Pap test reveals cervical cells with dysplasia changes. The nurse understands that information obtained during the client's health history and identified as a major risk factor for cervical cancer is:

drinking a glass of red wine with dinner.

infection with human papilloma virus (HPV).

having a PAP test performed annually by her gynecologist.

being married for 21 years to the same person.

Answer and Explanation

The Correct Answer is B

A.   This statement is false in terms of being a major risk factor for cervical cancer. While excessive alcohol consumption may have various health implications, moderate drinking, such as a glass of red wine with dinner, is not directly linked to an increased risk of cervical cancer.

B.   Infection with certain high-risk strains of HPV is a major risk factor for cervical cancer. HPV is a sexually transmitted virus that can cause changes in cervical cells, leading to dysplasia and potentially progressing to cancer if not monitored and treated.
C.   In fact, regular Pap tests are a preventive measure that can help detect cervical changes early before they develop into cancer. They are not a risk factor but rather a protective factor against the progression of cervical dysplasia to cancer.
D.   While sexual history can influence HPV transmission, simply being married to the same person for an extended period does not inherently increase the risk of cervical cancer.

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Correct Answer is C

Explanation

A. If the concentration were 1 unit/mL, then in 250 mL there would only be 250 units total, which is much lower than the provided 25,000 units.
B. If the concentration were 10 units/mL, then in 250 mL there would be 2,500 units total, which is also much lower than the provided 25,000 units.
C. If the concentration were 100 units/mL, then in 250 mL there would be 25,000 units total, which matches the provided information. However, while this seems plausible, it is not the answer we calculated.
D. If the concentration were 1,000 units/mL, then in 250 mL there would be 250,000 units total, which is significantly higher than the 25,000 units provided.

A. Regular follow-up appointments and blood tests are necessary to monitor your thyroid hormone levels. B. You may experience weight gain as a side effect of levothyroxine. C. You should take your levothyroxine medication with food. D. It is important to avoid any dietary restrictions while taking levothyroxine.

Correct Answer is A

Explanation

A. After a thyroidectomy and when receiving levothyroxine, it is essential for the patient to have regular follow-ups and blood tests (specifically TSH and free T4 levels) to ensure the dosage of levothyroxine is appropriate and to monitor for any complications related to the thyroid hormone levels.
B. Levothyroxine is a thyroid hormone replacement and, when taken appropriately, should help maintain a normal metabolism, potentially preventing weight gain. Weight changes can occur, but they are more likely to be due to improper dosing or underlying issues rather than a direct side effect of the medication itself.
C. Levothyroxine should be taken on an empty stomach, typically 30 to 60 minutes before breakfast, to ensure optimal absorption. Taking it with food can reduce its effectiveness.
D. While there are no strict dietary restrictions for most patients on levothyroxine, certain foods (such as those high in soy or fiber) can interfere with absorption if consumed around the time of taking the medication. Patients should be informed to take levothyroxine consistently and to wait a while before consuming certain foods that may impact absorption.

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Blood Cell	Normal Ranges
Red blood cells (mature, circulating)	Male: 451-6.01 million/mm3 Female: 4.01-5.51 million/mm3
Hemoglobin	Adult (15-64 yr) Male 14-17.3 g/dL Female 11.7-155 g/dL
Hematocrit	42%-52% in males 36% -48% in females
Reticulocytes	0.5% -2.5% of total RBC count
White blood cells (total)	4.5-11.1 10/mm3
Neutrophils	59% Bands 3% Segs-56%
Eosinophils	2.7%
Basophils	0.5%
Lymphocytes	34%
Monocytes	4%


Platelets	150,000-450,000/mm3

A client's Pap test reveals cervical cells with dysplasia changes. The nurse understands that information obtained during the client's health history and identified as a major risk factor for cervical cancer is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Heparin is supplied in bags that have 25,000 units / 250 mL. What is the concentration of Heparin?

Correct Answer is C

Explanation

Which of the following statements should the nurse include in the postoperative teaching for a patient diagnosed with thyroid cancer who had a thyroidectomy and is receiving levothyroxine?

Correct Answer is A

Explanation

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