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Question ⬇

Physiological Integrity

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63. A 50-year-old client is being seen in the outpatient clinic with complaints of a fever, cough, muscle soreness, and fatigue. The nurse would be concerned that the client had novel H1N1 flu if the complaints included:
Select all that apply.

Choices

Choices ⬆ ⬇

1. Persistent cough.

2. Shortness of breath.

3. Persistent vomiting.

4. Temperature of 104°F.

5. Diarrhea.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Recognize the one symptom (high fever) that is not typical.

Content Area: Adult Health, Infectious Disease; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Safe, Effective Care Environment/Safety and Infection Control

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Rationale ⬆

Physiological Integrity

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1.  2.  3.  5.  

Answer 1 is correct because there is frequently a worsening of a cough that may have appeared to be improving. Answer 2 is correct because shortness of breath is an emergency warning sign and requires urgent care. Answer 3 is correct because swine flu may present with vomiting not typically seen with the seasonal flu. Answer 4 is incorrect because the client with swine flu does not have a high fever and may have a normal temperature. Answer 5 is correct because clients with swine flu may present with diarrhea, non common in adults with seasonal flu, although diarrhea is seen in children with seasonal flu.

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