A client with a temperature of 39°C (102.2°F) and a rash is being evaluated. Which condition should the nurse consider?

Meningococcal meningitis.

Urinary tract infection.

Gastroenteritis.

Osteoarthritis.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Meningococcal meningitis can present with a high fever (39°C or 102.2°F) and a rash, indicating a severe bacterial infection.
Choice B rationale
Urinary tract infections typically present with urinary symptoms, not a rash.
Choice C rationale
Gastroenteritis presents with gastrointestinal symptoms, not a rash.
Choice D rationale
Osteoarthritis is a degenerative joint disease and does not cause fever or rash.

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Correct Answer is A

Explanation

Choice A rationale
Acute pancreatitis is characterized by severe epigastric pain and elevated levels of amylase and lipase. These enzymes are released into the bloodstream when the pancreas is inflamed, making acute pancreatitis the most likely diagnosis.
Choice B rationale
Acute hematochezia refers to the passage of fresh blood through the anus, usually in or with stools. It is not associated with elevated amylase and lipase levels or severe epigastric pain.
Choice C rationale
Left heart failure can cause symptoms such as shortness of breath and fluid retention, but it does not typically cause elevated amylase and lipase levels or severe epigastric pain.
Choice D rationale
Chronic hepatic failure involves long-term liver damage and may present with jaundice, ascites, and other symptoms. It is not associated with elevated amylase and lipase levels or severe epigastric pain.

A. Sepsis. B. Hypovolemic shock. C. Myocardial infarction. D. Pulmonary embolism.

Correct Answer is A

Explanation

Choice A rationale
Sepsis is a systemic inflammatory response to infection, often characterized by fever (temperature of 38°C or higher) and tachycardia (heart rate of 120 beats per minute or higher). These symptoms indicate the body’s response to a severe infection.
Choice B rationale
Hypovolemic shock is caused by significant fluid loss, leading to decreased blood volume and perfusion. It typically presents with hypotension and tachycardia, but not necessarily fever.
Choice C rationale
Myocardial infarction (heart attack) is characterized by chest pain, shortness of breath, and other symptoms, but fever and tachycardia are not primary indicators.
Choice D rationale
Pulmonary embolism involves a blockage in the pulmonary arteries, leading to symptoms such as sudden shortness of breath, chest pain, and rapid heart rate, but not typically fever.

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A client with a temperature of 39°C (102.2°F) and a rash is being evaluated. Which condition should the nurse consider?

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Naxlex Comprehensive Predictor Exams

A patient presents to his healthcare provider with complaints of severe epigastric pain. His lab work reveals high amylase and lipase levels. His diagnosis is most likely which condition?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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