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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

Cellulitis is characterized by a red, swollen, and warm area on the skin, often accompanied by fever. It is a bacterial infection of the skin and underlying tissues.

Choice B rationale

Deep vein thrombosis (DVT) typically presents with swelling, pain, and warmth in the affected leg but not redness and fever as primary symptoms.

Choice C rationale

Osteomyelitis involves infection of the bone, presenting with localized pain, swelling, and fever, but not typically a red, swollen area on the skin.

Choice D rationale

Gout causes joint pain, swelling, and redness, usually in the big toe, but not a red, swollen area on the leg.

Correct Answer is D

Explanation

ChoiceArationale

Post-renalacute kidneyinjury(AKI)iscausedbyobstructionofurineflow,leadingto decreased urine output, but it does not typically cause crackles in the lungs.

ChoiceBrationale

Diabetesinsipidus(DI)ischaracterizedbyexcessiveurinationandthirstduetoadeficiencyof antidiuretic hormone (ADH), but it does not cause crackles in the lungs.

ChoiceCrationale

Syndromeofinappropriateantidiuretichormone(SIADH)involvesexcessivereleaseofADH, leading to water retention and hyponatremia, but it does not cause crackles in the lungs.

ChoiceDrationale

Congestiveheartfailure(CHF)canleadtofluidaccumulationinthelungs(crackles)and decreased urine output due to poor cardiac function and renal perfusion.

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