An adolescent female is concerned about developing toxic shock syndrome. What teaching can the nurse provide to allay this patient's fears about the disorder? (Select all that apply.)
A) Avoid feminine hygiene sprays.
B) Change tampons at least every 4 hours.
C) Take acetaminophen (Tylenol) should a fever occur during menstruation.
D) Use the largest absorbency tampon possible adequate for the menstrual flow.
E) Tampons are to be avoided for 1 month after treatment for toxic shock syndrome.
A, B
Feedback:
Measures to prevent toxic shock syndrome include avoiding feminine hygiene sprays because these products can irritate the vaginal lining. Tampons should be changed at least every 4 hours. If a fever occurs during menstruation, the tampon should be removed and seek medical attention. A fever is a manifestation of toxic shock syndrome. The lowest absorbency tampon possible should be used. Anyone who has had an episode of toxic shock syndrome is advised to avoid all future tampon use.
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