A 19-year-old female is asking the nurse about the vaccine for ...

[NguyenJ]

A 19-year-old female is asking the nurse about the vaccine for human papilloma virus (HPV). Which statement by the nurse is accurate?
 
  a. Gardasil protects against all HPV strains.
  b. You are too young to receive the vaccine.
  c. Only females can receive the vaccine.
  d. This will lower your risk for cervical cancer.

Question 2

A nurse is assessing a client who presents with a scaly rash over the palms and soles of the feet and the feeling of muscle aches and malaise. The nurse suspects syphilis. Which action by the nurse is appropriate?
 
  a. Reassure the client that this stage is not infectious unless she is pregnant.
  b. Assess the client for hearing loss and generalized weakness.
  c. Don gloves and further assess the client's lesions.
  d. Take a history regarding any cardiovascular symptoms.

[bubulittle310@msn.cn]

Answer to Question 1

ANS: D
Gardasil is used to provide immunity for HPV types 6, 11, 16, and 18 that are high risk for cervical cancer and warts. The vaccine is recommended for people ages 10 to 26 years.

Answer to Question 2

ANS: C
The client is displaying symptoms similar to secondary syphilis, with flu-like symptoms and rash due to the spirochetes circulating throughout the bloodstream. Therefore, the nurse needs to further assess the client's lesions with gloves since the client is highly contagious at this stage. Late latent syphilis is not infectious except to a fetus. Tertiary syphilis may display in the form of cardiovascular or central nervous system symptoms.

[NguyenJ]

Thank you

[bubulittle310@msn.cn]

Happy to help you