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A nurse is assessing a client with a temperature of 38.5°C (101.3°F) and a white blood cell count of 15,000/mm³. Which condition is the client most likely experiencing?

A.

Bacterial infection.

B.

Viral infection.

C.

Fungal infection.

D.

Parasitic infection.

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

Bacterial infection often leads to an elevated white blood cell count (15,000/mm³) and fever (38.5°C). The body’s immune response to bacterial pathogens results in these clinical manifestations.

 

Choice B rationale

 

Viral infections can cause fever, but they typically do not lead to a significant increase in white blood cell count.

 

Choice C rationale

 

Fungal infections can cause fever and elevated white blood cell count, but they are less common and usually occur in immunocompromised individuals.

 

Choice D rationale

 

Parasitic infections can cause fever and elevated white blood cell count, but they are less common and usually present with other specific symptoms.


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View Related questions

Correct Answer is A

Explanation

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.

Correct Answer is A

Explanation

Choice A rationale

Decreasing coronary artery constriction by giving aspirin is a primary objective in managing unstable angina. Aspirin inhibits platelet aggregation, reducing the risk of clot formation and improving blood flow in the coronary arteries. This helps to alleviate chest pain and prevent myocardial infarction.

Choice B rationale

Increasing afterload for the left ventricle to maximize cardiac output is not a desirable objective in managing unstable angina. Increasing afterload would increase the workload on the heart, which is counterproductive in patients with angina. The goal is to reduce the heart’s workload and improve blood flow.

Choice C rationale

Increasing preload to reduce overall cardiac workload is not a primary objective in managing unstable angina. Increasing preload would increase the volume of blood returning to the heart, potentially worsening symptoms. The focus is on reducing myocardial oxygen demand and improving coronary perfusion.

Choice D rationale

Reducing arterial inflammation by administering statins is a long-term strategy for managing cardiovascular disease, but it is not the immediate objective in managing unstable angina. Statins help to lower cholesterol levels and reduce inflammation, but the immediate goal in unstable angina is to relieve chest pain and prevent myocardial infarction.

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