A clinic nurse is assessing a client who has measles. Which of the following findings should the nurse expect?

Choice A reason: Koplik spots are small, white, bluish-gray spots that appear on the inner cheeks, gums, or roof of the mouth before the rash develops. They are a characteristic sign of measles and can help to distinguish it from other viral infections.

Choice B reason: Persistent low-grade temperature is not a finding that the nurse should expect in a client who has measles. Measles typically causes a high fever that can reach up to 40°C (104°F) and lasts for four to seven days. The fever may spike when the rash appears and subside when the rash fades.

Choice C reason: Muscle aches and tenderness are not findings that the nurse should expect in a client who has measles. Measles mainly affects the respiratory system and the skin, and does not cause significant muscle involvement. The client may experience fatigue, weakness, or malaise, but not muscle pain or soreness.

Choice D reason: Rash confined to the trunk of the body is not a finding that the nurse should expect in a client who has measles. Measles causes a red, blotchy rash that usually starts on the face and spreads to the rest of the body, including the arms, legs, and feet. The rash may last for up to a week and may cause itching or peeling of the skin.

Choice A reason: Demographics is not the priority information for the community health nurse to obtain from each client, as it is not directly related to the transmission or treatment of tuberculosis. Demographics is the statistical data of a population, such as age, gender, race, or income. The nurse may collect this information for surveillance or research purposes, but it is not essential for the immediate care of the client.

Choice B reason: Household members is the priority information for the community health nurse to obtain from each client, as it is crucial for the prevention and control of tuberculosis. Household members are the people who live with or share the same living space with the client. They are at high risk of being exposed to or infected with tuberculosis, as the disease is spread through respiratory droplets from coughing or sneezing. The nurse should identify and screen the household members for tuberculosis, and provide them with prophylactic antibiotics if needed.

Choice C reason: Occupation is not the priority information for the community health nurse to obtain from each client, as it is not directly related to the transmission or treatment of tuberculosis. Occupation is the type of work or profession that the client does. The nurse may collect this information for occupational health or social support purposes, but it is not essential for the immediate care of the client.

Choice D reason: Health history is not the priority information for the community health nurse to obtain from each client, as it is not directly related to the transmission or treatment of tuberculosis. Health history is the record of the client's past and present medical conditions, medications, allergies, or surgeries. The nurse may collect this information for diagnosis or management purposes, but it is not essential for the immediate care of the client.