The family planning clinic nurse reviews the signs and symptoms of toxic shock syndrome (TSS)with a patient who is being fitted for a diaphragm.The nurse explains that the patient should promptly seek medical attention if she develops which of the following manifestations?

Question

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The diaphragm should not be used during menses due to the risk of toxic shock syndrome (TSS),a rare,sometimes fatal disease caused by toxins produced by certain strains of the bacterium Staphylococcus aureus.Common signs of TSS include fever of sudden onset greater than 38.4°C (101.1°F),rash,and hypotension with a systolic blood pressure less than 90 mm Hg,leading to dizziness or lightheadedness.Shortness of breath and facial swelling do require medical attention but are not related to TSS.

The Family Planning Clinic Nurse Reviews the Signs and Symptoms