Which problem should the nurse use when planning care for this client?

Correct Answer: B

Rationale: When planning care for a client, it is essential for the nurse to consider all aspects of the client's situation. In this case, the correct answer is B: conflict with family over gender expression. This is the most important problem to address because family support and understanding play a crucial role in the well-being of the client, especially when it comes to issues related to gender identity. Addressing conflicts with the family over gender expression can help create a supportive environment for the client to explore and express their identity freely. It can also improve communication and relationships within the family, which are essential for the client's overall health and well-being. Choice A, conflict with gender identity, while important, may not be the immediate priority in this case. The client's internal struggles with their gender identity can be addressed and supported after addressing the external conflicts with the family. Choices C and D are incorrect because they do not directly address the interpersonal relationships and support systems that are crucial for the client's well-being. While addressing financial concerns and access to healthcare are important aspects of care, they are not as pressing as resolving conflicts with the family over gender expression in this particular scenario.

Correct Answer: A

Rationale: Option A is the correct answer because a vaccine has been approved to prevent the human papillomavirus (HPV), which is a sexually transmitted infection (STI). The HPV vaccine is recommended for both males and females to prevent certain types of HPV that can lead to genital warts and various types of cancer, including cervical, vaginal, vulvar, anal, and throat cancer. Option B is incorrect because there are vaccines available for some STIs, such as HPV, hepatitis A, and hepatitis B. It is essential for the nurse to provide accurate information to the individual asking about STI vaccines to promote preventive health practices. Option C is partially correct because vaccines are indeed available for hepatitis A, hepatitis B, and HPV. However, this option fails to mention other STIs like HIV and herpes simplex virus (HSV), which do not have vaccines available for prevention. Option D is incorrect because vaccines for HIV and HSV are still under development and not yet approved for prevention. It is crucial for the nurse to stay updated on current research and recommendations regarding STI prevention to provide the most accurate information to patients inquiring about vaccines for STIs.

Correct Answer: A

Rationale: A colposcopy is a procedure performed to closely examine the cervix, vagina, and vulva for signs of disease. The nurse should inform the client that the test is conducted because of abnormal results in a Papanicolaou (Pap) test. This is important because abnormal Pap test results can indicate precancerous or cancerous changes in the cervix, which require further evaluation through a colposcopy. Choice B is incorrect because a colposcopy is typically not a painful procedure. While some women may experience mild discomfort, it is usually well-tolerated without the need for recovery time. It is important for the nurse to reassure the client that discomfort during the procedure is minimal. Choice C is incorrect because intercourse does not need to be avoided for a week after a colposcopy. The client may resume normal activities, including sexual intercourse, as soon as they feel comfortable. It is essential for the nurse to provide accurate information to the client to alleviate unnecessary concerns or restrictions. Choice D is incorrect because a colposcopy may be necessary even without the presence of symptoms. The purpose of a colposcopy is to further investigate abnormal Pap test results, regardless of whether the client is experiencing symptoms. It is crucial for the nurse to educate the client on the importance of follow-up testing to detect and treat any abnormalities early. In conclusion, the nurse should inform the client that a colposcopy is conducted due to abnormal Pap test results, reassure them that the procedure is typically not painful, clarify that intercourse can be resumed as soon as comfortable, and emphasize the importance of undergoing a colposcopy based on Pap test results rather than symptoms.

Correct Answer: A

Rationale: A) The nurse will include information about the importance of consistent testing for cervical cancer in the client's education plan because HPV is a known risk factor for cervical cancer. Regular Pap smears and HPV testing are crucial for early detection and treatment of any abnormalities that may develop into cancer. This information empowers the client to take proactive steps in monitoring their health and preventing potential complications. B) Choice B is incorrect because HPV is a viral infection and cannot be cured with antiviral medication. While antiviral medications may help manage symptoms or reduce the duration of outbreaks, there is no cure for HPV. Education on the chronic nature of the virus and the importance of preventive measures such as vaccination and regular screenings is essential. C) Surgical removal of warts may help manage symptoms and reduce the risk of transmission to sexual partners, but it does not prevent transmission of HPV entirely. HPV can still be present in the body even after visible warts are removed. Therefore, focusing solely on wart removal is not sufficient in managing HPV. Education on safer sex practices and regular screenings is key. D) Outbreaks of HPV are not temperature-related. HPV is primarily transmitted through sexual contact, and factors such as stress, weakened immune system, and skin-to-skin contact can contribute to outbreaks. Providing accurate information about the modes of transmission and risk factors for HPV is essential in the client's education plan to promote understanding and informed decision-making.