A nurse is caring for a client with dengue fever in the febrile phase. Which signs and symptoms should the nurse expect to assess?
Hypotension, pleural effusion, ascites.
Altered LOC, seizures, slow HR.
Sudden-onset fever, headache, muscle and joint pains.
Increased vascular permeability, thrombocytopenia, hemorrhage.
The Correct Answer is C
Choice A rationale:
Hypotension, pleural effusion, and ascites are signs and symptoms associated with the severe dengue phase, also known as dengue hemorrhagic fever (DHF) or dengue shock syndrome (DSS) These symptoms occur when the disease progresses to a more severe form, characterized by plasma leakage and organ impairment.
Choice B rationale:
Altered LOC (level of consciousness), seizures, and slow HR (heart rate) are not typical signs and symptoms of dengue fever. These symptoms may be indicative of other conditions but are not directly related to dengue fever.
Choice C rationale:
Sudden-onset fever, headache, muscle and joint pains are the classic symptoms of dengue fever. These symptoms typically appear after an incubation period of 4 to 10 days and are followed by a febrile phase, which may last for a few days.
Choice D rationale:
Increased vascular permeability, thrombocytopenia, and hemorrhage are characteristic features of severe dengue fever, specifically DHF or DSS. These manifestations occur due to the increased permeability of blood vessels and low platelet counts, leading to bleeding tendencies and potential shock.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Anopheles mosquito is responsible for transmitting malaria, not dengue fever. Malaria is prevalent in some tropical and subtropical regions and is caused by the Plasmodium parasite.
Choice B rationale:
Culex mosquito can transmit diseases like West Nile virus and some types of encephalitis but not dengue fever.
Choice C rationale:
Aedes aegypti and Aedes albopictus mosquitoes are the primary vectors responsible for transmitting dengue fever. They thrive in subtropical and tropical regions and are most active during the day.
Choice D rationale:
Blackfly is responsible for transmitting onchocerciasis (river blindness) but not dengue fever.
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.
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