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.

Answer and Explanation

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).

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Correct Answer is A

Explanation

Acupuncture is commonly used to treat a wide range of illnesses and ailments including pain management, control of nausea and vomiting, fatigue, hot flashes, xerostomia, neuropathy, anxiety, depression, and sleep disturbance in cancer patients.

However, I could not find any information that suggests mouth sores (B), headaches, or urticaria (D) are contraindications for acupuncture.

Lymphedema is a contraindication for acupuncture because it can increase the risk of infection in the affected area.

It is important for the nurse to identify this as a contraindication to receiving acupuncture therapy.

A. Poor skin turgor. B. Pitting edema. C. Oliguria. D. S4 galloping heart sounds.

Correct Answer is B

Explanation

Pitting edema is a common and obvious symptom of right-sided heart failure.

This occurs when fluid retention causes swelling in the lower limbs and sometimes the abdomen.
Choice A is incorrect because poor skin turgor is not a common symptom of right-sided heart failure.
Choice C is incorrect because oliguria, or decreased urine output, is not a common symptom of right-sided heart failure.
Choice D is incorrect because S4 galloping heart sounds are not a common symptom of right-sided heart failure.

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A nurse is caring for a female client who has toxic shock syndrome. Which of the following findings should the nurse expect?

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A nurse is caring for a female client who has toxic shock syndrome.

Which of the following findings should the nurse expect?