Author Question: A parent asks about the human papillomavirus (HPV) vaccine. Which information will the nurse include ... (Read 36 times)

sabina · **on:** Jul 22, 2018

A parent asks about the human papillomavirus (HPV) vaccine. Which information will the nurse include in the teaching session?

a. It is recommended for girls 6 to 9 years old.
b. It is recommended for females ages 11 to 26.
c. It is recommended that booster injections be given.
d. It is recommended to receive four required injections.

Question 2

A patient who had a colostomy placed 1 month ago is feeling depressed and does not want to participate in sexual activities anymore. The patient is afraid that the partner does not want sex.

The patient is afraid the ostomy is physically unattractive. Which initial nursing intervention will be most effective in helping this patient resume sexual activity?
a. Inform the patient about a support group for people with colostomies.
b. Reassure the patient that lots of people resume sex the same week the colostomy is placed.
c. Teach the patient about intimate activities that can be done to incorporate the ostomy.
d. Discuss ways to adapt to new body image so the patient will be comfortable in resuming intimacy.

fromAlphatoOmega22 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: B
The vaccine is safe for girls as young as 9 years old and is recommended for females ages 11 to 26 if they have not already completed the three required injections. Booster doses currently are not recommended. The vaccine is most effective if administered before sexual activity or exposure.

Answer to Question 2

ANS: D
The nurse should first address the patient's need to be comfortable with his or her own body image; once the patient's issues related to body image are resolved, intimacy may follow. Reassuring the patient that others manage to have sexual intercourse with an ostomy may help to decrease anxiety but may have the unintended effect of making the patient feel abnormal because he or she has not yet resumed sexual activity. Support groups may be helpful for the patient, but this is not the most effective initial intervention a nurse can provide; this may be helpful later. The patient is worried about the ostomy; incorporating it into intimate activities is insensitive and can even be damaging to the stoma.