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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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View Related questions

Correct Answer is A

Explanation

Choice A rationale

A blood pressure reading of 180/120 mmHg or higher is indicative of a hypertensive crisis. This condition requires immediate medical attention to prevent damage to vital organs such as the heart, kidneys, and brain.

Choice B rationale

A heart rate of 90 beats per minute is within the normal range and does not indicate a hypertensive crisis. While it is important to monitor heart rate, it is not a definitive sign of a hypertensive emergency.

Choice C rationale

A respiratory rate of 20 breaths per minute is within the normal range and does not indicate a hypertensive crisis. Respiratory rate alone is not a reliable indicator of hypertensive emergencies.

Choice D rationale

A temperature of 37°C (98.6°F) is normal and does not indicate a hypertensive crisis. Body temperature is not a primary indicator of hypertensive emergencies.

Correct Answer is C

Explanation

Choice A rationale

Urine specific gravity of 1.029 indicates concentrated urine, which is common in dehydration but not specific to prerenal AKI. It reflects the kidney’s ability to concentrate urine in response to fluid deficit.

Choice B rationale

BUN of 28 mg/dL can indicate dehydration or renal impairment. However, it is not as specific as creatinine in diagnosing prerenal AKI. BUN can be elevated due to other factors like high protein intake or gastrointestinal bleeding.

Choice C rationale

Creatinine of 2.4 mg/dL is a critical indicator of kidney function. Elevated creatinine levels are more specific to renal impairment, including prerenal AKI, as they reflect the kidney’s ability to filter waste products.

Choice D rationale

Dry mucous membranes are a sign of dehydration but are not specific to prerenal AKI. They indicate fluid volume deficit but do not directly reflect kidney function.

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