Author Question: The nurse is counseling a woman who has multiple sexual partners and has recently been diag-nosed ... (Read 29 times)

Deast7027 · **on:** Jul 23, 2018

The nurse is counseling a woman who has multiple sexual partners and has recently been diag-nosed with the human papillomavirus (HPV). The importance of regularly scheduled Pap smears is discussed primarily because:

1. This woman has a high risk for cervical cancer
2. Her sexual practices also put her at risk for HIV
3. This woman's age puts her at risk for uterine cancer
4. Regular screening results in improved client outcomes

Question 2

Which of the following statements made by a client concerning birth control requires immediate correction by the nurse?

1. My partner is responsible for our birth control; he uses a condom.
2. I've gained some weight so I should have my diaphragm refitted.
3. My husband is reluctant to have a vasectomy since it is permanent.
4. I prefer the cervical cap since I can leave it in for a longer period of time.

kaykay69 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1
Researchers estimate that 80 to 90 of cervical cancer cases are linked to HPV infection. It is true that regular screenings do improve client outcomes; the purpose of the Pap smear is directly related to cervical cancer. HPV does not increase the risk of uterine cancer nor would it be de-tected by a Pap smear. While having multiple sexual partners does increase the risk of contracting HIV, it would not be diagnosed with a Pap smear.

Answer to Question 2

ANS: 1
Barrier methods include over-the-counter spermicidal products and condoms. Spermicidal prod-ucts (e.g., creams, jellies, foams, and sponges) are put into the vagina before intercourse to create a spermicidal barrier between the uterus and ejaculated sperm. A condom is a thin rubber sheath that fits over the penis to prevent entrance of sperm into the vagina. Vaginal spermicides and condoms are most effective when instructions are carefully followed; their combined use is more effective in preventing pregnancy than the use of either one alone. While a vasectomy may be reversed, it is very difficult and results cannot be guaranteed. The remaining options are correct.