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RICCI CHAPTER 8 - TEST BANK - 4TH EDITION QUESTIONS AND ANSWERS UPDATED .
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RICCI CHAPTER 8 - TEST BANK - 4TH EDITIONQUESTIONS AND ANSWERS UPDATED .
1., A, 58-year-old, client, comes, to, the, clinic, for, evaluation., After, obtaining, the, client's, history,, the
nurse, suspects, endometrial, cancer., Which, information, would, lead, the, nurse, to, this, suspicion?
A., use, of, oral, contraceptives, between, ages, 18, and, 25
B., onset, of, painless,, bright, red, postmenopausal, bleeding
C., menopause, occurring, at, age, 46
D., use, of, intrauterine, device, for, 3, years, , ANS, -, , Answer:, B
Rationale:, Any, episode, of, bright, red, painless, bleeding, occurring, after, menopause, needs, to, be
investigated., Abnormal, uterine, bleeding, in, postmenopausal, women, should, be, regarded, with
suspicion., Oral, contraceptive, use, is, associated, with, cervical, cancer., Late, menopause, (after, age
52), is, associated, with, endometrial, cancer., Use, of, an, intrauterine, device, is, not, associated, with
endometrial, cancer.
2., A, woman, is, to, have, a, Papanicolaou, test., When, teaching, the, woman, about, this, test,, the, nurse
would, emphasize, which, instruction, to, the, client?
A., "Refrain, from, sexual, intercourse, for, 1, week, before, the, test."
B., "Wear, cotton, panties, on, the, day, of, the, test."
C., "Avoid, taking, any, medications, for, 24, hours."
D., "Do, not, douche, for, 48, hours, before, the, test.", , ANS, -, , Answer:, D
Rationale:, The, nurse, should, instruct, the, woman, not, to, douche, for, 48, hours, before, the, test, to
prevent, washing, away, cervical, cells,, which, might, be, abnormal., Sexual, intercourse, should, be
avoided, for, 48, hours, before, the, test., Wearing, cotton, panties, is, unrelated, to, preparation, for, a
Papanicolaou, test., Medications, do, not, need, to, be, withheld, before, the, test.
3., A, woman, comes, to, the, clinic, for, a, routine, checkup., After, obtaining, the, client's, history,, the
nurse, identifies, that, the, client, is, at, increased, risk, for, cervical, cancer, based, on, her, history, of
exposure, to, which, virus?
, A., hepatitis
B., human, papillomavirus
C., cytomegalovirus
D., Epstein-Barr, virus, , ANS, -, , Answer:, B
Rationale:, Human, papillomavirus, is, a, major, causative, factor, for, cervical, cancer., Hepatitis,
cytomegalovirus,, and, Epstein-Barr, virus, are, not, associated, with, the, development, of, cervical
cancer.
4., A, client, is, scheduled, to, have, a, Papanicolaou, test., After, the, nurse, teaches, the, client, about, the
Papanicolaou, test,, which, client, statement, indicates, successful, teaching?
A., "I, need, to, douche, the, night, before, with, a, mild, vinegar, solution."
B., "I, will, take, a, bath, first, thing, that, morning, to, make, sure, I'm, clean."
C., "I, will, not, engage, in, sexual, intercourse, for, 48, hours, before, the, test."
D., "I, will, get, a, clean, urine, specimen, when, I, first, wake, up, the, morning, of, the, test.", , ANS, -, ,
Answer:, C
Rationale:, The, woman, should, refrain, from, sexual, intercourse, for, 48, hours, before, the, test
because, sperm, can, obscure, the, specimen., Douching, should, be, avoided, for, 48, hours, before, the
test, to, prevent, washing, away, cervical, cells,, which, might, be, abnormal., Although, a, bath, is, an
appropriate, hygiene, measure,, it, is, not, required, before, a, Papanicolaou, test., Collecting, a, urine
specimen, also, is, not, necessary.
5., Which, finding, obtained, during, a, client, history, would, the, nurse, identify, as, increasing, a, client's
risk, for, ovarian, cancer?
A., multiple, sexual, partners
B., consumption, of, a, high-fat, diet
C., underweight
D., grand, multiparity, (more, than, five, children), , ANS, -, , Answer:, B
Rationale:, Risk, factors, for, ovarian, cancer, include, a, high-fat, diet,, obesity,, nulliparity,, early
menarche,, late, menopause,, and, increasing, age., Having, multiple, sexual, partners, is, a, risk, factor
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