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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 B

Explanation

Choice A rationale

Deep vein thrombosis (DVT) can lead to pulmonary embolism but does not directly cause chest pain and shortness of breath.

Choice B rationale

Pulmonary embolus (PE) is characterized by chest pain, shortness of breath, and hemoptysis (coughing up blood), especially in patients on bed rest.

Choice C rationale

Anemia can cause fatigue and shortness of breath but not typically chest pain and hemoptysis.

Choice D rationale

Right heart failure can cause shortness of breath and edema but not typically chest pain and hemoptysis.

Correct Answer is B

Explanation

Choice A rationale

Checking blood sugar levels before each meal is a good practice for managing diabetes and does not indicate a need for further teaching.

Choice B rationale

Skipping medication if blood sugar is normal indicates a misunderstanding of diabetes management. Medications should be taken as prescribed to maintain consistent blood sugar levels.

Choice C rationale

Following a balanced diet and exercising regularly are important components of diabetes management and do not indicate a need for further teaching.

Choice D rationale

Monitoring feet for cuts or sores is crucial for diabetes management to prevent complications like infections and ulcers.

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