A female client presents to the clinic with a fever and sore throat as well as a rash on the hands, palms, and the soles of the feet. The client reports having intercourse once with a new partner approximately 8 weeks ago. Which condition should the nurse suspect?
Mononucleosis.
Herpes simplex virus.
Syphilis.
Toxic shock syndrome.
The Correct Answer is C
Choice A reason: Mononucleosis typically presents with fever, sore throat, and lymphadenopathy but does not commonly cause a rash on the hands and feet.
Choice B reason: Herpes simplex virus usually causes painful vesicular lesions rather than a diffuse rash on the hands and feet.
Choice C reason: Syphilis can present with a fever, sore throat, and a characteristic rash on the hands, palms, and soles of the feet, particularly in the secondary stage of the infection.
Choice D reason: Toxic shock syndrome is associated with high fever, rash, and shock, but the rash is not typically confined to the hands and feet.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A listing of African-American women in the community may help identify the target audience but is not as crucial as engaging the community leaders.
Choice B reason: Morbidity data for breast cancer in women of all races provides background information but does not directly address the specific needs of African-American women.
Choice C reason: Technical assistance to produce a video is useful but secondary to involving the community in the planning process.
Choice D reason: Participation of community leaders is vital as they can provide insights into cultural and social factors that influence health behaviors, ensuring the program is culturally relevant and effective.
Correct Answer is C
Explanation
Choice A reason: Yellow expectorated sputum is indicative of an infection but does not require immediate intervention.
Choice B reason: An oral temperature of 100.5°F (38.1°C) suggests a mild fever, common with infections and manageable with antipyretics.
Choice C reason: Bilateral diffuse wheezing is a sign of airway obstruction and requires immediate intervention to ensure the client's airway remains open and they are able to breathe effectively.
Choice D reason: Shortness of breath on exertion is expected in clients with COPD and pneumonia but does not require the most immediate intervention compared to wheezing.
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