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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Hydrocortisone: In Addison's disease, there is adrenal insufficiency leading to decreased cortisol production. During times of stress or illness, such as in this case of an acute viral infection, cortisol replacement therapy (such as hydrocortisone) is crucial to supplement the deficient endogenous cortisol production. This helps to manage the client's weakened state and stabilize their condition.
B. Potassium chloride: While the client's potassium level is elevated, indicating hyperkalemia, administering potassium chloride intravenously would exacerbate the hyperkalemia and potentially lead to further complications, such as cardiac arrhythmias.
C. Regular insulin: Regular insulin is indicated for the treatment of hyperglycemia, but the client's glucose level is low, indicating hypoglycemia. Administering regular insulin in this scenario would further decrease the client's blood glucose level, worsening their condition.
D. Broad spectrum antibiotic: While an acute viral infection may predispose the client to secondary bacterial infections, there is no indication from the client's presentation or laboratory values suggesting a need for broad spectrum antibiotics at this time. The priority is addressing
the adrenal crisis and stabilizing the client's condition with appropriate cortisol replacement therapy.

A. "This must be a very difficult time for you." B. "With surgery, your baby should have a full recovery." C. "Is there any particular reason why you think this is your fault?" D. "You didn't do anything wrong."

Correct Answer is A

Explanation

Choice A Rationale: This response acknowledges the parent's feelings and offers empathy without judgment. It opens the door for further conversation and support, which is crucial in a healthcare setting where emotional support is part of holistic care.

Choice B Rationale: While this statement aims to provide hope, it is misleading because a full recovery is not guaranteed with surgery for myelomeningocele. It fails to address the parent's emotional state and the complexity of the condition.

Choice C Rationale: This question could make the parent feel more guilty by suggesting there might be a reason for self-blame. It does not provide the comfort or support the parent needs at this moment.

Choice D Rationale: Although this statement is meant to reassure the parent, it does not acknowledge the parent's current emotional distress. It also closes off the opportunity for discussing feelings and concerns further.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Correct Answer is A

Explanation

The parent of a child born with a myelomeningocele asks the nurse, "What did I do to deserve this?" Which response is most helpful?

Correct Answer is A

Explanation

Exhibits Based on the results of the echocardiogram, the physician has decided to repair the ventricular septal via cardiac catheterization. What should the nurse's focused assessment include before the cardiac catheterization? Select all that apply.

A client arrives for an annual physical exam and reports having calf pain. The client's health history reveals peripheral arterial disease. Which question should the nurse ask the client about expected findings related to chronic arterial symptoms?

The nurse is caring for a client with a binge eating disorder. Which goal should the nurse first establish with the client?

A client with a history of rheumatic fever is diagnosed with mitral valve stenosis. The client has shortness of breath with exertion and fatigue. Which assessment finding warrants immediate intervention by the nurse?

The nurse manager is involved in agency restructuring. During this reengineering process, it is most important for the nurse to address which employee concern?

A client presents to the emergency department (ED reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

Exhibits The nurse reviews the post catheterization orders. Which two orders would the nurse question?