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.)

Choice A rationale:

Severe headache and joint pain are common symptoms of dengue fever, but they are not specific to dengue hemorrhagic fever (DHF) These symptoms are not indicative of the severity of the disease.

Choice B rationale:

Plasma leakage and thrombocytopenia are characteristic features of dengue hemorrhagic fever (DHF) Plasma leakage can lead to a drop in blood volume and can cause shock.

Choice C rationale:

Mild flu-like symptoms with self-limiting recovery are typical of uncomplicated dengue fever and are not specific to DHF.

Choice D rationale:

Life-threatening shock and organ failure are severe complications of DHF, and the nurse should anticipate these symptoms in a client with DHF.

Choice E rationale:

Recovery within 7-10 days with proper treatment is a general description of dengue fever without complications. It does not describe the course of DHF, which can be life-threatening and require immediate medical attention.

Choice A rationale:

Elevating the client's legs may be helpful in certain situations to improve venous return and manage hypotension. However, during severe plasma leakage and organ failure in dengue fever, the priority is to control bleeding, and applying pressure to bleeding sites can help achieve hemostasis.

Choice B rationale:

Applying pressure to bleeding sites is a priority intervention in clients with dengue fever experiencing severe plasma leakage and melena. This helps to control bleeding and prevent further blood loss, which is vital during the critical phase.

Choice C rationale:

Administering acetaminophen for pain relief can be appropriate for clients with dengue fever, especially in the febrile phase when fever and discomfort are prominent. However, during the critical phase with plasma leakage and organ failure, the priority is to manage life-threatening complications like bleeding and hepatic damage.

Choice D rationale:

Providing supplemental oxygen is essential for clients experiencing respiratory distress or hypoxemia. However, in the scenario described, the client's main priority is controlling bleeding and managing organ failure rather than addressing respiratory issues.