A young adult female whose mother died from cervical cancer asks ...

[NguyenJ]

A young adult female whose mother died from cervical cancer asks the nurse what precautions she should take to reduce the risk of cervical cancer. The nurse should instruct the client that:
 
  1. regular cervical biopsies are needed.
  2. a hysterectomy is needed with infection.
  3. Gardasil is an effective vaccination.
  4. HPV is treated with antibiotics.

Question 2

A female client works as a manager in a busy store in town, and spends a great deal of time in the office, which is affecting the children and relationship with her husband. The client is in the clinic with a second herpes recurrence in a month.
 
  The nurse plans to discuss:
 
  1. the possibility of finding a less stressful job.
  2. the need to take the antivirals IV instead of p.o.
  3. that she may resume intercourse after the first dose of medication.
  4. lack of knowledge of the disease by the client.

[nyrave]

Answer to Question 1

Answer: 3

1. Regular cervical biopsies would not be recommended unless there was a positive Pap smear.
2. A hysterectomy is not needed with infection unless cancer develops. The key is regular checkups.
3. Gardasil is a vaccination that is recommended, preferably before the client has been exposed to the virus. Young girls should receive a series of three shots to provide protection. However, if shots were not taken when young, it is recommended up to age 26.
4. HPV is a virus and cannot be cured with antibiotics.

Answer to Question 2

Answer: 1

1. When caring for the client with herpes, stress plays a major role in the recurrence of attacks. After exploring the client's normal life, the nurse might discuss the need to reduce stress, as this is negatively impacting her life and that of her family.
2. Unless the herpes breakout is systemic, IV antivirals are not appropriate.
3. Clients are taught to refrain from intercourse for 10 days after the lesions disappear.
4. The stress in the client's life is the priority of care for this client.

[NguyenJ]

Excellent

[tkempin]

Gracias!