Quick answer to question, pls..

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What is the sign of infection in a neutropenic patient ? Heat, redness, pus or difficulty swallowing.

Thank you :)

I think that the dysphagia has to do with where the infection might start...if it's a URI, may have throat issues.

Perhaps I am missing it since I'm viewing this on my iPhone, but I didn't see anything in the wiki article that supports the professors answer of dysphasia.

under s/s, it lists illnesses that can result from infection...including "sore throat".

leslie

Leslie and all,

Thank you for your answer. The reason I was hoping for quick reply and no big time consumption on anyone's part was because I was looking for practical knowledge from working nurses. As you will see Leslie, in all written documentation heat/temperature is listed first.

I would never have entered anything ill prepared. Hard data was in hand. How would you then extrapolate that difficulty swallowing was the correct-encompassing answer when in both documentation presented heat was mentioned first?

http://www.scma-docs.com/neutro_pg.htm

"What to look for: Fever is the most common, and sometimes, the only hint that there is an infection. Every patient getting chemotherapy or radiation therapy must have his or her own thermometer. Glass is usually better than digital, unless there are vision problems. Rectal thermometers (round bulb) are safer because they are more difficult to break than (long bulb) oral thermometers. Both can be used in the mouth. A documented temperature of 101.0 or above, for more than one hour, in an oncology patient deserves medical attention. At that time, blood work should be done to look for neutropenia. If a low WBC is found, then a search for the source of the infection (chest x-rays, cultures, etc.) will be undertaken and antibiotics should be considered. Treatment may be as an outpatient or as an inpatient, depending on several factors. "

I think the swallowing difficulty would be specific to a URI....not in every infection :)

I think I'd have to see how the question was asked exactly.

And I doubt this one single question is what led to your D in this course or the C in the other course.

Your energy is being spent trying to prove that you were just as mediocre as your fellow classmates that managed to pass. Instead, put your energy into going into your next semester prepared to learn the material well enough that you'll do well enough on your tests that one single question isn't the difference between passing and failing.

Specializes in ED.

It's dysphasia by process of elimination. Heat, swelling and redness all involve immune response. The question indicates neutropenia, a lowered immune response. They are testing whether the person knows that, 1. Neutropenia is a decrease in immune function and 2. the signs of immune response are redness, heat and swelling. Therefore, the answer is dysphasia.

Mikey... I appreciate your answer. It is exactly what helps those who post here. Just researched your answer a bit and realized what you said..the one choice was difficulty swallowing.

Dysphasia, or dysphagia? I thought it was throat problems, not impaired speech....:)

Wooh..

What is it about my post in asking a simple question would bring you to basically feel the need to examine me a person ?

If you wish to private message me and tell me how poorly you feel of me, then please feel free. I promise you that I will heed your advice and hide under a rock :)

Wooh..

What is it about my post in asking a simple question would bring you to basically feel the need to examine me a person ?

If you wish to private message me and tell me how poorly you feel of me, then please feel free. I promise you that I will heed your advice and hide under a rock :)

Absolutely no problem with you at all. I'm not examining you, or feel poorly about you. There's a big difference between dysphagia and dysphasia...that's all- Please don't assume I'm doing things I'm not ;) No rocks needed. I'm glad you asked the question- it's something that nurses in a lot of areas could face.

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