Which administration concern is included in the plan of care for ...

[rl]

Which administration concern is included in the plan of care for the HPV (human papillomavirus) vaccine?
 
  a. It is available in liquid form.
  b. It involves a series of two injections.
  c. Injections should be given over a 3-month period.
  d. The individual should sit down for 15 minutes following the injection.

Question 2

Findings of a Pap smear exam denote atypical cells of undetermined significance (ASCUS). The Pap test is repeated at 6 months and the same finding of ASCUS are reported. Which therapeutic treatment option would the nurse expect the practitioner to order?
 
  a. Mammography
  b. Bone scan
  c. Transvaginal ultrasound
  d. Biopsy

[perkiness]

Answer to Question 1

ANS: D
There is a possibility that the client can faint in reaction to this type of immunization, so a safety concern should be included in the plan of care. It is available only in injection form. It is given as a series of three injections. The series of three injections should be given over a 6-month period according to Centers for Disease Control and Prevention (CDC) recommendations.

Answer to Question 2

ANS: D
Based on the standard of care, a colposcopy or biopsy of the cervix is indicated. A Pap smear is done to evaluate the cervix. There is no indication that mammography, which is used to assess and evaluate breast tissue, is required. There is no evidence to warrant a bone scan. Although a transvaginal ultrasound might be included in the treatment plan, the Pap smear indicates cervical pathology so a colposcopy or biopsy is indicated.