A nurse in a college health clinic is speaking to a group of adolescents about toxic shock syndrome (TSS). Which of the following should the nurse include in the teaching as increasing the risk for contracting TSS?

High-absorbency tampons

Travel to foreign countries

Mosquito bites

Multiple sexual partners .

Answer and Explanation

The Correct Answer is A

Choice A rationale

High-absorbency tampons are a known risk factor for toxic shock syndrome (TSS). TSS is a rare, life-threatening complication of certain types of bacterial infections. Often TSS results from toxins produced by Staphylococcus aureus (staph) bacteria, but the condition may also be caused by toxins produced by group A streptococcus (strep) bacteria. The condition is caused due to bacterial toxins from Streptococcus or Staphylococcus infection. Bacteria usually enter the body through openings in the skin such as wounds or cuts. The risk factors include open skin wound, having had recent surgery, using superabsorbent tampons or contraceptive sponges. Therefore, the nurse should include the use of high-absorbency tampons in the teaching as increasing the risk for contracting TSS.

Choice B rationale

Travel to foreign countries is not specifically mentioned as a risk factor for TSS. While traveling can expose individuals to a variety of health risks depending on the destination, it is not directly linked with an increased risk of TSS1234.

Choice C rationale

Mosquito bites are not a known risk factor for TSS. Mosquito bites can transmit certain diseases such as malaria, dengue fever, and Zika virus, but they are not associated with TSS1234.

Choice D rationale

Having multiple sexual partners can increase the risk of sexually transmitted infections, but it is not a known risk factor for TSS. TSS is typically associated with superabsorbent tampon use, skin wounds, and recent surgery.

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Correct Answer is A

Explanation

Choice A rationale

The maternal serum alpha-fetoprotein test is a part of what’s often called the “triple screen” that can assess whether a pregnant woman may be at increased risk of carrying a baby with certain disorders, such as neural tube defects (spinal defects) or Down syndrome.

Choice B rationale

While the test can provide information about the risk of certain birth defects, it does not assess various markers of fetal well-being.

Choice C rationale

The test does not identify an Rh incompatibility between the mother and fetus. That would be determined through separate blood tests.

Choice D rationale

The test does not assess fetal lung maturity. Other tests, such as amniocentesis, can provide this information.

A. Large amount of vaginal bleeding. B. Severe nausea and vomiting. C. Uterine enlargement greater than expected for gestational age. D. Unilateral, cramp-like abdominal pain.

Correct Answer is D

Explanation

Choice D rationale

Unilateral, cramp-like abdominal pain. This is a common symptom of an ectopic pregnancy. The pain usually starts on one side of the abdomen after the early stages of pregnancy and may be accompanied by spotting or vaginal bleeding.

Choice A rationale

Large amount of vaginal bleeding. While vaginal bleeding can occur in an ectopic pregnancy, it’s usually light to moderate, not large. Heavy vaginal bleeding is more commonly associated with miscarriage or other conditions.

Choice B rationale

Severe nausea and vomiting. While some women with an ectopic pregnancy may experience nausea and vomiting, these symptoms are common in early pregnancy and are not specific to ectopic pregnancy.

Choice C rationale

Uterine enlargement greater than expected for gestational age. This is not a typical symptom of an ectopic pregnancy. In fact, because the pregnancy is not in the uterus, the size of the uterus may be smaller than expected for the gestational age.

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A nurse in a college health clinic is speaking to a group of adolescents about toxic shock syndrome (TSS). Which of the following should the nurse include in the teaching as increasing the risk for contracting TSS?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is D

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