Author Question: A 19-year-old visits the health clinic for a routine checkup. Which question should the nurse ask to ... (Read 134 times)

chandani · **on:** Jun 25, 2018

A 19-year-old visits the health clinic for a routine checkup. Which question should the nurse ask to determine whether a Pap test is needed?

a. Have you had sexual intercourse?
b. Do you use any illegal substances?
c. Do you have cramping with your periods?
d. At what age did your menstrual periods start?

Question 2

Which topic will the nurse include in the preoperative teaching for a patient admitted for an abdominal hysterectomy?

a. Purpose of ambulation and leg exercises
b. Adverse effects of systemic chemotherapy
c. Decrease in vaginal sensation after surgery
d. Symptoms caused by the drop in estrogen level

Jmfn03 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
The current American Cancer Society recommendation is that a Pap test be done every 3 years, starting 3 years after the first sexual intercourse and no later than age 21. The information about menstrual periods and substance abuse will not help determine whether the patient requires a Pap test.

Answer to Question 2

ANS: A
Venous thromboembolism (VTE) is a potential complication after the surgery, and the nurse will instruct the patient about ways to prevent it. Vaginal sensation is decreased after a vaginal hysterectomy but not after abdominal hysterectomy. Leiomyomas are benign tumors, so chemotherapy and radiation will not be prescribed. Because the patient will still have her ovaries, the estrogen level will not decrease.