The nurse cares for a patient who has tested positive for COVID-19 infection. Which presenting symptoms support this diagnosis? Select all that apply
Added by Michael F.
Step 1
** Show more…
Show all steps
Your feedback will help us improve your experience
Adi S and 69 other Nursing educators are ready to help you.
Ask a new question
Labs
Want to see this concept in action?
Explore this concept interactively to see how it behaves as you change inputs.
Key Concepts
Recommended Videos
A 49-year-old man was admitted to the emergency room in January, shortly after his family returned from holiday travels to mainland China. The day after his return, the patient suddenly developed a fever, muscle aches, malaise, and chills. Since many other people on the return flight were coughing, the patient assumed he'd caught a cold or the flu, so he took some Dayquil and spent the day in his bed. Two days later, his fever had climbed to 104°F and he had developed a runny nose and a dry cough. By the end of the week, his symptoms were worse and he was having difficulty breathing, so he had his wife drive him to the emergency room. A chest x-ray showed opaque areas with a "ground-glass" appearance and a CT scan showed consolidation of the left upper and middle lobes. Cultures of his respiratory secretions and urine were positive for a large number of enveloped viral particles and (+) sense viral RNA could be detected by reverse-transcription PCR of serum samples. He was placed in isolation in the intensive care ward, where he required mechanical ventilation to help him breathe. His wife and children were also placed in isolation for observation. What is the cause of the patient's illness? Rubella virus SARS coronavirus Haemophilus influenzae Human RSV Which symptom suggests this specific diagnosis - that is, on what did you base your diagnosis? All of the above Respiratory distress Sudden onset of fever Malaise (tiredness) Which of the following pieces of information would support your diagnosis of infection with this virus? Use of over-the-counter cold medicines A history of travel to Asia A history of exposure to the virus The fever resolves but the patient then develops a rash Which virus did researchers originally think was causing this illness? Influenza virus Human respiratory syncytial virus Adenovirus Rhinovirus Why did they think this? Muscle aches Malaise Fever Symptoms and origin in Asia
Adi S.
Question 15 (1.5 points) Joanna a 17-year-old female is complaining of generalized fatigue, a mild cough and low grade fever. What stage of disease do her signs and symptoms best represent? 1) convalescence 2) incubation 3) illness 4) prodromal Question 16 (1.5 points) Which of the following statement is the MOST CORRECT about endotoxins 1) Bacteria dies releasing endotoxin 2) Symptoms include fever, chills, shock, and even death 3) High amounts of endotoxins are required for lethal dosage 4) All of the above Question 17 (1.5 points) Lungs, heart, kidneys and liver are among organs that can be targeted by SARS Cov 2 due to 1) Presence of CD4 receptors 2) The virus ability to degrade angiotensin converting enzymes (ACE) 3) Easy access from the mucosal sights 4) Presence of ACE 2 receptors
Sana R.
A 35-year-old man, presented to an emergency department in Houston, Texas. His symptoms started 4 days earlier with lethargy, sore throat, dry cough, chest pain, mild labored breathing and fever. His wife had been diagnosed with COVID-19 a few days earlier. He was otherwise healthy and was a non-smoker taking no medications. At presentation on day 4, SARS-CoV-2 was detected in a nasopharyngeal swab specimen by real-time reverse-transcriptase PCR. He was admitted to the hospital. While he was in the hospital, SARS-CoV-2 was again detected at days 5–6 in nasopharyngeal, sputum and fecal samples, but was undetectable from day 7. Blood C-reactive protein was elevated, but he had normal counts of lymphocytes and neutrophils. No other respiratory pathogens were detected. His management was intravenous fluid rehydration without supplemental oxygenation. No antibiotics, steroids or antiviral agents were administered. Chest radiography demonstrated bi-basal infiltrates at day 5 that cleared on day 10. He was discharged to home isolation on day 11. During convalescence, the patient is in isolation at home, his symptoms resolved completely by day 13, and he returned to his clinician’s office for a check-up at day 20, when he was feeling well, with progressive increases in plasma SARS-CoV-2-binding IgM and IgG antibodies from day 7 until day 20. Now that the patient is convalescing, explain: What cellular events are necessary to shift from plasma IgM to IgG production? Explain class switching. What are the major roles of IgM and IgG found in plasma during this type of infection? What types of antibodies would you find within the respiratory tract environment? Explain how these antibodies are produced and secreted, and what their major functions are in the respiratory tract. What happens to the large numbers of B cells at the end of the primary response (convalescence)? Explain how those may diminish during convalescence and address memory.
Transcript
18,000,000+
Students on Numerade
Trusted by students at 8,000+ universities
Watch the video solution with this free unlock.
EMAIL
PASSWORD