A nurse is caring for a female client who has toxic shock syndrome. Which of the following findings should the nurse expect?

Generalized rash

Elevated platelet count

Decreased total bilirubin

Hypertension

Answer and Explanation

The Correct Answer is A

A. Generalized rash is a common finding in toxic shock syndrome (TSS). The rash often appears as a sunburn-like rash and can progress to desquamation (peeling of the skin).

B. Elevated platelet count is not typically associated with toxic shock syndrome. In fact, thrombocytopenia (low platelet count) is more commonly seen in TSS.

C. Decreased total bilirubin is not associated with toxic shock syndrome. Bilirubin levels may be affected in cases of liver dysfunction, but TSS does not typically cause a decrease in bilirubin.

D. Hypertension is not a common finding in toxic shock syndrome. TSS often causes hypotension (low blood pressure) due to the systemic inflammatory response and shock.

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Correct Answer is C

Explanation

A. Monitoring the client for 15 minutes after receiving each medication dose is typically done for certain medications like vaccines or immunotherapy, but not for the treatment of syphilis. The treatment for primary syphilis is usually penicillin, and there is no need for extended observation unless the client has an allergy or reaction.

B. Antiviral medications are not used to treat syphilis. Syphilis is treated with antibiotics, usually penicillin.

C. Follow-up blood tests are necessary to ensure the syphilis infection has been successfully treated and to monitor for any potential recurrence. Clients with syphilis should have follow-up blood tests at 6, 12, and 24 months after treatment.

D. Cryotherapy is not used to treat syphilis. The primary treatment for syphilis is antibiotic therapy, specifically penicillin, and cryotherapy is typically used for conditions like warts or certain types of lesions, not syphilis.

A. Metoprolol 5 mg every 2 to 3 min up to three doses B. Oxygen at 2 L/min via nasal cannula C. Draw electrolytes along with Hgb and Hct D. Morphine 6 mg IV bolus every 3 hr as needed for pain E. Nitroglycerin 0.4 mg SL now may repeat every 5 min up to 3 doses F. Obtain daily weight G. Atropine 0.5 mg IV bolus every 5 min up to 2 mg

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"C"}}

Explanation

Rationale:

Metoprolol: Metoprolol is commonly prescribed in acute myocardial infarction (MI) to reduce heart rate and decrease myocardial oxygen demand. It is indicated for this client who is presenting with symptoms of a potential MI, including tachycardia and chest pain.
Oxygen at 2 L/min via nasal cannula: Oxygen therapy is indicated to increase oxygen supply to the myocardium and help relieve symptoms of hypoxia, especially in a client with chest pain and shortness of breath.
Draw electrolytes along with Hgb and Hct: Electrolytes should be checked to monitor for imbalances that can occur during a myocardial infarction or as a result of treatment (e.g., potassium levels). Hgb and Hct levels are also relevant for assessing overall oxygen-carrying capacity and fluid status.
Morphine 6 mg IV bolus every 3 hr as needed for pain: Morphine is a common analgesic used in MI management to relieve pain and reduce anxiety, which can decrease the workload on the heart.
Nitroglycerin 0.4 mg SL now may repeat every 5 min up to 3 doses: Nitroglycerin is used to relieve chest pain by dilating coronary arteries and improving blood flow to the heart. This prescription is appropriate for the client, assuming there are no contraindications (e.g., hypotension).
Obtain daily weight: While monitoring weight is important in managing heart failure, it is not immediately essential for this acute MI situation. Therefore, this is nonessential at this time.
Atropine 0.5 mg IV bolus every 5 min up to 2 mg: Atropine is used to treat bradycardia. However, the client is presenting with tachycardia, not bradycardia, so atropine would be contraindicated in this situation.

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A nurse is caring for a female client who has toxic shock syndrome. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing instructions to a client who has primary syphilis. Which of the following instructions should the nurse include in the discharge plan?

Correct Answer is C

Explanation

A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"C"}}

Explanation

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