A client with primary syphilis was treated with an intramuscular injection of benzathine penicillin G.Later,the client reports a hard painful lump at the injection site and aching joints.Which is the nurse's highest priority initial action?

Question

Quizplus · Accepted Answer

A common reaction to penicillin injections for primary syphilis is the Jarisch-Herxheimer reaction,caused by rapid destruction of the causative microorganism and release of intracellular products.This is not usually serious,but it can cause fever and hypotension.The nurse should first assess the client's blood pressure for stability and should take the temperature.Then if the client's condition warrants,the nurse can administer acetaminophen or even fluids if needed.Documentation can be completed after the assessment is done.A warm compress to the site may or may not be helpful.

A Client with Primary Syphilis Was Treated with an Intramuscular