The nurse in the emergency department is admitting a 22-year-old woman who complains of chills, dizziness, and vomiting. She is in the middle of her period, and has a tampon in place
The nurse suspects toxic shock syndrome, and assesses for the manifestations of: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Fever.
2. Rash.
3. Desquamation of skin.
4. Bloating.
5. Urinary frequency and urgency.
1,2,3
Rationale 1: null
Rationale 2: A rash is one of the diagnostic criteria for TSS, and is usually on the trunk, followed by desquamation.
Rationale 3: Desquamation of skin following a rash is one of the criteria for diagnosing TSS.
Rationale 4: Bloating is often a nonspecific manifestation of ovarian cancer.
Rationale 5: Urinary frequency and urgency can be a nonspecific manifestation of ovarian cancer or a urinary tract infection.
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Rick is a 27-year-old who works in an accounting firm. He had started to experience lower back pain and stiffness that he thought were a result of the long hours he spent at his desk. More recently, however, he began to have sleep difficulties
He found that he often woke up during the night feeling hot and sometimes sweaty. Furthermore, his back pain disrupted his sleep, particularly when it radiated around his pelvis and into his thighs. When his lack of sleep began to interfere with his work, he went to an osteopath to see what was wrong. She listened to his case history carefully. Upon physical examination, she noted a slight decrease in his lumbar lordosis and a reduced range of movement in his lumbar spine. His blood tests revealed the presence of HLA-B27, an elevated ESR, and absence of RH. His radiograph showed evidence of sacroiliitis. What is the likely diagnosis Rick received? What are the common clinical presentation and manifestations of the disease? Why is osteoarthritis of the hips a potential secondary complication of this disease? What are the structural changes that occur in the articular cartilage of an osteoarthritic joint? What is the effect of advanced ankylosing spondylitis on lung function?
A new nurse is learning how to prioritize time. One of the best ways that this can be accom-plished is for the new nurse to focus on which of the following?
a. Nursing tasks b. Patient priorities c. Medication schedule d. Ancillary procedures
The nurse is caring for a client diagnosed with seasonal affective disorder. When caring for the client, at which time of the year does the nurse limit nursing interventions due to an uplifting of mood?
A) September/October B) February/March C) April/May D) December/January
A client with a brain tumor is scheduled for a spiral CT scan. Which of these factors, if present in the client's history, would affect the nurse's preparation for the scan?
a. The client has periods of paresthesia in the hands. b. The client is allergic to seafood and iodine. c. The client is having trouble remembering recent events. d. The client takes an anticonvulsant medication on a regular basis.