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

Generalized rash

Elevated platelet count

Decreased total bilirubin

Hypertension

Answer and Explanation

The Correct Answer is A

A. Generalized rash is a common finding in toxic shock syndrome (TSS). The rash often appears as a sunburn-like rash and can progress to desquamation (peeling of the skin).

B. Elevated platelet count is not typically associated with toxic shock syndrome. In fact, thrombocytopenia (low platelet count) is more commonly seen in TSS.

C. Decreased total bilirubin is not associated with toxic shock syndrome. Bilirubin levels may be affected in cases of liver dysfunction, but TSS does not typically cause a decrease in bilirubin.

D. Hypertension is not a common finding in toxic shock syndrome. TSS often causes hypotension (low blood pressure) due to the systemic inflammatory response and shock.

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Correct Answer is D

Explanation

A. The client should place the sublingual nitroglycerin tablet under the tongue, not against the cheek and gum. This allows for faster absorption through the mucous membranes.

B. The client should not chew the tablet. It should be allowed to dissolve under the tongue to ensure proper absorption and effectiveness.

C. The nurse should instruct the client to wait at least 5 minutes between doses. If the chest pain persists after the first dose, the client can take a second dose, but they should wait 5 minutes and not 2 minutes.

D. Sublingual nitroglycerin should be taken immediately when chest pain begins. It is used to relieve acute episodes of angina by dilating blood vessels and improving blood flow to the heart.

A. Diphenhydramine B. Sertraline C. Ondansetron D. Methylprednisolone

Correct Answer is C

Explanation

A. Diphenhydramine is an antihistamine and is primarily used for allergy symptoms or as a sedative. While it has anti-nausea properties, it is not the most effective medication for chemotherapy-induced nausea and vomiting.

B. Sertraline is an SSRI used primarily for depression and anxiety. It is not typically used for chemotherapy-induced nausea and vomiting.

C. Ondansetron is the most appropriate medication. It is a serotonin 5-HT3 receptor antagonist commonly used to prevent nausea and vomiting caused by chemotherapy. It works by blocking serotonin receptors in the gastrointestinal tract and central nervous system, preventing nausea.

D. Methylprednisolone is a corticosteroid and may be used as part of a combination regimen to manage nausea and vomiting associated with chemotherapy, but it is not the first-line medication for nausea. Ondansetron would typically be given first.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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