Question:

A client has a coxackie B (viral) or trypano-somal (parasite) infection. The nurse should further assess the client for: 

1. Myocarditis. 

2. Myocardial infarction. 

3. Renal failure. 

4. Liver failure.

Answer:1

Intracellular microorganisms, such as viruses and parasites, invade the myocardium to survive. These microorganisms damage the vital organelles and cause cell death in the myocardium. The myocardium becomes weak, leading to heart failure; then T lymphocytes invade the myocardium in response to the viral infection. The T lymphocytes respond to the viral infection by secreting cytokines to kill the virus, but they also kill the virus-infected myocardium. Myocardial infarction, renal failure, and liver failure are not direct consequences of a viral or parasitic infection. 

CN: Safety and infection control; CL: Analyze

翻译

问题：

病人有柯萨奇B型（病毒）或锥虫体（寄生虫）感染。护士应进一步评估病人：

1.心肌炎。

2.心肌梗塞。

3.肾功能衰竭。

4.肝功能衰竭。

答案：1

细胞内微生物，如病毒和寄生虫，侵入心肌存活。这些微生物破坏重要的细胞器，导致心肌细胞死亡。心肌变弱，导致心力衰竭；然后T淋巴细胞侵入心肌以应对病毒感染。T淋巴细胞对病毒感染的反应是分泌细胞因子杀死病毒，但它们也杀死病毒感染的心肌。心肌梗塞、肾衰竭和肝衰竭不是病毒或寄生虫感染的直接后果。

CN：安全和感染控制；CL：分析

小编寄语：In the realization of the ideal road, must eliminate all interference, especially to see those beautiful temptation.在实现理想的路途中，必须排除一切干扰，特别是要看清那些美丽的诱惑。