A patient in a malaria-endemic area has fever, chills and sweating. Which action should the nurse take first at a primary health care facility?
Correct answer: A. Arrange malaria testing according to the local protocol
- A. Arrange malaria testing according to the local protocol
- B. Give aspirin before taking any history
- C. Start antibiotics without assessing the patient
- D. Advise the patient to wait until the fever lasts one week
Explanation
Fever with chills in an endemic area requires prompt assessment and malaria testing according to the applicable protocol. Aspirin may increase bleeding risk in some illnesses, and delaying assessment can allow severe malaria or another serious infection to progress.
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About Primary Health Care and National Programmes
Primary health care covers equitable access, community participation, health promotion, appropriate technology, intersectoral coordination and referral systems. National programmes in Pakistan include immunization, polio eradication, tuberculosis control, malaria prevention, family planning, maternal and child health, nutrition and the Lady Health Worker Programme.
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