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

White blood cell count with neutrophils predominance.

Elevated erythrocyte sedimentation rate (ESR)

Positive heterophile antibody test.

Decreased liver function test results.

Answer and Explanation

The Correct Answer is C

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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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.

A. Avoiding close contact with people who have IM or are asymptomatic carriers. B. Washing hands frequently. C. Sharing personal items, such as toothbrushes or utensils, with others. D. Using barrier methods during oral sex. E. Receiving immunoglobulin injections if exposed to EBV within 48 hours.

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

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Naxlex Comprehensive Predictor Exams

(Select all that apply) : A client has been exposed to someone with measles. The nurse should implement which measures to prevent transmission? Select all that apply:

Correct Answer is ["A","C","D","E"]

Explanation

(Select all that apply): A nurse is educating a group of young adults about the prevention and control of infectious mononucleosis (IM) Which measures should the nurse include in the teaching? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

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