A nurse in a clinic is assessing a client who is suspected to have a West Nile virus infection. Which of the following findings should the nurse identify as the priority?
Myalgia
Temperature 38.4° C (101.1° F)
Decreased level of consciousness
Vomiting
The Correct Answer is C
Choice A reason: Myalgia, or muscle pain, is a common symptom of many infections and is not typically a priority over more severe symptoms.
Choice B reason: While a fever is a concern, it is not as immediately threatening as a decreased level of consciousness, which can indicate a more severe infection affecting the central nervous system.
Choice C reason: A decreased level of consciousness can be a sign of severe illness affecting the central nervous system, such as encephalitis or meningitis, which are serious complications of West Nile virus infection.
Choice D reason: Vomiting can be a symptom of West Nile virus infection but is less concerning than neurological symptoms like decreased consciousness.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Identifying educational materials is important, but it is not the first step in developing a disaster plan.
Choice B reason: Determining potential environmental health hazards is the first action to take when developing a disaster plan, as it establishes the foundation for all subsequent planning and response strategies.
Choice C reason: Verifying dates for drills is part of ongoing preparedness and training, but it comes after the initial plan development.
Choice D reason: Developing response strategies for specific populations is a later step that builds upon the initial hazard assessment.
Correct Answer is A
Explanation
Choice A reason: Offering health screenings at a community center is a necessary intervention as it provides accessible healthcare services to migrants who may face barriers to healthcare access.
Choice B reason: Providing health services at work sites can be beneficial, but it is not the only necessary intervention for migrant populations.
Choice C reason: Requiring clients to show a work visa before they receive care can create barriers to accessing healthcare and is not a recommended practice.
Choice D reason: Treating clients on a fee-for-service basis may not be feasible for all migrants, especially those with financial constraints, and does not address the need for accessible healthcare services.
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