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 C

Explanation

Choice A rationale:

A white blood cell count with neutrophils predominance is not indicative of infectious mononucleosis. IM is characterized by an increase in atypical lymphocytes, not neutrophils.

Choice B rationale:

An elevated erythrocyte sedimentation rate (ESR) is a non-specific indicator of inflammation and is not specific to IM. It can be elevated in various conditions.

Choice C rationale:

A positive heterophile antibody test is highly indicative of infectious mononucleosis. This test detects antibodies produced in response to EBV infection and is a hallmark diagnostic test for IM.

Choice D rationale:

Decreased liver function test results are not a primary indicator of infectious mononucleosis. IM primarily affects the lymphatic system and may lead to mild liver enzyme elevations, but decreased liver function is not a typical finding.

A. Decreased WBC count with neutrophils predominance. B. Negative heterophile antibody test. C. Elevated liver function test results. D. Normal erythrocyte sedimentation rate (ESR) .

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

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

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

Correct Answer is C

Explanation

(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.

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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?

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

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

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