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.

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A reason: Using a spacer allows time for the client to inhale the entire dispensed dose, ensuring that the medication is delivered effectively to the lungs.

Choice B reason: While a spacer may reduce the risk of oral thrush, it is not specifically intended to prevent mouth infections.

Choice C reason: A spacer does not slow the entry of medication into the lungs; it helps to deliver the medication more effectively.

Choice D reason: While using a spacer can increase the effectiveness of the medication, the primary reason is that it allows the client to inhale the entire dose properly.

A. Prepare client for endotracheal intubation. B. Apply a nonrebreather mask at 100% oxygen. C. Place the client in a forward-leaning position. D. Obtain a sputum sample for culture and sensitivity.

Correct Answer is C

Explanation

Choice A reason: Intubation is not the first step in managing COPD exacerbation unless the client is in severe respiratory failure (e.g., unresponsive, unable to protect airway, pH severely low). This client is alert, able to maintain vitals, so less invasive interventions should be tried first.

Choice B reason: High-flow oxygen at 100% can eliminate the hypoxic drive to breathe in COPD patients, leading to CO₂ retention and respiratory acidosis. Controlled oxygen therapy (e.g., nasal cannula or Venturi mask at 1–2 L/min or FiO₂ 24–28%) is preferred.

Choice C reason: This "tripod" position reduces work of breathing by optimizing diaphragmatic expansion and helping accessory muscles function more effectively. It is an evidence-based immediate nursing intervention for acute dyspnea in COPD.

Choice D reason: Obtaining a sputum sample for culture and sensitivity is important for identifying the cause of the infection but is not the immediate priority.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client who has emphysema and recently experienced a stroke receives a prescription for a metered-dose inhaler with a spacer device. The client asks the nurse if using the spacer is necessary. Which information should the nurse provide?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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