A client diagnosed with infectious mononucleosis (IM) is experiencing a sore throat. Which statement by the client requires further intervention by the nurse?

"I'll use warm compresses on my neck to reduce the swelling.”

"I'll avoid contact sports until I am fully recovered.”

"I'm planning to take acetaminophen to relieve my fever.”

"I'll take antibiotics to treat the viral infection.”

Answer and Explanation

The Correct Answer is D

"I'll take antibiotics to treat the viral infection."

Choice A rationale:

Warm compresses can help alleviate discomfort from swollen lymph nodes, which is common in infectious mononucleosis. This statement does not require further intervention.

Choice B rationale:

Avoiding contact sports is a reasonable precaution because IM can cause splenomegaly (enlarged spleen), which can increase the risk of rupture during physical activity. This statement does not require further intervention.

Choice C rationale:

Taking acetaminophen to relieve fever is appropriate and can help manage symptoms of infectious mononucleosis. This statement does not require further intervention.

Choice D rationale:

Antibiotics are not effective against viral infections like IM. The nurse should intervene and provide education about the viral nature of IM and the lack of benefit from antibiotics.

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Correct Answer is ["B","C","D"]

Explanation

Choice A rationale:

Administering antiviral medications is not a standard treatment for infectious mononucleosis. The infection is usually caused by the Epstein-Barr virus, and antiviral medications are not effective against it.

Choice B rationale:

Encouraging adequate fluid intake is essential for a patient with infectious mononucleosis. It helps prevent dehydration, which is especially important if the patient has a fever or is experiencing other symptoms that may lead to fluid loss.

Choice C rationale:

Advising the patient to rest and avoid strenuous activities is crucial. Rest is essential to support the body's immune response and to prevent complications from the infection.

Choice D rationale:

Providing comfort measures for a sore throat, such as warm saline gargles, is appropriate. Sore throat is a common symptom of infectious mononucleosis, and these measures can help soothe the discomfort.

Choice E rationale:

Instructing the patient to eat a high-protein diet to support immune function is not specifically indicated for infectious mononucleosis. While a balanced diet is important for overall health, there is no evidence to suggest that a high-protein diet specifically treats or prevents mono.

A. "I've been feeling really tired lately.” B. "My throat has been a little sore.” C. "I noticed some swelling in my neck glands.” D. "I haven't had any changes in my appetite.”

Correct Answer is C

Explanation

Choice A rationale:

Feeling tired is a general symptom and can be caused by various conditions. It is not specific to infectious mononucleosis.

Choice B rationale:

Having a slightly sore throat is a non-specific symptom and can be caused by many factors, not just infectious mononucleosis.

Choice C rationale:

Noticing swelling in the neck glands is a typical symptom of infectious mononucleosis. Enlarged lymph nodes, particularly in the neck, are a characteristic feature of the infection.

Choice D rationale:

Not experiencing changes in appetite is not a specific symptom of infectious mononucleosis. It does not provide relevant information in determining if the client has the infection.

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A client diagnosed with infectious mononucleosis (IM) is experiencing a sore throat. Which statement by the client requires further intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(Select all that apply): A nurse is caring for a patient with infectious mononucleosis. Which interventions should the nurse include in the patient's care plan? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

A nurse is assessing a client with suspected infectious mononucleosis. Which statement by the client indicates the presence of typical symptoms?

Correct Answer is C

Explanation

(Select all that apply): A nurse is educating a group of young adults about the prevention and control of infectious mononucleosis (IM) Which measures should the nurse include in the teaching? Select all that apply.

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A client with infectious mononucleosis is experiencing hepatomegaly and jaundice. What might the nurse expect the client to report?

A client diagnosed with infectious mononucleosis (IM) is experiencing a sore throat. Which statement by the client requires further intervention by the nurse?