Dengue fever
Dengue fever ( 24 Questions)
A client with dengue fever has a platelet count of 120,000/mm3. What intervention should the nurse prioritize?
Administering acetaminophen for fever is a reasonable intervention for the client with dengue fever. However, it is not the priority when the platelet count is low.
Administering a blood transfusion is not the priority intervention based solely on the platelet count of 120,000/mm3. Platelet transfusion is typically considered when the platelet count drops significantly lower, leading to bleeding complications.
Encouraging bed rest is a reasonable intervention for a client with dengue fever to conserve energy and facilitate recovery. However, it is not the priority over monitoring for potential bleeding complications.
Monitoring for bleeding and petechiae is the priority intervention in this case. Dengue fever can cause thrombocytopenia, leading to an increased risk of bleeding. The nurse must closely monitor the client's platelet count and assess for any signs of bleeding or petechiae to detect complications early and provide appropriate interventions.
Choice A rationale:
Administering acetaminophen for fever is a reasonable intervention for the client with dengue fever. However, it is not the priority when the platelet count is low.
Choice B rationale:
Administering a blood transfusion is not the priority intervention based solely on the platelet count of 120,000/mm3. Platelet transfusion is typically considered when the platelet count drops significantly lower, leading to bleeding complications.
Choice C rationale:
Encouraging bed rest is a reasonable intervention for a client with dengue fever to conserve energy and facilitate recovery. However, it is not the priority over monitoring for potential bleeding complications.
Choice D rationale:
Monitoring for bleeding and petechiae is the priority intervention in this case. Dengue fever can cause thrombocytopenia, leading to an increased risk of bleeding. The nurse must closely monitor the client's platelet count and assess for any signs of bleeding or petechiae to detect complications early and provide appropriate interventions.