A nurse is caring for an adolescent client in a community health clinic.
Which of the following client statements indicate that the nurse's teaching about the immunization was effective? Select all that apply.
"My boyfriend should get this shot too."
"This shot will keep me from getting herpes."
"I need to come back in 2 months for another shot."
"I need to have a blood test when I'm an adult to see if I'm still immune."
"This shot can keep me from getting some kinds of cancer."
"Now I won't need to worry about having Pap smears."
"I will need a booster shot every 10 years."
Correct Answer : A,C,E
A. "My boyfriend should get this shot too.": The HPV vaccine is recommended for all adolescents, including males and females, typically starting at ages 11–12. Vaccinating boys helps prevent the spread of HPV and also protects them from genital warts and certain cancers.
B. "This shot will keep me from getting herpes.": The HPV vaccine does not protect against herpes simplex virus (HSV), which is a different sexually transmitted infection. This reflects a misunderstanding of what the vaccine prevents.
C. "I need to come back in 2 months for another shot.": For adolescents starting the HPV vaccine at age 15 or older, three doses are required. The second dose is given 1–2 months after the first. This statement reflects accurate understanding of the dosing schedule.
D. "I need to have a blood test when I'm an adult to see if I'm still immune.": No routine blood test is used to check immunity to HPV. Immunity is assumed after completing the vaccine series.
E. "This shot can keep me from getting some kinds of cancer.": The HPV vaccine protects against strains of the virus that are linked to cervical, vaginal, vulvar, anal, penile, and oropharyngeal cancers.
F. "Now I won't need to worry about having Pap smears.": Pap smears are still required for cervical cancer screening even after HPV vaccination. The vaccine doesn't protect against all cancer-causing strains.
G. "I will need a booster shot every 10 years.": Current guidelines do not recommend booster doses of the HPV vaccine after completing the initial series.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Urinary retention can occur as an adverse effect of both morphine (opioid) and amitriptyline (anticholinergic), which can lead to difficulty urinating.
B. Diarrhea is not a common interaction between morphine and amitriptyline. In fact, morphine often causes constipation.
C. Low-grade fever is not a known adverse interaction between these two drugs.
D. Tachypnea is not a typical adverse effect of the combination of morphine and amitriptyline.
Correct Answer is A
Explanation
A. Rhinitis (inflammation of the nasal passages) is a common side effect of intranasal calcitonin, and alternating nares can reduce this adverse effect.
B. Esophagitis is a potential side effect with oral calcitonin but not typically with the intranasal form.
C. Warmth of the face is not a common side effect related to calcitonin use.
D. Dyspnea on exertion is not a common side effect of intranasal calcitonin.
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