The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose last menstrual period started on December 1. Which date is most accurate?

The correct answer is choice c. Verbalizing the importance of monitoring for medication side effects.

Choice A rationale:

Relieving constipation is not typically a priority for patients with Graves’ disease, as constipation is not a common symptom of this condition.

Choice B rationale:

While involving adolescents in their care decisions is important, allowing them to decide whether or not to take medication is not appropriate. Adherence to medication is crucial for managing Graves’ disease.

Choice C rationale:

Verbalizing the importance of monitoring for medication side effects is essential. Graves’ disease treatment often involves medications that can have significant side effects, and monitoring these is critical for effective management and patient safety.

Choice D rationale:

Developing alternative educational goals is not directly related to the immediate management of Graves’ disease. While educational support is important, it is not the primary nursing goal in this context.

Choice A rationale:
Koplik's spots are small white or bluish-white spots with a red halo that appear inside the mouth on the buccal mucosa. They are a characteristic sign of measles (rubeola). Measles is a highly contagious viral infection characterized by fever, cough, runny nose, and a distinctive red rash. The presence of Koplik's spots is a specific diagnostic feature of measles, making choice A incorrect for this scenario.
Choice B rationale:
Koplik's spots are a classic sign of measles (rubeola). These spots typically appear a few days before the onset of the measles rash and are highly indicative of the disease. Measles is a highly contagious viral infection that spreads through respiratory droplets. It is essential to recognize Koplik's spots as they provide an early clue to the diagnosis of measles, enabling healthcare providers to take appropriate precautions and prevent the further spread of the disease.
Choice C rationale:
Chickenpox (varicella) presents with an itchy rash that progresses to fluid-filled blisters. However, Koplik's spots are not associated with chickenpox. Chickenpox is caused by the varicella-zoster virus and is characterized by a widespread rash, fever, and general discomfort. Koplik's spots are specific to measles and do not occur in chickenpox.
Choice D rationale:
Exanthema subitum, also known as roseola, is a viral illness that primarily affects infants and young children. It is characterized by high fever followed by a rash. However, Koplik's spots are not a feature of roseola. The rash in roseola appears after the fever subsides and is typically pink or red, differentiating it from the small white spots seen in measles.