The nurse preparing to administer penicillin to a client with syphilis teaches the client to report symptoms of Jarisch-Herxheimer reaction, including:
1. Fine red rash over the entire body, accompanied by itching.
2. Dizziness, fainting, low blood pressure, and bradycardia.
3. Fever, headache, myalgia, and significant chancre changes.
4. Extreme chest pain lasting more than several minutes.
3
Rationale: Fever, headache, myalgia, and significant chancre changes are indicative of Jarisch-Herxheimer reaction.
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A nurse assesses a client who is hospitalized for botulism. The client's vital signs are temperature: 99.8 ° F (37.6 ° C), heart rate: 100 beats/min, respiratory rate: 10 breaths/min, and blood pressure: 100/62 mm Hg. Which action should the nurse take?
a. Decrease stimulation and allow the client to rest. b. Stay with the client while another nurse calls the provider. c. Increase the client's intravenous fluid replacement rate. d. Check the client's blood glucose and administer orange juice.
Passive behavior is the opposite of
A) aggressive behavior. B) authoritarian behavior. C) assertive behavior. D) autocratic behavior.
A patient diagnosed with alcoholism asks, "How will Alcoholics Anonymous (AA) help me?" Select the nurse's best response
a. "The goal of AA is for members to learn controlled drinking with the support of a higher power." b. "An individual is supported by peers while striving for abstinence one day at a time." c. "You must make a commitment to permanently abstain from alcohol and other drugs." d. "You will be assigned a sponsor who will plan your treatment program."
Calcitonin is a hormone secreted by the _____ when serum calcium is elevated.
A. kidneys B. adrenal glands C. thyroid gland D. pancreas