A client with dengue fever has a platelet count of 120,000/mm3. What intervention should the nurse prioritize?

Administering acetaminophen for fever.

Administering a blood transfusion.

Encouraging bed rest.

Monitoring for bleeding and petechiae.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Administering acetaminophen for fever is a reasonable intervention for the client with dengue fever. However, it is not the priority when the platelet count is low.

Choice B rationale:

Administering a blood transfusion is not the priority intervention based solely on the platelet count of 120,000/mm3. Platelet transfusion is typically considered when the platelet count drops significantly lower, leading to bleeding complications.

Choice C rationale:

Encouraging bed rest is a reasonable intervention for a client with dengue fever to conserve energy and facilitate recovery. However, it is not the priority over monitoring for potential bleeding complications.

Choice D rationale:

Monitoring for bleeding and petechiae is the priority intervention in this case. Dengue fever can cause thrombocytopenia, leading to an increased risk of bleeding. The nurse must closely monitor the client's platelet count and assess for any signs of bleeding or petechiae to detect complications early and provide appropriate interventions.

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Correct Answer is ["B","C","D","E"]

Explanation

Choice A rationale:

Incorrect. The client should avoid anti-inflammatory drugs like ibuprofen because they can increase the risk of bleeding, which is a concern in dengue fever management.

Choice B rationale:

Correct. Early detection is essential in managing dengue fever because it allows for timely medical intervention, which can prevent complications and improve outcomes.

Choice C rationale:

Correct. The client needs to avoid aspirin as it can worsen bleeding in dengue fever due to its antiplatelet effects.

Choice D rationale:

Correct. In severe cases of dengue fever, a client may require hospitalization and receive IV fluids and blood platelet transfusions to maintain fluid balance and manage low platelet levels.

Choice E rationale:

Correct. Rest and acetaminophen for pain relief are appropriate measures in dengue fever management to help alleviate symptoms and support the body's healing process.

A. Administer aspirin for pain relief. B. Encourage ambulation to improve circulation. C. Transfuse blood products as ordered. D. Monitor SpO2 and ABGs regularly.

Correct Answer is C

Explanation

Choice A rationale:

Administering aspirin for pain relief is contraindicated in clients with dengue fever due to its anticoagulant properties, which can further increase the risk of bleeding.

Choice B rationale:

While encouraging ambulation is generally beneficial for improving circulation in various conditions, it is not a suitable intervention during the critical phase of dengue fever when the client is experiencing severe plasma leakage and reduced platelet counts, which can lead to significant bleeding complications.

Choice C rationale:

Transfusion of blood products, such as platelets and packed red blood cells, may be necessary in clients with dengue fever who have severe thrombocytopenia and hematocrit elevation. Platelet count below 100,000/mm3 is a common threshold for initiating platelet transfusion in dengue fever to prevent bleeding complications, and a 25% increase in hematocrit from baseline indicates hemoconcentration, which may necessitate red blood cell transfusion.

Choice D rationale:

Monitoring SpO2 (oxygen saturation) and ABGs (arterial blood gases) regularly is important for assessing respiratory status in various conditions. However, during dengue fever, the more critical concern is the risk of bleeding and plasma leakage, making transfusion of blood products a higher priority intervention.

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A client with dengue fever has a platelet count of 120,000/mm3. What intervention should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(Select all that apply):. A nurse is providing education to a client diagnosed with dengue fever. Which statements made by the client indicate a correct understanding of the disease management? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is caring for a client diagnosed with dengue fever. The client's platelet count is 90,000/mm3, and hematocrit has increased by 25% from baseline. Which intervention should the nurse implement?

Correct Answer is C

Explanation

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A client with dengue fever asks the nurse about the distribution of the disease. Which statement by the nurse is accurate?

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