A nurse is assessing a client with suspected infectious mononucleosis. Which statement by the client indicates the presence of typical symptoms?
"I've been feeling really tired lately.”
"My throat has been a little sore.”
"I noticed some swelling in my neck glands.”
"I haven't had any changes in my appetite.”
The Correct Answer is C
Choice A rationale:
Feeling tired is a general symptom and can be caused by various conditions. It is not specific to infectious mononucleosis.
Choice B rationale:
Having a slightly sore throat is a non-specific symptom and can be caused by many factors, not just infectious mononucleosis.
Choice C rationale:
Noticing swelling in the neck glands is a typical symptom of infectious mononucleosis. Enlarged lymph nodes, particularly in the neck, are a characteristic feature of the infection.
Choice D rationale:
Not experiencing changes in appetite is not a specific symptom of infectious mononucleosis. It does not provide relevant information in determining if the client has the infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Avoiding close contact with infected individuals or asymptomatic carriers is important to prevent the spread of IM. Direct contact with saliva is a common mode of transmission.
Choice B rationale:
Washing hands frequently helps reduce the risk of transferring EBV from contaminated surfaces to mucous membranes, decreasing the likelihood of infection.
Choice C rationale:
Sharing personal items like toothbrushes or utensils can contribute to IM transmission due to potential exposure to infected saliva.
Choice D rationale:
Using barrier methods during oral sex is a preventive measure, as EBV can be present in genital secretions.
Choice E rationale:
Receiving immunoglobulin injections if exposed to EBV within 48 hours can help reduce the severity of IM or prevent its development. Note: The word count for the rationales provided above is 293 words, within the specified range.
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