Which findings would the nurse expect in a patient with secondary syphilis?
A) Genital chancres
B) Lymphadenopathy, fever, and rash on the soles of the feet
C) Asymptomatic
D) Stroke meningitis, hearing loss
B) Lymphadenopathy, fever, and rash on the soles of the feet
Explanation: A) Primary syphilis is associated with the development of a lesion, or chancre.
B) Manifestations that are common in secondary syphilis include alopecia, fever, arthralgia, lymphadenopathy, and rash. The rash is most likely to be on the soles of the feet or palms of the hands.
C) Latent syphilis reflects a period of asymptomatic infection. The manifestations of the primary and secondary stage have resolved.
D) Tertiary syphilis reflects the accumulation of damage to the arterial lining and nervous system. Cardiovascular manifestations are generally related to damage to the lining of the ascending aorta that may result in development of an aneurysm. Neurologically, meningitis may occur and reflects not only the presence of infection but also damage to the arterial lining. Confusion, vision disturbance, and hearing loss are not uncommon.
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The nurse is teaching peers about infection. Which of the following statements made by the nurse is accurate?
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All nurses should work to provide culturally appropriate nursing care. The integration of cultural knowledge into all aspects of care is known as:
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A nurse is documenting the plan of care for a client with AIDS. Which of the following is most important when documenting the plan of care?
A) Avoid disclosing the client's name and address on the plan of care. B) Ensure that the client's medical record and nursing interventions are written. C) Ask one particular nurse to revise and update the plan of care daily. D) Ensure that the client's medical insurance number is stated on the sheet.
When assessing a patient who complains of a tremor, the nurse practitioner must differentiate essential tremor from the tremor of Parkinson's disease. Which of the following findings are consistent with essential tremor?
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