Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
You are an adult medical-surgical nurse on a medical trip with your hospital to Indonesia. While there, you meet a woman named Nani, a 35-year-old woman who was previously healthy, although she looks like she has aged well into her 50s. She has come to you because her village doctors have told her she has malaria. She is breathing heavily, very sweaty with a high fever, achy, and shaking. Her eyes are slightly yellow in color, but you are unsure if this is related or unrelated to her current illness. She has been sick for a little over a week, and has gone through several cycles of feeling better for a couple days before the fever, sweating, and chills broke out again. She tells you that the village doctors tried to treat her with a combination of a mosquito paste with a root you have never heard of, but they were apparently unsuccessful. You have a portable serological testing kit, and you confirm the diagnosis with a drop of blood from Nani’s finger.
-If you had the ability to perform more thorough blood tests on Nani,what would you expect to find?

Question

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
 You are an adult medical-surgical nurse on a medical trip with your hospital to Indonesia. While there, you meet a woman named Nani, a 35-year-old woman who was previously healthy, although she looks like she has aged well into her 50s. She has come to you because her village doctors have told her she has malaria. She is breathing heavily, very sweaty with a high fever, achy, and shaking. Her eyes are slightly yellow in color, but you are unsure if this is related or unrelated to her current illness. She has been sick for a little over a week, and has gone through several cycles of feeling better for a couple days before the fever, sweating, and chills broke out again. She tells you that the village doctors tried to treat her with a combination of a mosquito paste with a root you have never heard of, but they were apparently unsuccessful. You have a portable serological testing kit, and you confirm the diagnosis with a drop of blood from Nani’s finger. 
-If you had the ability to perform more thorough blood tests on Nani,what would you expect to find?

Quizplus · Accepted Answer

Malaria is a parasitic infection that can lead to anemia, which is a decrease in RBCs, due to the destruction of infected RBCs in the spleen. Hypoglycemia can also occur as a result of malaria, as the parasites consume glucose from the host's blood. Therefore, the best choice is hypoglycemia and decreased RBCs (choice D).

Please Read the Clinical Scenario, and Then Answer the Question