A nurse is caring for a patient with suspected Ebola virus disease (EVD) Which of the following laboratory findings would the nurse expect in this patient?
Elevated platelet count.
Decreased liver enzymes.
Decreased white blood cell count.
Elevated serum creatinine levels.
The Correct Answer is C
Choice A rationale:
An elevated platelet count is less likely in a patient with EVD. Thrombocytopenia (low platelet count) is a common laboratory finding in EVD due to the virus's impact on the bone marrow.
Choice B rationale:
Decreased liver enzymes is less likely. EVD can lead to elevated liver enzymes due to liver damage caused by the virus.
Choice C rationale:
This is the correct answer. A decreased white blood cell count, specifically lymphocytes, is expected in a patient with EVD. The virus can lead to suppression of the immune system, including a decrease in white blood cell counts.
Choice D rationale:
Elevated serum creatinine levels are not a typical finding in EVD. Kidney dysfunction is not a primary feature of the disease, so elevated creatinine levels are less likely.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
E.
Choice A rationale:
Administering oxygen and mechanical ventilation is essential as EVD can cause respiratory distress and failure.
Choice B rationale:
Providing psychological support and counseling is important due to the emotional stress and fear associated with EVD.
Choice C rationale:
Performing blood transfusions and clotting factor administration are not typical interventions for EVD. It primarily affects the immune system and does not usually lead to widespread coagulation issues.
Choice D rationale:
Applying warm compresses to reduce fever can worsen the patient's condition by promoting viral replication. Fever reduction in EVD is managed with antipyretics.
Choice E rationale:
Monitoring organ function regularly is crucial because EVD can lead to organ failure, particularly liver and kidney dysfunction.
Correct Answer is B
Explanation
Choice A rationale:
This statement is incorrect. Weakness and severe headache are symptoms commonly seen in the early stages of Ebola virus disease (EVD), not the later stages.
Choice B rationale:
This statement is appropriate. Since the client is in the early stages of EVD and presents with symptoms like weakness and severe headache, the nurse's response acknowledges the possibility of these symptoms being related to a common cold but still highlights the need for further evaluation due to the potential severity of EVD.
Choice C rationale:
This statement is irrelevant and does not address the client's current symptoms or concerns.
Choice D rationale:
This statement is incorrect. Joint and muscle pain are indeed associated with EVD and can be significant symptoms.
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