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?
"It's common to experience joint and muscle pain with dengue fever.”
"You may be suffering from influenza, not dengue fever.”
"Dengue fever doesn't cause any pain; it's a mild infection.”
"Your pain may be due to malaria, not dengue fever.”
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
.
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.
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