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The ambulatory care nurse is seeing a client for a follow-up visit after treatment for toxic shock syndrome (TSS). To assess the client's recovery from TSS, the nurse should ask whether which signs and symptoms have resolved?

Option 1: Low-grade fever, nausea, and vaginal bleeding
Option 2: High fever, abdominal pain, vomiting, and diarrhea
Option 3: Low-grade fever, vomiting, and greenish vaginal discharge
Option 4: High fever, purulent vaginal discharge, and abdominal pain

1 Answer

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Final answer:

The signs and symptoms that have resolved in a client recovering from toxic shock syndrome (TSS) are low-grade fever, nausea, and vomiting.

Step-by-step explanation:

The signs and symptoms that have resolved in a client recovering from toxic shock syndrome (TSS) are low-grade fever, nausea, and vomiting (Option 1). The client may still have other symptoms such as vaginal bleeding and greenish vaginal discharge, so it is important to focus on the resolution of the specific signs and symptoms mentioned in Option 1.

Toxic Shock Syndrome (TSS) is a rare but serious medical condition caused by toxins produced by certain strains of bacteria. The most commonly associated bacteria with TSS is Staphylococcus aureus, but Streptococcus pyogenes (group A streptococcus) can also cause a similar condition. TSS can affect both men and women, and it has been associated with the use of tampons, especially those with high absorbency, as well as other factors such as skin wounds and surgery.

Toxic Shock Syndrome:

Bacterial Toxins: TSS is primarily caused by toxins produced by bacteria, rather than by the bacteria themselves. Staphylococcal Toxic Shock Syndrome (TSS) is most commonly associated with the release of toxins produced by Staphylococcus aureus.

Symptoms: TSS can present with a combination of symptoms, including high fever, low blood pressure, rash resembling sunburn, vomiting, diarrhea, muscle aches, confusion, and, in severe cases, multi-organ failure.

Association with Tampon Use: While TSS can occur in non-menstruating individuals and men, it gained attention in the 1980s due to its association with tampon use in menstruating women. The risk is higher with tampons that have high absorbency.

Other Risk Factors: Besides tampon use, other risk factors for TSS include skin wounds (surgical wounds, burns, or cuts), nasal packing, and the use of barrier contraceptives (such as diaphragms).

Prompt Medical Attention: TSS is a medical emergency, and prompt medical attention is crucial. Treatment typically involves hospitalization, supportive care to stabilize vital signs, and the administration of antibiotics to target the causative bacteria.

Prevention: To prevent TSS, individuals are advised to use tampons with the lowest absorbency necessary, change tampons regularly, and practice good hand hygiene. Alternatives to tampons, such as pads, menstrual cups, or other barrier methods, can also be considered.

It's important to note that while TSS is rare, it can be a severe and rapidly progressing condition. Any individual experiencing symptoms suggestive of TSS, especially those with a history of tampon use, should seek medical attention promptly.

User Alireza Sharifi
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