The nurse would assess a female client with second-stage syphilis for
a. local lymphadenopathy.
b. maculopapular, nonpruritic rash on the palms and soles of the feet.
c. presence of a chancre.
d. yellow, mucopurulent vaginal discharge.
B
Indications of the second stage of syphilis include generalized rash. Typically, a maculopapular and nonpruritic rash appears on the palms of the hands and soles of the feet. Few other diseases cause a rash in these locations. Lymphadenopathy is present in secondary syphilis, but it is ge-neralized. Chancre is the cardinal sign of primary stage disease. Syphilis does not cause vaginal discharge.
You might also like to view...
The nurse administers a direct-acting cholinergic agonist to the patient. When assessing this patient for drug effects, the nurse would expect to see effects arising from stimulation of what receptors?
A) Nicotinic B) Alpha C) Beta D) Muscarinic
A patient is receiving intravenous promethazine [Phenergan] 25 mg for postoperative nausea and vomiting. What is an important nursing action when giving this drug?
a. Giving the dose as an IV push over 3 to 5 minutes b. Infusing the dose with microbore tubing and an infusion pump c. Observing the IV insertion site frequently for patency d. Telling the patient to report dry mouth and sedation
Under the influence of progesterone, which of the following occur? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Temperature decreases 2. Cervix secretes thick, viscous mucus 3. Breasts prepare for lactation 4. Breast glandular tissue decreases in size 5. Vaginal epithelium proliferates
Which information is least likely recorded as a part of the initial newborn assessment?
1. Presence or absence of meconium-stained fluid 2. Blood draw for phenylketonuria (PKU) screening 3. Resuscitative measures required in the birthing area 4. Parents' desires regarding circumcision for a male infant