Author Question: The patient's Pap smear result is ASC-US. The best way for the nurse to explain this result is ... (Read 61 times)

Mr.Thesaxman · **on:** Jun 27, 2018

The patient's Pap smear result is ASC-US. The best way for the nurse to explain this result is ASC-US means: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

1. Abnormal squamous cells of undetermined significance.
2. Cancer has invaded the upper cervix.
3. A sexually transmitted infection is present.
4. The Pap should be repeated in 4 months.
5. The cervical cells are abnormal, but the reason why is unknown.

Question 2

The clinic nurse is teaching a pregnant client about her iron supplement. Which information is included in the teaching? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.

1. Iron does not affect the gastrointestinal tract.
2. A stool softener might be needed.
3. Start a low dose, and increase it gradually.
4. Expect the stools to be black and bloody.
5. Iron absorption is poor if taken with meals.

debra928 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1,3,4,5
Rationale 1: ASC-US stands for abnormal squamous cells of undetermined significance. This result is equivocal, and requires follow-up either through repeating the Pap every 46 months or with a colposcopic examination for more detailed information. ASC-US does not indicate cancer.
Rationale 2: ASC-US does not indicate cancer.
Rationale 3: Cervicitis caused by human papilloma virus (HPV) or another sexually transmitted infection can lead to an ASC-US result, but the results can also be caused by recent sexual intercourse. ASC-US does not indicate cancer.
Rationale 4: This result is equivocal, and requires follow-up either through repeating the Pap every 46 months or with a colposcopic examination for more detailed information.
Rationale 5: ASC-US stands for abnormal squamous cells of undetermined significance. The cervical cells are abnormal, but the reason why is unknown.

Answer to Question 2

2, 3, 5
Explanation: 2. Constipation can be a problem when taking iron, so a stool softener might be needed.
3. To prevent anemia, experts recommend that all pregnant women start on 30 mg/day of iron supplements daily. If anemia is diagnosed, the dosage should be increased to 60 to 120 mg per day of iron.
5. Iron absorption is reduced by 40 to 50 if taken with meals.