A 15-year-old boy visits his primary care physician's office with fever, headache, and malaise, along with complaints of pain on chewing and pain in the jawline just in front of the ear lobe. The boy asks his mother to leave the exam room for a minute and then tells the nurse that he is also experiencing testicular pain and swelling. The nurse recognizes that this client most likely has which condition?
Infectious mononucleosis
Herpes zoster
Poliomyelitis
Mumps
The Correct Answer is D
A. Infectious mononucleosis typically presents with fever, sore throat, and lymphadenopathy, but does not usually cause parotid swelling or testicular pain.
B. Herpes zoster (shingles) causes a painful vesicular rash along a dermatome and is rare in adolescents; it does not cause parotitis or orchitis.
C. Poliomyelitis can cause fever, malaise, and in severe cases, paralysis, but it does not present with parotid swelling or testicular pain.
D. Mumps is a viral infection characterized by fever, headache, malaise, and parotid gland swelling, often accompanied by painful chewing. In post-pubertal males, orchitis (testicular pain and swelling) is a common complication, making this the most consistent diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["150"]
Explanation
Step 1: Use the formula
Volume infused = Flow rate × Time
Volume infused = 50 mL/hr × 3 hr = 150 mL
Final Answer: 150 mL
Correct Answer is D
Explanation
A. While reviewing hygiene practices is important, it does not confirm the cause of the nighttime anal itching, which could be due to pinworm infection.
B. Limiting clothing is not an effective diagnostic or treatment measure for suspected pinworm infection.
C. A stool sample is not reliable for diagnosing pinworms, as eggs are laid around the anus at night, not in stool.
D. The cellophane tape test is the preferred diagnostic method for Enterobius vermicularis (pinworm). It involves placing clear tape on the perianal area in the morning to collect eggs for microscopic examination, allowing accurate diagnosis and appropriate treatment.
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