The nurse is caring for a client with multiple traumas after a motor vehicle collision.

The nurse learns that the client has secondary syphilis. What precaution should the nurse implement?

a Gloves should be worn during direct contact with the client's skin.

No precautions in addition to standard precautions are necessary.

Handwashing is required before and after contact with the client.

A mask should be worn by anyone entering the client's room.

Answer and Explanation

The Correct Answer is A

Choice A rationale: Gloves should be worn during direct contact with the client's skin. This is a standard precaution that applies to all clients, but especially to those with infectious diseases that can be transmitted through contact. Secondary syphilis is highly contagious and can be spread through direct contact with the skin lesions or mucous

membranes of an infected person.

Choice B rationale: This is incorrect because secondary syphilis requires more than standard precautions to prevent transmission.

Choice C rationale: This is incorrect because handwashing is a basic component of standard precautions and is not sufficient to prevent the spread of syphilis.

Choice D rationale: This is incorrect because a mask is not necessary for contact precautions, unless the client has respiratory symptoms or is undergoing aerosol- generating procedures.

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Correct Answer is D

Explanation

Choice A rationale: Hormone therapy (HT) is used to treat menopausal symptoms, not PID.

Choice B rationale: Irregularities in the menstrual cycle is not a common complications of PID.

Choice C rationale: Changes in secondary sex characteristics is not a common complications of PID.

Choice D rationale: Pelvic inflammatory disease (PID) is an infection of the female reproductive organs that can cause scarring and damage to the fallopian tubes, ovaries, and uterus. This can lead to ectopic pregnancy, chronic pelvic pain, and infertility.

A. Diabetic ketoacidosis B. Heart failure being treated with furosemide C. Addison disease D. Cushing disease

Correct Answer is C

Explanation

Choice A rationale: Typically associated with potassium depletion rather than elevated levels.

Choice B rationale: Furosemide, a loop diuretic, can cause potassium depletion leading to hypokalemia, but it might also cause transient elevations in potassium levels initially. Choice C rationale: Addison disease can cause hyperkalemia, or high potassium, due to decreased renal excretion of potassium and increased retention of sodium and water.

Choice D rationale: Cushing disease can cause hypokalemia, or low potassium, due to increased renal excretion of potassium and decreased reabsorption of sodium and water.

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The nurse is caring for a client with multiple traumas after a motor vehicle collision. The nurse learns that the client has secondary syphilis. What precaution should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What topic should the nurse plan as a priority to teach a 26-year-old patient who has been treated for pelvic inflammatory disease?

Correct Answer is D

Explanation

A nurse notes that a client's serum potassium level is 5.9 mEq/L. The nurse interprets this as an expected finding in the client with:

Correct Answer is C

Explanation

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The nurse is caring for a client with multiple traumas after a motor vehicle collision.

The nurse learns that the client has secondary syphilis. What precaution should the nurse implement?