A client has been diagnosed with dengue fever, and the nurse is providing health education. Which statement by the client indicates a need for further teaching?
"I should avoid mosquito bites by wearing long sleeves and using mosquito repellent.”
"Dengue fever is caused by a virus in the flavivirus genus.”
"I can get dengue fever from an infected person through close contact.”
"There are four serotypes of the dengue virus, and they are genetically identical.”
The Correct Answer is C
Choice A rationale:
Wearing long sleeves and using mosquito repellent is an appropriate preventive measure to avoid mosquito bites and reduce the risk of dengue fever transmission. This statement indicates the client understands the importance of protective measures.
Choice B rationale:
Dengue fever is indeed caused by a virus in the flavivirus genus. This statement demonstrates accurate knowledge of the etiology of the disease.
Choice C rationale:
This statement indicates a need for further teaching. Dengue fever is not transmitted from person to person through close contact. The primary mode of transmission is through the bite of an infected Aedes mosquito.
Choice D rationale:
There are indeed four serotypes of the dengue virus, and they share genetic similarities. This statement shows an accurate understanding of the virus's characteristics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Anopheles mosquito is responsible for transmitting malaria, not dengue fever. Malaria is prevalent in some tropical and subtropical regions and is caused by the Plasmodium parasite.
Choice B rationale:
Culex mosquito can transmit diseases like West Nile virus and some types of encephalitis but not dengue fever.
Choice C rationale:
Aedes aegypti and Aedes albopictus mosquitoes are the primary vectors responsible for transmitting dengue fever. They thrive in subtropical and tropical regions and are most active during the day.
Choice D rationale:
Blackfly is responsible for transmitting onchocerciasis (river blindness) but not dengue fever.
Correct Answer is C
Explanation
Choice A rationale:
Providing mosquito netting around the bed is not the highest priority for a client with dengue shock syndrome (DSS) DSS is a severe form of dengue fever characterized by plasma leakage, bleeding, and organ failure. While mosquito bites should be avoided, the priority is to manage the client's critical condition and complications.
Choice B rationale:
Administering herbal remedies for pain relief is not the highest priority for a client with DSS. Pain relief is important, but the priority lies in addressing the life-threatening manifestations of DSS, such as maintaining adequate fluid balance and preventing further complications.
Choice C rationale:
Monitoring vital signs and fluid status closely is the highest priority for a client with DSS. DSS can lead to severe dehydration, hypovolemic shock, and circulatory collapse. Close monitoring of vital signs and fluid status allows early detection of any worsening condition and enables prompt intervention.
Choice D rationale:
Encouraging the client to engage in physical activities is not appropriate for a client with DSS. In fact, physical activities should be restricted for a client with severe dengue to prevent complications and excessive strain on the cardiovascular system. Rest is essential for recovery.
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