A client at 10-weeks gestation reports a maculopapular rash on the face, fever, malaise, sore throat, and lymphadenopathy. Which laboratory result should the nurse review?

Toxoplasmosis.

Group B Streptococcus.

Gonorrhea.

Rubella.

Answer and Explanation

The Correct Answer is D

A.   Toxoplasmosis: While toxoplasmosis can cause symptoms similar to those described, it is not typically associated with a maculopapular rash on the face. Moreover, routine screening for toxoplasmosis is not typically performed during pregnancy unless indicated by specific risk factors.
B.   Group B Streptococcus: Group B Streptococcus is primarily associated with maternal
colonization and neonatal infection, but it does not typically present with a maculopapular rash on the face in the mother.
C.   Gonorrhea: Gonorrhea can cause systemic symptoms, but it is not commonly associated with a maculopapular rash on the face. Additionally, routine screening for gonorrhea during pregnancy typically focuses on genital sites rather than systemic symptoms.

D. Rubella: Rubella, or German measles, presents with a maculopapular rash on the face (often described as a "slapped cheek" appearance) along with fever, malaise, sore throat, and
lymphadenopathy. Rubella infection during pregnancy can lead to congenital rubella syndrome, which can have serious consequences for the developing fetus. Therefore, it is important to
review rubella immunity status in pregnant women presenting with these symptoms.

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Correct Answer is A

Explanation

A. Promoting full diaphragmatic excursion by massaging the back helps to facilitate deep breathing and lung expansion, which is essential for preventing respiratory complications such as atelectasis and pneumonia after surgery.
B. Noting areas of atelectasis on daily chest x-rays is important for assessing respiratory status, but it is a monitoring intervention rather than a preventive intervention.
C. Assisting the client to a chair the day after surgery when the condition is stable promotes early mobility and prevents complications such as deep vein thrombosis, but it may not directly
address respiratory complications.
D. Providing ice or oral liquids when the client passes flatus may be part of the postoperative care plan, but it does not directly address respiratory complications. It's more related to bowel function and hydration status.

A. The client will monitor blood glucose and blood pressure after each meal. B. The client's blood pressure readings will be less than 160/90 mm Hg. C. The nurse will encourage the client to walk thirty minutes every day. D. The client's daily blood pressure will be less than 140/80 mm Hg this month.

Correct Answer is D

Explanation

A. The client will monitor blood glucose and blood pressure after each meal: While monitoring blood pressure may be important for cardiovascular health, this outcome specifically addresses blood glucose, which may not be directly related to the client's newly diagnosed cardiovascular disease.
B. The client's blood pressure readings will be less than 160/90 mm Hg: This outcome focuses on blood pressure control, but the goal of less than 160/90 mm Hg may not be stringent enough for optimal cardiovascular health.
C. The nurse will encourage the client to walk thirty minutes every day: Exercise is important for cardiovascular health, but this outcome does not specifically address blood pressure
management, which is crucial for reducing the risk of cardiovascular events.
D. The client's daily blood pressure will be less than 140/80 mm Hg this month: This outcome addresses blood pressure control, setting a specific target (less than 140/80 mm Hg) that aligns with current guidelines for managing cardiovascular disease and reducing the risk of
complications.

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A client at 10-weeks gestation reports a maculopapular rash on the face, fever, malaise, sore throat, and lymphadenopathy. Which laboratory result should the nurse review?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Explanation

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