Which nursing interventions would be the main priority in managing toxic shock syndrome?

The nurse initiates a discussion about sexually transmitted diseases and the use of contraceptives. The patient’s decision to use which contraceptive method indicates the need for further teaching:

A 29-year-old woman is admitted to the ED with suspected pelvic inflammatory disease (PID). She is complaining of bilateral lower abdominal pain and a slight, whitish-yellow, odorless vaginal discharge. Her blood pressure is 100/70 mmHg, pulse rate 96 beats/minute, respiratory rate 24 breaths/minute, and temperature 100.6o F (38.1oC). The patient informs the nurse that she has had the discharge for 3 days and that the lower abdominal pain began 2 days ago and has become increasingly worse. Her fever has persisted since yesterday. She also mentions that she has an intrauterine device (IUD) in place. The physician orders a complete blood count, blood culture, and cervical culture as well as a urinalysis and ultrasound studies. Which organism causes PID?

A 27-year-old woman is admitted to the ED after losing consciousness at home. Now fully alert, she complains of achiness, nausea, vomiting, and fever, which began yesterday morning. The patient has no medical or gynecologic history. She is 3 days into her menstrual period. She informs the nurse that she uses super-absorbent tampons and, occasionally, contraceptive sponges. The patient’s vital signs are blood pressure 86/48 mmHg, temperature 103o F (39.4oC), pulse rate 124 beats/minute, and respiratory rate 28 breaths/minute. Based on the above symptoms, the nurse would suspect that the patient has:

Which statement indicates that a patient with PID who has been placed on continuing antibiotic therapy understands discharge instructions?

Which condition is a potential complication of PID?

The nurse knows that the signs and symptoms of PID may be confused with those of:

A 27-year-old woman is admitted to the ED after losing consciousness at home. Now fully alert, she complains of achiness, nausea, vomiting, and fever, which began yesterday morning. The patient has no medical or gynecologic history. She is 3 days into her menstrual period. She informs the nurse that she uses super-absorbent tampons and, occasionally, contraceptive sponges. The patient’s vital signs are blood pressure 86/48 mmHg, temperature 103o F (39.4oC), pulse rate 124 beats/minute, and respiratory rate 28 breaths/minute. Based on the above symptoms, the nurse would suspect that the patient has:

A 21-year-old woman is admitted to the ED, complaining of a vaginal discharge and painful, frequent urination. An enzymelinked immunosorbent assay of vaginal discharge reveals gonorrhea. The nurse knows that anyone infected with gonorrhea also should be tested for:

A female patient is in the (emergency department) ED with a fever and toxic shock syndrome due to Staphylococcus aureus. What is the most common cause of this condition?