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

"My skin and eyes have a yellowish tint.”

"I have a constant headache and dizziness.”

"I noticed some red spots on the roof of my mouth.”

"I have difficulty swallowing due to a sore throat.”

Answer and Explanation

The Correct Answer is A

Choice A rationale:

In a client with infectious mononucleosis experiencing hepatomegaly (enlarged liver) and jaundice, they are likely to report a yellowish tint in their skin and eyes. Jaundice is a condition characterized by the buildup of bilirubin, a yellow pigment formed from the breakdown of red blood cells, which results in a yellow discoloration of the skin and the whites of the eyes (sclera) This occurs when the liver is unable to process bilirubin effectively, leading to its accumulation in the bloodstream.

Choice B rationale:

Although headaches and dizziness can be associated with various medical conditions, they are not specific symptoms of infectious mononucleosis or related to hepatomegaly and jaundice.

Choice C rationale:

Red spots on the roof of the mouth (palate) are known as petechiae and are often seen in conditions like streptococcal pharyngitis (strep throat) While streptococcal pharyngitis may present similarly to infectious mononucleosis, petechiae are not typically associated with mononucleosis or related to hepatomegaly and jaundice.

Choice D rationale:

Difficulty swallowing due to a sore throat can be a symptom of infectious mononucleosis, as the condition can cause inflammation of the tonsils and the back of the throat. However, this symptom is not directly related to hepatomegaly and jaundice, which are the key features mentioned in the question.

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Correct Answer is B

Explanation

"The treatment for IM is mainly supportive and symptomatic."

Choice A rationale:

Antibiotics are not effective against viral infections like infectious mononucleosis (IM), which is caused by the Epstein-Barr virus. IM is primarily a viral infection, and antibiotics are not indicated for its treatment.

Choice B rationale:

The nurse should choose this option because infectious mononucleosis is a viral infection, and there is no specific antiviral treatment for it. Supportive care, including rest, hydration, and management of symptoms like fever and sore throat, is the main approach to managing IM.

Choice C rationale:

Antiviral drugs are not typically used to treat infectious mononucleosis caused by the Epstein-Barr virus. IM is a self-limiting condition that resolves on its own with time and supportive care.

Choice D rationale:

Corticosteroids are not routinely given for the treatment of infectious mononucleosis. While corticosteroids may be used in certain cases to manage specific complications of IM, they are not the primary treatment for the disease.

A. "I should avoid sharing utensils with my friends.” B. "If my friend has mono, it's okay to share a drink with a straw.” C. "I will be immune to mono once I have it.” D. "I need to wait for at least 4 to 6 weeks to see if I develop any symptoms after exposure.”

Correct Answer is B

Explanation

Choice A rationale:

The participant correctly states that they should avoid sharing utensils with their friends. This is an appropriate measure to prevent the spread of infectious mononucleosis, as the virus can be transmitted through saliva.

Choice B rationale:

This statement indicates a need for further teaching. Sharing a drink with a straw with a friend who has infectious mononucleosis is not safe, as the virus can still be transmitted through the shared drink.

Choice C rationale:

The participant's statement is incorrect. Having infectious mononucleosis does not confer immunity to the disease. In fact, once a person has had the infection, the virus may remain dormant in their body and can reactivate later in life.

Choice D rationale:

The participant's statement is correct. The incubation period for infectious mononucleosis is typically 4 to 6 weeks. If a person is exposed to the virus, they should monitor themselves for symptoms during this time.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with suspected infectious mononucleosis (IM) asks the nurse, "What is the treatment for this disease?" Which statement by the nurse is most appropriate?

Correct Answer is B

Explanation

A nurse is providing education to a group of teenagers about infectious mononucleosis. Which statement made by a participant indicates a need for further teaching?

Correct Answer is B

Explanation

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

(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.

A nurse is teaching a community health class about preventing the transmission of infectious mononucleosis. Which preventive measures should the nurse emphasize?

(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.

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

A nurse is monitoring a client with infectious mononucleosis (IM) Which finding would the nurse expect to assess in the client's laboratory results?

A nurse is caring for a client suspected of having infectious mononucleosis (IM) Which laboratory test is most indicative of IM?

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