A nurse is assessing a client who presents with a scaly rash over the palms and soles of the feet and the feeling of muscle aches and malaise. The nurse suspects syphilis. Which action by the nurse is appropriate?
a. Reassure the client that this stage is not infectious unless she is pregnant.
b. Assess the client for hearing loss and generalized weakness.
c. Don gloves and further assess the client's lesions.
d. Take a history regarding any cardiovascular symptoms.
ANS: C
The client is displaying symptoms similar to secondary syphilis, with flu-like symptoms and rash due to the spirochetes circulating throughout the bloodstream. Therefore, the nurse needs to further assess the client's lesions with gloves since the client is highly contagious at this stage. Late latent syphilis is not infectious except to a fetus. Tertiary syphilis may display in the form of cardiovascular or central nervous system symptoms.
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