A client at 10-weeks gestation reports a maculopapular rash on the face, fever, malaise, sore throat, and lymphadenopathy. Which laboratory result should the nurse review?

Toxoplasmosis.

Group B Streptococcus.

Gonorrhea.

Rubella.

Answer and Explanation

The Correct Answer is D

A.   Toxoplasmosis: While toxoplasmosis can cause symptoms similar to those described, it is not typically associated with a maculopapular rash on the face. Moreover, routine screening for toxoplasmosis is not typically performed during pregnancy unless indicated by specific risk factors.
B.   Group B Streptococcus: Group B Streptococcus is primarily associated with maternal
colonization and neonatal infection, but it does not typically present with a maculopapular rash on the face in the mother.
C.   Gonorrhea: Gonorrhea can cause systemic symptoms, but it is not commonly associated with a maculopapular rash on the face. Additionally, routine screening for gonorrhea during pregnancy typically focuses on genital sites rather than systemic symptoms.

D. Rubella: Rubella, or German measles, presents with a maculopapular rash on the face (often described as a "slapped cheek" appearance) along with fever, malaise, sore throat, and
lymphadenopathy. Rubella infection during pregnancy can lead to congenital rubella syndrome, which can have serious consequences for the developing fetus. Therefore, it is important to
review rubella immunity status in pregnant women presenting with these symptoms.

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Correct Answer is ["C","E","F"]

Explanation

A. Typically, there is no need to restrict a child to clear liquids for several days post-cardiac catheterization unless specified by the physician.
B. Bathing should be avoided if the catheterization was done through the groin, but showers are usually permitted after 24 hours, provided the water does not directly hit the incision site.
C. Monitoring for fever is important as it can be a sign of infection.
D. A pressure dressing is usually kept on the site for the first few hours post-procedure, not for an entire week.
E. Ibuprofen can be given for pain, but it's important to follow the physician's advice regarding dosage and frequency.
F. It is crucial to alert the physician if the site bleeds or swells as this could indicate a complication from the procedure.

A. Inform the client that gradual tapering must be used to discontinue the medication. B. Tell the client that the medication's side effects will most likely dissipate over time. C. Remind the client that feeling better is the therapeutic effect of the medication. D. Tell the client to discuss the medication side effects with the healthcare provider.

Correct Answer is A

Explanation

A. Informing the client that gradual tapering must be used to discontinue the medication is crucial because abruptly stopping antidepressants can lead to withdrawal symptoms or the return of depressive symptoms. This response acknowledges the client’s concerns and provides a safe approach to discontinuation.

B. While side effects may diminish over time for some individuals, this response does not address the client's concerns or provide guidance on how to manage the side effects.
C. Reminding the client that feeling better is the therapeutic effect of the medication does not address the client's concerns about side effects or desire to discontinue the medication.

D. While discussing side effects with the healthcare provider is important, it does not address the need for a safe discontinuation process, which is why gradual tapering should be emphasized first.

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A client at 10-weeks gestation reports a maculopapular rash on the face, fever, malaise, sore throat, and lymphadenopathy. Which laboratory result should the nurse review?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits What should the nurse include in post discharge care education? Select all that apply.

Correct Answer is ["C","E","F"]

Explanation

Correct Answer is A

Explanation

A client is being discharged home after being treated for heart failure (HF. Which instruction should the nurse include in this client's discharge teaching plan?

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