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?

Administer aspirin for pain relief.

Encourage ambulation to improve circulation.

Transfuse blood products as ordered.

Monitor SpO2 and ABGs regularly.

Answer and Explanation

The Correct Answer is C

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

Explanation

Choice A rationale:

Avoiding travel to dengue-affected areas is indeed an effective measure to prevent dengue fever. By staying away from areas with known dengue transmission, travelers can significantly reduce their risk of contracting the virus.

Choice B rationale:

Using insect repellent with DEET is recommended to prevent mosquito bites and, consequently, dengue fever. DEET is an effective mosquito repellent that can provide protection against mosquito-borne diseases.

Choice C rationale:

Wearing long-sleeved clothing and pants can help prevent mosquito bites and reduce the risk of dengue fever transmission. Covering exposed skin makes it more difficult for mosquitoes to bite.

Choice D rationale:

Applying sunscreen frequently is not directly related to preventing dengue fever. While sun protection is essential, it does not contribute to mosquito bite prevention or dengue virus transmission.

Influenza.

A. "Dengue fever is only endemic to Asia and the Pacific.” B. "Over 100 countries in Africa are affected by dengue fever.” C. "390 million people globally are affected by severe dengue each year.” D. "Dengue fever primarily affects temperate regions.”

Correct Answer is C

Explanation

Choice A rationale:

The nurse's statement is incorrect. Dengue fever is not only endemic to Asia and the Pacific. It is a mosquito-borne viral infection that can be found in tropical and subtropical regions around the world, including parts of Africa, the Americas, the Mediterranean, and Southeast Asia.

Choice B rationale:

The nurse's statement is incorrect. While dengue fever is prevalent in many countries in Africa, it is not limited to Africa alone. It is found in multiple regions worldwide where the appropriate mosquito vectors are present.

Choice C rationale:

The nurse's statement is accurate. According to the World Health Organization (WHO), an estimated 390 million people globally are affected by severe dengue each year. Severe dengue, also known as dengue hemorrhagic fever or dengue shock syndrome, can be a life-threatening condition.

Choice D rationale:

The nurse's statement is incorrect. Dengue fever is primarily found in tropical and subtropical regions, not temperate regions. The Aedes mosquitoes, which transmit the virus, thrive in warm and humid environments, making temperate regions less conducive to dengue transmission.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(Select all that apply) (From external source):. A nurse is educating a group of travelers about preventing dengue fever. Which of the following should the nurse include in the education? (Select all that apply)

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

Explanation

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

Correct Answer is C

Explanation

(From external source):. A client with dengue fever is prescribed bed rest. Which of the following statements is true about the client's recovery process?

A nurse is educating a group of travelers about dengue fever prevention. Which of the following measures should the nurse include in the teaching? (Select all that apply.)

A nurse is educating a group of individuals living in a tropical region about a common communicable disease. Which disease is mosquito-borne and can lead to severe complications like dengue hemorrhagic fever?

A client living in a subtropical region is concerned about contracting dengue fever. The nurse should advise the client to take preventive measures against which of the following vectors responsible for transmitting dengue fever?

A nurse is caring for a client with dengue shock syndrome (DSS) Which of the following nursing interventions is the highest priority for this client?

The nurse is caring for multiple clients with suspected dengue fever in a hospital setting. Which personal protective equipment (PPE) should the nurse wear while providing care to these clients?

A client with dengue fever exhibits signs of shock, rapid and weak pulse, and narrow pulse pressure. Which statement is most appropriate for the nurse to make?

(Select all that apply):. A nurse is educating a community about preventing dengue fever. Which measures should the nurse include in the teaching? (Select all that apply.)