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

Administering IV fluids can help maintain blood flow to the kidneys and prevent acute kidney failure.
Choice B is incorrect because inserting a urinary catheter does not prevent acute kidney failure.
Choice C is incorrect because an intravenous pyelogram is a diagnostic test and does not prevent acute kidney failure.
Choice D is incorrect because beta-blocker therapy is not used to prevent acute kidney failure.

A. "I will increase the amount of fresh fruits and vegetables I consume.". B. "I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash.". C. "I will be sure to wear gloves and wash my hands when I change my cat's litter box.". D. "I will need to take my clothes to the dry cleaners to sterilize them.".

Correct Answer is C

Explanation

This statement indicates an understanding of the teaching because it shows that the client is aware of the importance of reducing their risk of infection by taking precautions when handling pet waste.

Choice A is wrong because while increasing the amount of fresh fruits and vegetables consumed is a healthy dietary choice, it does not demonstrate an understanding of the discharge teaching for a client with AIDS.
Choice B is wrong because while cleaning up areas soiled with body fluids is important, using alcohol and immediately disposing of the trash is not necessary.
Choice D is wrong because taking clothes to the dry cleaners to sterilize them is not necessary for a client with AIDS.

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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?