The family planning clinic nurse reviews the signs and symptoms of toxic shock syndrome (TSS) with a patient who is being fitted for a diaphragm
The nurse explains that the patient should promptly seek medical attention if she develops which of the following manifestations? (Select all that apply.)
A.
Develops a generalized red rash
B.
Develops a fever over 101.1 °F (38.4 °C)
C.
Experiences difficulty breathing
D.
Feels lightheaded, is dizzy, or has chills
E.
Has swelling of the face or neck
ANS: A, B, D
The diaphragm should not be used during menses due to the risk of toxic shock syndrome (TSS), a rare, sometimes fatal disease caused by toxins produced by certain strains of the bacterium Staphylococcus aureus. Common signs of TSS include fever of sudden onset greater than 38.4 °C (101.1 °F), rash, and hypotension with a systolic blood pressure less than 90 mm Hg, leading to dizziness or lightheadedness. Shortness of breath and facial swelling do require medical attention but are not related to TSS.
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