A client who has a rash on the palms of the hands and soles of the feet, a sore throat, mucous patches in the mouth, and general lymphadenopathy is being assessed by a nurse. What additional information should the nurse obtain from the client?
1. Problems with urination
2. Palpitations
3. The presence of a chancre
4. Central nervous system symptoms
Answer: 3
1. Problems with urination are not seen with syphilis.
2. Palpitations might be seen in the tertiary stage, and this client is exhibiting signs of secondary syphilis.
3. The nurse should ask the client about the presence of a chancre within the last 6 months, as the client exhibits signs of secondary syphilis.
4. Central nervous system symptoms are seen in tertiary syphilis.
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