(Select all that apply):. A client is experiencing dengue fever symptoms. The nurse should anticipate which of the following symptoms associated with dengue hemorrhagic fever (DHF)?

Choice A rationale:

Providing mosquito netting around the bed is not the highest priority for a client with dengue shock syndrome (DSS) DSS is a severe form of dengue fever characterized by plasma leakage, bleeding, and organ failure. While mosquito bites should be avoided, the priority is to manage the client's critical condition and complications.

Choice B rationale:

Administering herbal remedies for pain relief is not the highest priority for a client with DSS. Pain relief is important, but the priority lies in addressing the life-threatening manifestations of DSS, such as maintaining adequate fluid balance and preventing further complications.

Choice C rationale:

Monitoring vital signs and fluid status closely is the highest priority for a client with DSS. DSS can lead to severe dehydration, hypovolemic shock, and circulatory collapse. Close monitoring of vital signs and fluid status allows early detection of any worsening condition and enables prompt intervention.

Choice D rationale:

Encouraging the client to engage in physical activities is not appropriate for a client with DSS. In fact, physical activities should be restricted for a client with severe dengue to prevent complications and excessive strain on the cardiovascular system. Rest is essential for recovery.

Choice A rationale:

The nurse's statement is incorrect. Dengue fever is not only endemic to Asia and the Pacific. It is a mosquito-borne viral infection that can be found in tropical and subtropical regions around the world, including parts of Africa, the Americas, the Mediterranean, and Southeast Asia.

Choice B rationale:

The nurse's statement is incorrect. While dengue fever is prevalent in many countries in Africa, it is not limited to Africa alone. It is found in multiple regions worldwide where the appropriate mosquito vectors are present.

Choice C rationale:

The nurse's statement is accurate. According to the World Health Organization (WHO), an estimated 390 million people globally are affected by severe dengue each year. Severe dengue, also known as dengue hemorrhagic fever or dengue shock syndrome, can be a life-threatening condition.

Choice D rationale:

The nurse's statement is incorrect. Dengue fever is primarily found in tropical and subtropical regions, not temperate regions. The Aedes mosquitoes, which transmit the virus, thrive in warm and humid environments, making temperate regions less conducive to dengue transmission.