A nurse is caring for a client with dengue fever in the critical phase. Which nursing intervention is a priority during this phase?

Assessing signs of bleeding and organ failure.

Providing supplemental oxygen as needed.

Monitoring intake and output.

Administering antipyretics for fever control.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

During the critical phase of dengue fever, which typically occurs around 3-7 days after the onset of symptoms, the client is at a higher risk of developing severe bleeding and organ failure due to plasma leakage and decreased platelet counts. Assessing for signs of bleeding, such as petechiae, ecchymosis, gum bleeding, or hematuria, is essential to detect any worsening condition promptly. Additionally, monitoring for signs of organ failure, such as altered mental status, respiratory distress, or oliguria, is crucial for timely intervention and appropriate management.

Choice B rationale:

Providing supplemental oxygen as needed may be beneficial in certain cases of dengue fever with respiratory distress or hypoxemia. However, during the critical phase, the priority is to assess for bleeding and organ failure, as these complications pose a more immediate threat to the client's life.

Choice C rationale:

Monitoring intake and output is a crucial nursing intervention for clients with dengue fever to ensure adequate hydration and prevent dehydration. While this is essential throughout the course of the illness, it is not the priority during the critical phase when bleeding and organ failure are of greater concern.

Choice D rationale:

Administering antipyretics for fever control may be necessary in the febrile phase of dengue fever to alleviate discomfort and manage fever. However, during the critical phase, the priority shifts to assessing for and managing potentially life-threatening complications like bleeding and organ failure.

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Correct Answer is A

Explanation

Choice A rationale:

Joint and muscle pain are common symptoms of dengue fever, especially during the acute phase of the infection. Patients often experience severe pain, giving it the colloquial name "breakbone fever."

Choice B rationale:

Influenza can cause muscle aches, but it is not relevant in this situation, as the patient is suspected of having dengue fever.

Choice C rationale:

The statement that dengue fever doesn't cause any pain and is a mild infection is incorrect. Dengue fever can cause severe symptoms, and joint/muscle pain is one of them.

Choice D rationale:

Malaria can cause muscle pain, but the patient is suspected of having dengue fever, not malaria. The focus should be on the symptoms associated with dengue fever.

A. "I should avoid mosquito bites by wearing long sleeves and using mosquito repellent.” B. "Dengue fever is caused by a virus in the flavivirus genus.” C. "I can get dengue fever from an infected person through close contact.” D. "There are four serotypes of the dengue virus, and they are genetically identical.”

Correct Answer is C

Explanation

Choice A rationale:

Wearing long sleeves and using mosquito repellent is an appropriate preventive measure to avoid mosquito bites and reduce the risk of dengue fever transmission. This statement indicates the client understands the importance of protective measures.

Choice B rationale:

Dengue fever is indeed caused by a virus in the flavivirus genus. This statement demonstrates accurate knowledge of the etiology of the disease.

Choice C rationale:

This statement indicates a need for further teaching. Dengue fever is not transmitted from person to person through close contact. The primary mode of transmission is through the bite of an infected Aedes mosquito.

Choice D rationale:

There are indeed four serotypes of the dengue virus, and they share genetic similarities. This statement shows an accurate understanding of the virus's characteristics.

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A nurse is caring for a client with dengue fever in the critical phase. Which nursing intervention is a priority during this phase?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with suspected dengue fever. The patient complains of severe joint and muscle pain. Which statement by the nurse would be appropriate in this situation?

Correct Answer is A

Explanation

A client has been diagnosed with dengue fever, and the nurse is providing health education. Which statement by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is assessing a client suspected of having dengue fever. Which statement would the nurse expect the client to make?

A nurse is educating a community about dengue fever prevention. Which of the following measures should the nurse include in the education session?

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?

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 assessing a patient who recently traveled to a tropical region. The patient complains of sudden fever and headache. What additional information would be most helpful to confirm a suspected case of dengue fever?

(Select all that apply):. A nurse is providing education to a client diagnosed with dengue fever. Which statements made by the client indicate a correct understanding of the disease management? (Select all that apply.)

(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 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?