A high school student returns to school following a three-week absence due to mononucleosis. When meeting with the student the school nurse explains it will be important for the adolescent to:
have a snack twice a day to prevent hypoglycemia,
continue taking antibiotics for one month.
avoid contact sports for 4 to 6 weeks.
report to the nurse's office every four hours for aspirin.
The Correct Answer is C
Rationale:
A. Hypoglycemia is not typically a concern with mononucleosis and does not require scheduled snacks.
B. Mononucleosis is caused by the Epstein-Barr virus, and antibiotics are not indicated unless there is a secondary bacterial infection.
C. Avoiding contact sports is essential because mononucleosis can cause splenomegaly (enlarged spleen), which increases the risk of splenic rupture—a serious and potentially life-threatening complication.
D. Aspirin is not recommended for adolescents due to the risk of Reye's syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C","dropdown-group-3":"A"}
Explanation
Rationale:
This child’s presentation is most consistent with bullying because the change is recent, tied to peer interactions, and includes the classic triad of psychosocial, somatic, and academic consequences. Six months ago the child was quiet but excelled academically and had normal screenings and growth; over the past months the teacher reports social withdrawal (playing alone, avoiding group work), and grades have declined, a clear change in academic performance that correlates with the timing of peer problems. Parents report frequent headaches, stomachaches, sleep disturbance, loss of appetite, weight loss (50th to 5th percentile) and loss of interest in activities; these are common psychosomatic symptoms of chronic stress and anxiety from bullying rather than primary medical disease. The child also expresses low self-esteem due to classmates’ comments and refuses to discuss peers, which supports an interpersonal (peer-related) cause.
Correct Answer is B
Explanation
Rationale:
A. Sharing towels and washcloths increases the risk of spreading conjunctivitis and should be avoided.
B. Frequent handwashing and avoiding eye-touching are key practices in preventing the transmission of conjunctivitis, especially viral or bacterial types.
C. Keeping the child indoors is not necessary for all cases and does not address the primary method of transmission.
D. Using unprescribed antibiotics can be dangerous and may lead to resistance or inappropriate treatment.
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