Author Question: The nurse considers several new female patients to receive additional teaching on the need for more ... (Read 38 times)

student77 · **on:** Jul 22, 2018

The nurse considers several new female patients to receive additional teaching on the need for more frequent Pap test and gynecological examinations.

Which assessment findings reveal the patient at highest risk for cervical cancer and having the greatest need for patient education?
a. 13 years old, nonsmoker, not sexually active
b. 15 years old, social smoker, celibate
c. 22 years old, smokes 1 pack of cigarettes per day, has multiple sexual partners
d. 50 years old, stopped smoking 30 years ago, has history of multiple pregnancies

Question 2

The nurse is preparing for a rectal examination of a nonambulatory male patient. In which position will the nurse place the patient?

a. Sims'
b. Knee-chest
c. Dorsal recumbent
d. Forward bending with flexed hips

cdmart10 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: C
Females considered to be at higher risk include those who smoke, have multiple sex partners, and have a history of sexually transmitted infections. Of all the assessment findings listed, the 22-year-old smoker with multiple sexual partners has the greatest number of risk factors for cervical cancer. The other patients are at lower risk: not sexually active, celibate, and do not smoke.

Answer to Question 2

ANS: A
Nonambulatory patients are best examined in a side-lying Sims' position. Forward bending would require the patient to be able to stand upright. Knees to chest would be difficult to maintain in a nonambulatory male and is embarrassing and uncomfortable. Dorsal recumbent does not provide adequate access for a rectal examination and is used for abdominal assessment because it promotes relaxation of abdominal muscles.