The nurse is caring for a patient who says she is lesbian. The ...

[justinmsk]

The nurse is caring for a patient who says she is lesbian. The well-educated nurse will be aware that the patient:
 
  1. Is at lesser risk for sexually transmitted diseases and cervical cancer than a heterosexual woman would be.
  2. Is less likely to experience domestic violence than a heterosexual woman would be, and does not need to be asked about it.
  3. Is at greater risk for breast cancer than a heterosexual woman would be.
  4. Does not need to have a Pap smear as frequently as a heterosexual woman would.

Question 2

The clinic nurse is following the progress of a HIV-positive infant. The nurse will assess the infant for: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.
 
  1. Recurrent infections.
  2. Cancer.
  3. Delayed development.
  4. Epstein-Barr manifestations.
  5. Intact, normal central nervous system.

[T4T]

Answer to Question 1

3
Rationale 1: Lesbians are at just as great a risk for sexually transmitted diseases and cervical cancer as are heterosexual women.
Rationale 2: Lesbians do experience domestic violence, and they do need to be asked about it as a part of their history.
Rationale 3: Lesbians are at a greater risk for breast cancer, especially if they have never given birth.
Rationale 4: Lesbians need Pap smears and gynecological follow-up as often as any other woman does.

Answer to Question 2

1,3,4,5
Rationale 1: Recurrent infections would indicate the infant might be progressing to AIDS.
Rationale 2: Cancer is rare in the HIV-positive infant.
Rationale 3: Delayed development is a potential complication of HIV, as it can cause encephalopathy.
Rationale 4: The HIV-positive infant can contract the Epstein-Barr virus.
Rationale 5: The nurse will be assessing for normal nervous system function, as it indicates the virus is under control.