A nurse is taking a health history from a female client. The client asks to get the vaccine for human papillomavirus (HPV) to get rid of genital warts. Which of the following statements should be the nurse's best response?

"This vaccine is only for individuals who have not yet started to become sexually active."

"The vaccine cannot protect you if you already have HPV infection."

"The HPV vaccine is for individuals ages 9 to 26 years, so we can start that today."

Let's check with the physician to see if you are a candidate for the vaccine.

Answer and Explanation

The Correct Answer is B

A.   HPV vaccination is recommended for both sexually active and non-sexually active individuals for preventive purposes. This statement restricts the vaccine unnecessarily.
B.   This statement is correct. The HPV vaccine works best if administered before exposure to the virus, so it is not effective in treating existing HPV infections or genital warts.
C.   While true that the HPV vaccine is typically recommended for individuals within a certain age range, this statement doesn't address the client's specific query about getting rid of existing genital warts.
D.   Involving the physician in vaccine candidacy is a good step but doesn't directly address the client's query about HPV infection and genital warts.

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Correct Answer is C

Explanation

A. Estimating the degree of flexion and extension in each joint primarily assesses the range of motion, not specifically muscle strength.
B. Measuring the degree of force required to overcome joint flexion or extension may assess resistance but doesn't directly evaluate muscle strength.
C. Applying an opposing force when the individual puts a joint in flexion or extension is an accurate method to assess muscle strength, as it evaluates the force the muscle can generate against resistance.
D. Observing muscles for contraction while lifting a heavy object evaluates muscle usage but doesn’t offer a standardized way to assess muscle strength.

A. When the client sticks out the tongue it is in the midline and without tremors or deviation. B. Client follows an object with eyes without nystagmus or strabismus. C. Client demonstrates the ability to hear normal conversation. D. Client moves the head and shoulders against resistance with equal strength.

Correct Answer is D

Explanation

A. Cranial Nerve XI (Accessory nerve) is not involved in tongue movement; it controls muscles involved in head and shoulder movement.
B. Eye movement and control relate more to Cranial Nerves III, IV, and VI, which control eye muscles.
C. Hearing is primarily assessed by Cranial Nerve VIII (Vestibulocochlear nerve).
D. Cranial Nerve XI innervates the sternocleidomastoid and trapezius muscles, enabling movements like head turning and shoulder shrugging against resistance.

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A nurse is taking a health history from a female client. The client asks to get the vaccine for human papillomavirus (HPV) to get rid of genital warts. Which of the following statements should be the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to complete a muscle strength assessment on a client. Which of the following assessment techniques should the nurse utilize?

Correct Answer is C

Explanation

The nurse tests the function of Cranial Nerve XI while performing a physical examination on a client. Which statement best describes the response the nurse should expect if Cranial Nerve XI is intact?

Correct Answer is D

Explanation

The nurse is assessing a client who reports an abnormal sensation of burning or tingling in extremities. Which of the following should the nurse document in the client's record?

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