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?
"You will need a course of antibiotics to treat the infection.”
"The treatment for IM is mainly supportive and symptomatic.”
"We will administer antiviral drugs to speed up your recovery.”
"Corticosteroids will be given to prevent complications.”
The Correct Answer is B
"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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale:
Administering the measles vaccine within 72 hours of exposure is an appropriate measure to prevent transmission. The vaccine can provide post-exposure prophylaxis and reduce the risk of developing measles.
Choice B rationale:
Quarantining the client for 14 days is an appropriate measure to prevent transmission. Measles is highly contagious, and isolation can help contain the spread of the virus.
Choice C rationale:
Reporting the exposure to the local health authorities is essential for public health monitoring and contact tracing. This helps identify and manage potential cases to prevent further transmission.
Choice D rationale:
Wearing a mask when in contact with the client is an appropriate measure to prevent transmission. Measles is primarily spread through respiratory droplets, and wearing a mask can help reduce the risk of infection.
Choice E rationale:
Educating the client about the symptoms of measles and when to seek medical attention is crucial for early detection and prompt treatment. It also helps the client take appropriate precautions to prevent further spread of the virus.
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.
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