A 28-Year-Old Woman Comes to the Office Due to an Episode

question 863

Multiple Choice

A 28-year-old woman comes to the office due to an episode of lightheadedness followed by a syncopal episode.  She has had several days of headache, malaise, and myalgia but no vomiting or diarrhea.  The patient has no history of similar symptoms.  She was diagnosed with chlamydia cervicitis 3 weeks ago and received a single dose of azithromycin.  The patient has no chronic medical problems or family history of sudden cardiac death.  She lives in rural Massachusetts and has not traveled recently.  Temperature is 37 C (98.6 F) , blood pressure is 120/80 mm Hg, and pulse is 43/min.  No orthostatic blood pressure changes are present.  Cardiopulmonary auscultation reveals no heart murmurs.  The right thigh has 2 erythematous skin lesions.  ECG shows sinus rhythm with 2:1 atrioventricular block.  Which of the following is the most likely cause of this patient's current condition?

• A)Autoimmune disorder
• B)Disseminated herpes
• C)Medication adverse effect
• D)Multisystem granulomas
• E)Spirochete infection
• F)Toxin exposure

Identify appropriate nursing responses and parental guidance for various pediatric developmental stages and challenges.

Understand the impact of familial, societal, and environmental factors on child development and health.

Recognize the signs and implications of common pediatric health issues, including developmental delays and syndromes.

Apply knowledge of developmental theories (Erikson, Piaget, Freud) to nursing practice and education.

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Definitions:

Gender Issues

Concerns and debates surrounding the roles, experiences, and rights of different genders in society.

Group Pressure

The influence exerted by a group on individual members to align their behaviors, attitudes, or beliefs with group norms.

Deutsch and Gerard

refers to two psychologists known for their theory on social influence, distinguishing between normative influence (desire to be liked) and informational influence (desire to be correct).

Visual Contact

The act of making eye contact or visually connecting with another person, which can influence communication and social interaction.