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A client with a temperature of 39°C (102.2°F) and a rash is being evaluated. Which condition should the nurse consider?

A.

Meningococcal meningitis.

B.

Urinary tract infection.

C.

Gastroenteritis.

D.

Osteoarthritis.

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

Meningococcal meningitis can present with a high fever (39°C or 102.2°F) and a rash, indicating a severe bacterial infection.

 

Choice B rationale

 

Urinary tract infections typically present with urinary symptoms, not a rash.

 

Choice C rationale

 

Gastroenteritis presents with gastrointestinal symptoms, not a rash.

 

Choice D rationale

 

Osteoarthritis is a degenerative joint disease and does not cause fever or rash.
 


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Correct Answer is D

Explanation

Choice A rationale

Poor blood glucose control is a significant factor in delayed wound healing in patients with diabetes. Hyperglycemia impairs various aspects of the immune response, reduces blood flow, and increases the risk of infection, all of which contribute to delayed healing.

Choice B rationale

Inadequate protein intake can also contribute to delayed wound healing. Protein is essential for the repair and regeneration of tissues, and a deficiency can impair the body’s ability to heal wounds effectively.

Choice C rationale

Peripheral neuropathy, a common complication of diabetes, can lead to decreased sensation in the feet, making it more likely for injuries to go unnoticed and untreated. This can result in chronic wounds and delayed healing.

Choice D rationale

All of the above factors—poor blood glucose control, inadequate protein intake, and peripheral neuropathy—can contribute to delayed healing of foot ulcers in patients with diabetes. Each of these factors plays a role in the complex process of wound healing and can hinder the body’s ability to repair itself.

Correct Answer is A

Explanation

Choice A rationale

Severe headache and photophobia are classic symptoms of meningitis, indicating inflammation of the meninges.

Choice B rationale

Chest pain and shortness of breath are more indicative of cardiovascular or respiratory issues, not meningitis.

Choice C rationale

Abdominal pain and diarrhea are gastrointestinal symptoms and are not typically associated with meningitis.

Choice D rationale

Joint pain and swelling are more indicative of rheumatologic conditions, not meningitis.

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