A nurse is discussing dengue fever with a client. Which statement by the client indicates a need for further teaching?

"I will eliminate standing water around my home to prevent mosquito breeding.”

"If I suspect dengue fever, I should seek medical attention early.”

"Using insecticides indoors is not necessary as mosquitoes do not enter homes.”

"I will use mosquito repellent and wear protective clothing to avoid mosquito bites.”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

The client's statement is correct. Eliminating standing water around the home is an essential preventive measure for dengue fever as it helps in reducing mosquito breeding sites. Mosquitoes that transmit the dengue virus breed in stagnant water, so eliminating these breeding sites can reduce the risk of infection.

Choice B rationale:

The client's statement is correct. Seeking medical attention early when suspecting dengue fever is crucial because early detection and treatment can help prevent complications and severe forms of the disease. Dengue fever can progress rapidly, and timely medical intervention is necessary.

Choice C rationale:

The client's statement indicates a need for further teaching. Using insecticides indoors can be an important preventive measure to avoid mosquito bites, especially in areas where dengue is prevalent. Mosquitoes can enter homes through open doors and windows, and using insecticides can help reduce the risk of mosquito bites indoors.

Choice D rationale:

The client's statement is correct. Using mosquito repellent and wearing protective clothing are effective ways to avoid mosquito bites, especially during peak mosquito activity times. Dengue fever is transmitted through the bites of infected mosquitoes, and these preventive measures can help reduce the risk of infection.

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Correct Answer is C

Explanation

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.

A. Using mosquito repellents containing DEET. B. Wearing long sleeves and pants. C. Applying sunscreen before mosquito repellent. D. Staying indoors during peak mosquito activity.

Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale:

Using mosquito repellents containing DEET is an effective measure for preventing dengue fever. DEET is a mosquito repellent that provides protection against mosquito bites, reducing the risk of infection.

Choice B rationale:

Wearing long sleeves and pants can help prevent mosquito bites and reduce the risk of dengue fever transmission. Covering exposed skin makes it harder for mosquitoes to bite and transmit the virus.

Choice C rationale:

Applying sunscreen before mosquito repellent is not an appropriate measure for dengue fever prevention. While sunscreen is important for protecting the skin from UV rays, it should be applied after mosquito repellent for the best protection against mosquito bites.

Choice D rationale:

Staying indoors during peak mosquito activity is a helpful preventive measure. Mosquitoes are most active during dawn and dusk, so staying indoors during these times can reduce the risk of mosquito bites and potential infection.

Choice E rationale:

Emptying standing water containers regularly is crucial for dengue fever prevention. Mosquitoes breed in standing water, and removing these breeding sites can help control mosquito populations and reduce the risk of dengue transmission.

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A nurse is discussing dengue fever with a client. Which statement by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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.)

Correct Answer is ["A","B","D","E"]

Explanation

(From external source):. Which of the following is an effective measure to prevent dengue fever?

(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.)

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?

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

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

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

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?

(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.)