A nurse is caring for a female client who has toxic shock syndrome.
Which of the following findings should the nurse expect?
Elevated platelet count.
Decreased total bilirubin.
Hypertension.
Generalized rash.
The Correct Answer is D
Toxic shock syndrome (TSS) is a life-threatening condition caused by bacterial toxins.
Common symptoms include high fever, low blood pressure, headache, rapid heartbeat, nausea and vomiting, muscle pain, malaise, confusion, and rashes on the soles and palms.
A generalized rash resembling a sunburn is one of the possible signs and symptoms of TSS.
A. Elevated platelet count: TSS does not cause an elevated platelet count.
B. Decreased total bilirubin: TSS does not cause a decrease in total bilirubin levels.
C. Hypertension: TSS causes low blood pressure (hypotension), not high blood pressure (hypertension).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A saw-tooth pattern with an atrial rate of 250 to 400/min is a characteristic finding on a cardiac rhythm strip of a client who has atrial flutter.
Choice A is incorrect because progressively longer PR durations are characteristic of a Mobitz type I second-degree AV block, not atrial flutter.
Choice B is incorrect because undetectable P waves are characteristic of atrial fibrillation, not atrial flutter.
Choice D is incorrect because absent PR intervals with a ventricular rate of 40 to 60/min are characteristic of third-degree AV block, not atrial flutter.
Correct Answer is B
Explanation
The nurse’s priority should be to assess the client’s gag reflex.
After an endoscopy with moderate (conscious) sedation, it is important to ensure that the client’s gag reflex has returned before allowing them to eat or drink.
Choice A is incorrect because while pain management is important, it is not the nurse’s priority in this situation.
Choice C is incorrect because the warmth of extremities is not the nurse’s priority in this situation.
Choice D is incorrect because temperature is not the nurse’s priority in this situation.
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