A nurse is assessing a client suspected of having dengue fever. Which statement would the nurse expect the client to make?
"I have been experiencing persistent vomiting.”
"I noticed my platelet count is within the normal range.”
"My hematocrit has decreased by more than 20% from baseline.”
"I have been taking anti-inflammatory drugs to reduce fever.”
The Correct Answer is C
Choice A rationale:
Incorrect. While vomiting can be a symptom of dengue fever, it is not the statement that the nurse would expect the client to make regarding the disease.
Choice B rationale:
Incorrect. The nurse would not expect the client to state that their platelet count is within the normal range since dengue fever typically causes a decrease in platelet count.
Choice C rationale:
Correct. A decrease in hematocrit by more than 20% from baseline is indicative of plasma leakage, a complication of severe dengue fever known as dengue hemorrhagic fever.
Choice D rationale:
Incorrect. Taking anti-inflammatory drugs like ibuprofen to reduce fever is not recommended in dengue fever management, as it can increase the risk of bleeding.
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Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is A
Explanation
Choice A rationale:
Recovery from uncomplicated dengue fever typically occurs within 3-5 days without specific treatment. Most cases of dengue fever are self-limiting, and the body's immune response clears the virus within this timeframe.
Choice B rationale:
Recovery from dengue hemorrhagic fever usually takes 2-3 weeks. Dengue hemorrhagic fever is a severe form of the disease that can lead to bleeding complications and requires medical intervention and supportive care.
Choice C rationale:
Bed rest is necessary for dengue fever recovery. The client's body needs adequate rest to recover from the infection and avoid complications.
Choice D rationale:
The client should not engage in vigorous physical activity to speed up recovery. Strenuous activity can worsen the symptoms and potentially lead to complications, especially in cases of dengue hemorrhagic fever.
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