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

Answer and Explanation

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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Correct Answer is D

Explanation

Choice A reason: Aerobic exercise should not be avoided in osteoarthritis; in fact, it is recommended as it can help improve pain and function in knee and hip osteoarthritis.

Choice B reason: There is no evidence to support the use of ginkgo supplements for osteoarthritis, and they are not recommended as part of the management for this condition.

Choice C reason: Using lowered toilet seats can be beneficial for individuals with osteoarthritis, especially those with knee or hip involvement, as it can reduce the strain on the joints when sitting down and standing up.

Choice D reason: Applying warmth to joints before physical activity can help reduce stiffness and pain, making it easier to perform exercises and daily activities. It is a recommended practice for managing symptoms of osteoarthritis.

A. The living will is a legally binding contract between the client and the provider. B. The client's family has the authority to revoke the do-not-resuscitate (DNR) order at any time. C. The client can verbally choose a health care proxy if two nurses witness the designation. D. The client can choose a non-family member as the designated power of attorney.

Correct Answer is D

Explanation

Choice A reason: A living will is not a contract but a legal document that outlines a person's wishes regarding medical

treatment if they become unable to communicate their decisions.

Choice B reason: The client's family does not have the authority to revoke a DNR order unless they are the designated health care proxy or have legal authority to make decisions for the client.

Choice C reason: While verbal designations are possible, it is always best to have such designations documented in writing to ensure clarity and legal standing.

Choice D reason: A client has the right to choose anyone they trust, including a non-family member, to serve as their power of attorney for health care decisions.

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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?

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Naxlex Comprehensive Predictor Exams

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