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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

The absence of burning epigastric pain after eating indicates that the treatment for peptic ulcer disease (PUD) secondary to H. pylori has been effective. This suggests that the ulcer has healed and the inflammation has subsided.

Choice B rationale

Coffee-ground emesis indicates the presence of blood in the vomit, which suggests ongoing bleeding and is not a sign of effective treatment for PUD.

Choice C rationale

A decrease in alcohol intake is beneficial for overall health but does not directly indicate the effectiveness of treatment for PUD secondary to H. pylori.

Choice D rationale

Normalization of hemoglobin levels is important but does not specifically indicate the effectiveness of treatment for PUD secondary to H. pylori. The primary indicator would be the resolution of symptoms such as burning epigastric pain.

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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