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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
Administering antiviral medications is not a standard treatment for infectious mononucleosis. The infection is usually caused by the Epstein-Barr virus, and antiviral medications are not effective against it.
Choice B rationale:
Encouraging adequate fluid intake is essential for a patient with infectious mononucleosis. It helps prevent dehydration, which is especially important if the patient has a fever or is experiencing other symptoms that may lead to fluid loss.
Choice C rationale:
Advising the patient to rest and avoid strenuous activities is crucial. Rest is essential to support the body's immune response and to prevent complications from the infection.
Choice D rationale:
Providing comfort measures for a sore throat, such as warm saline gargles, is appropriate. Sore throat is a common symptom of infectious mononucleosis, and these measures can help soothe the discomfort.
Choice E rationale:
Instructing the patient to eat a high-protein diet to support immune function is not specifically indicated for infectious mononucleosis. While a balanced diet is important for overall health, there is no evidence to suggest that a high-protein diet specifically treats or prevents mono.
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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