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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Emphasizing the avoidance of sharing eating utensils and drinks is crucial in preventing the transmission of infectious mononucleosis (IM) The Epstein-Barr virus (EBV), which causes IM, is commonly spread through direct contact with infected saliva. Sharing utensils and drinks increases the risk of transmission.
Choice B rationale:
Maintaining strict isolation from infected individuals is not necessary for preventing IM transmission. While avoiding close contact with infected individuals is recommended, complete isolation is not required.
Choice C rationale:
Wearing a mask when in public places to prevent airborne transmission is not a necessary preventive measure for IM. IM is primarily spread through direct contact with infected saliva, so airborne transmission is not a significant mode of spread.
Choice D rationale:
Consuming immune-boosting supplements regularly is not a proven method of preventing IM transmission. While a healthy immune system is important, there is no specific supplement that guarantees protection against EBV.
Correct Answer is C
Explanation
"Elevated liver function test results."
Choice A rationale:
Infectious mononucleosis typically leads to an increased white blood cell (WBC) count, with a predominance of lymphocytes, not neutrophils. A decreased WBC count with neutrophil predominance is not expected.
Choice B rationale:
A negative heterophile antibody test is uncommon in infectious mononucleosis. A positive test result is characteristic of IM, indicating the presence of antibodies against the Epstein-Barr virus.
Choice C rationale:
Infectious mononucleosis can affect the liver, leading to elevated liver function test results, particularly levels of alanine transaminase (ALT) and aspartate transaminase (AST)
Choice D rationale:
An elevated erythrocyte sedimentation rate (ESR) is often seen in inflammatory conditions but is not specific to infectious mononucleosis. IM is more likely to be associated with an elevated WBC count and atypical lymphocytes on a blood smear.
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