When implementing nursing care for a patient with a diagnosis of syphilis, the nurse must take into consideration the disease process. Rank in correct sequence the stages of the disease process
Click and drag the options below to move them up or down. Choice 1. Appearance of a chancre and regional enlargement of lymph nodes
Choice 2. Localized development of gummas
Choice 3. Asymptomatic period
Choice 4. Skin rash on palms and feet
1,4,3,2
Rationale 1: The primary stage of syphilis is characterized by the appearance of a chancre at the site of inoculation.
Rationale 2: The tertiary stage is characterized by localized development of infiltrating tumors (gummas) in skin, bones, and liver. The disease can be treated at this stage, but much of the cardiovascular and central nervous system damage is irreversible.
Rationale 3: The symptoms of the second stage disappear in 2 to 6 weeks and a latency period begins. During this period, the patient may be asymptomatic and the disease is not transmissible by sexual contact.
Rationale 4: Secondary syphilis may occur anytime from 2 weeks to 6 months after the first chancre disappears. Symptoms may include a skin rash on the palms of the hands or soles of the feet, generalized lymphadenopathy, and flulike symptoms.
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