The nurse is collecting data to determine the client’s risk factors related to cervical cancer. The nurse determines which information to be significant?
Multiple sexual partners.
Multiple pregnancies.
Late onset of menarche.
Use of a diaphragm.
The Correct Answer is A
Choice A rationale
Multiple sexual partners increase the risk of human papillomavirus (HPV) infection, which is a significant risk factor for cervical cancer.
Choice B rationale
Multiple pregnancies are not a significant risk factor for cervical cancer.
Choice C rationale
Late onset of menarche is not a significant risk factor for cervical cancer.
Choice D rationale
Use of a diaphragm is not a significant risk factor for cervical cancer.
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Correct Answer is C
Explanation
Choice A rationale
Auscultating for wheezing is important but not the first action. The priority is to administer epinephrine to counteract the severe allergic reaction.
Choice B rationale
Assessing the client’s level of consciousness is important but not the first action. Administering epinephrine takes precedence to stabilize the client’s condition.
Choice C rationale
Administering epinephrine is the first action. It is crucial to counteract the severe allergic reaction and prevent further complications.
Choice D rationale
Monitoring for hypotension is important but not the first action. Administering epinephrine is the priority to stabilize the client’s condition.
Correct Answer is D
Explanation
Choice A rationale
Diphenhydramine does not expand blood volume. It is an antihistamine used to prevent allergic reactions.
Choice B rationale
Diphenhydramine does not enhance clotting factors. It is used to manage allergic reactions.
Choice C rationale
While diphenhydramine can help manage fever and chills, its primary purpose before a blood transfusion is to prevent allergic reactions.
Choice D rationale
Administering diphenhydramine before a blood transfusion helps prevent urticaria and other allergic reactions by blocking histamine release. .