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The nurse is educating a client on the prevention of toxic shock syndrome (TSS). Which statement by the client indicates a lack of understanding?

A.

"At night, I should use a feminine pad rather than a tampon."

B.

"If I don't use tampons, I will reduce my risk for TSS."

C.

"I need to change my tampon every 10 hours during the day."

D.

"It is best if I wash my hands before inserting the tampon."

Answer and Explanation

The Correct Answer is C

A. Using a feminine pad at night instead of a tampon can reduce the risk of TSS, which is correct.

B. Not using tampons reduces the risk of TSS. This statement is correct.

C. Tampons should be changed every 4 to 8 hours, not 10 hours, to reduce the risk of TSS. This statement indicates a lack of understanding.

D. Hand hygiene before inserting a tampon is critical for preventing TSS. This statement is correct.


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Related Questions

Correct Answer is D

Explanation

A. Hypercalcemia (Calcium > 10.5 mg/dL) can lead to shortened QT intervals, not prolonged ones, and is unlikely to cause Torsades de Pointes.

B. A magnesium level of 3.1 mEq/L is slightly elevated and would not contribute to QT prolongation or Torsades de Pointes. In fact, magnesium supplementation is a treatment for this condition.

C. Hypokalemia (Potassium < 3.5 mEq/L) can prolong the QT interval and contribute to dysrhythmias, but it is less commonly a direct cause of Torsades de Pointes compared to hypomagnesemia. A potassium level of 2.6 mEq/L is low but would not typically result in Torsades without coexisting hypomagnesemia.

D. Hypomagnesemia (Magnesium < 1.5 mEq/L) disrupts the heart's electrical activity, prolonging the QT interval and increasing the risk of polymorphic ventricular tachycardia, like Torsades de Pointes. Magnesium is critical for stabilizing myocardial electrical conduction, and a value of 1.1 mEq/L indicates significant deficiency, consistent with this dysrhythmia.

Correct Answer is C

Explanation

A. A mild pain level of 3/10 is common after angioplasty and is not immediately concerning.

B. Minimal bruising at the groin is expected after this procedure and is not alarming.

C. A weakened pedal pulse and a cool leg could indicate compromised circulation, which is a serious concern post-angioplasty. Immediate assessment is needed to check for possible complications such as re-occlusion.

D. A blood pressure of 154/78 mmHg is somewhat elevated but not alarming.

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