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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Preparing for a lumbar puncture is important for diagnosis but not the immediate first action for a suspected case of bacterial meningitis.
Choice B reason: Inserting an IV catheter is a preparatory step for treatment but does not address the immediate need to prevent transmission.
Choice C reason: Initiating isolation precautions is the first and most critical action to prevent the spread of infection, as bacterial meningitis can be highly contagious.
Choice D reason: While managing fever is important, it is not the first priority before ensuring the safety of other patients and healthcare workers.
Correct Answer is C
Explanation
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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