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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 B

Explanation

Choice A rationale

Administering vitamin B12 to increase RBC size is not appropriate in this scenario. The elevated MCV indicates macrocytic anemia, which is often due to vitamin B12 deficiency. The goal is to restore normal RBC maturation, not to increase RBC size.

Choice B rationale

Administering vitamin B12 to restore normal RBC maturation is the appropriate action. The elevated MCV indicates macrocytic anemia, which is often due to vitamin B12 deficiency. Administering vitamin B12 will help restore normal RBC maturation and correct the anemia.

Choice C rationale

Administering medication to decrease RBC size is not appropriate in this scenario. The elevated MCV indicates macrocytic anemia, which is often due to vitamin B12 deficiency. The goal is to restore normal RBC maturation, not to decrease RBC size.

Choice D rationale

Administering iron to increase the formation of hemoglobin molecules is not appropriate in this scenario. The elevated MCV indicates macrocytic anemia, which is often due to vitamin B12 deficiency. Iron supplementation is typically used for microcytic anemia, not macrocytic anemia.

Correct Answer is A

Explanation

Choice A rationale

Sepsis is a systemic inflammatory response to infection, often characterized by fever (temperature of 38°C or higher) and tachycardia (heart rate of 120 beats per minute or higher). These symptoms indicate the body’s response to a severe infection.

Choice B rationale

Hypovolemic shock is caused by significant fluid loss, leading to decreased blood volume and perfusion. It typically presents with hypotension and tachycardia, but not necessarily fever.

Choice C rationale

Myocardial infarction (heart attack) is characterized by chest pain, shortness of breath, and other symptoms, but fever and tachycardia are not primary indicators.

Choice D rationale

Pulmonary embolism involves a blockage in the pulmonary arteries, leading to symptoms such as sudden shortness of breath, chest pain, and rapid heart rate, but not typically fever.

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