The nurse is assessing a client at the community clinic who has a long history of IV drug use and reports difficulty walking because "I don't know where my feet are." Diagnostic screening reveals positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FAT-ABS) tests. Which of the following assessments should the nurse implement based on the client history? (Select all that apply.)

Question

Quizplus · Accepted Answer

The client's clinical manifestations and laboratory tests are consistent with late (tertiary) syphilis; valvular insufficiency, gummas, and changes in mentation are other clinical manifestations of this stage therefore the nurse will assess heart sounds, mental state and the integument system.

The Nurse Is Assessing a Client at the Community Clinic