A 14-year-old patient has been diagnosed with uncomplicated mononucleosis. The nurse practitioner should:
prescribe acetaminophen as needed.
prescribe short-term corticosteroid therapy.
encourage the adolescent to continue participation on the basketball team.
prescribe dose-appropriate amoxicillin for 14 days.
The Correct Answer is A
Rationale:
A. Uncomplicated mononucleosis is generally self-limiting, and management focuses on symptom relief. Acetaminophen (or ibuprofen) can be used to manage fever and sore throat.
B. Corticosteroids are reserved for severe complications, such as significant tonsillar hypertrophy causing airway obstruction, and are not indicated for uncomplicated cases.
C. Adolescents with mononucleosis should avoid contact sports or strenuous activity for at least 3–4 weeks, as splenomegaly increases the risk of splenic rupture.
D. Antibiotics like amoxicillin are not indicated and may cause rash in patients with Epstein-Barr virus infection, a hallmark of mononucleosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. A partially vaccinated 4-year-old is at highest risk for pertussis because incomplete vaccination provides suboptimal immunity, leaving the child vulnerable to infection.
B. An infant born at term may have some passive maternal antibodies if the mother was vaccinated, offering partial protection.
C. A child who came in contact with an infected person is at risk, but the degree of susceptibility depends on immunity status. A fully vaccinated child has significantly lower risk.
D. A newborn whose mother received DTaP in the third trimester typically has transplacental antibodies, providing temporary protection during the first few months of life.
Correct Answer is A
Explanation
Rationale:
A. Tinea capitis, a fungal infection of the scalp, commonly presents with round, scaly patches and broken hairs close to the scalp. It often causes itching and may lead to mild inflammation.
B. Seborrheic dermatitis typically presents with greasy, yellowish scales rather than broken hairs.
C. Trichotillomania is characterized by hair loss due to repetitive pulling, often with irregular patches and no scaling.
D. Alopecia areata presents as smooth, well-demarcated, non-scaly patches of hair loss without broken hairs.
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