A nurse is caring for a client with infectious mononucleosis (IM) caused by cytomegalovirus (CMV) infection. Which of the following complications should the nurse be vigilant for in this client?
Brain abscess formation.
Enlarged spleen (splenomegaly)
Burkitt's lymphoma development.
Congenital abnormalities during pregnancy.
The Correct Answer is B
Choice A rationale:
Brain abscess formation is not a typical complication of IM caused by CMV infection. Encephalitis and meningitis are more relevant neurological concerns.
Choice B rationale:
Enlarged spleen (splenomegaly) is a common complication of IM caused by CMV infection. It can lead to splenic rupture, which is a serious medical emergency.
Choice C rationale:
Burkitt's lymphoma development is not a direct complication of IM caused by CMV infection. Burkitt's lymphoma is associated with EBV infection, not CMV.
Choice D rationale:
Congenital abnormalities during pregnancy are not typically associated with IM caused by CMV infection. Congenital CMV infection can cause fetal abnormalities, but this is not directly related to IM.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The nurse should advise the patient to notify and treat all sexual partners to prevent reinfection and further spread of the sexually transmitted infection (STI) Treating only the infected individual may not fully eliminate the infection, as untreated partners can reinfect each other.
Choice B rationale:
Using topical agents like podophyllin is not relevant to trichomoniasis, as it is an STI caused by a protozoan parasite. Topical agents are typically used for treating genital warts caused by the human papillomavirus (HPV)
Choice C rationale:
Practicing abstinence until cured is a reasonable precaution to prevent spreading the infection, but it does not address the aspect of notifying and treating sexual partners, which is crucial for preventing reinfection.
Choice D rationale:
Avoiding sharing personal items like razors is a general hygiene practice but is not specific to preventing trichomoniasis reinfection. It does not address the need for partner notification and treatment.
Correct Answer is A
Explanation
Choice A rationale:
Antibiotics, specifically those like azithromycin or doxycycline, are the standard treatment for syphilis, which is a bacterial infection caused by Treponema pallidum. These antibiotics effectively target and eliminate the bacteria responsible for the infection.
Choice B rationale:
Antiviral drugs like acyclovir are used to treat viral infections, such as herpes simplex virus (HSV), and are not effective against bacterial infections like syphilis.
Choice C rationale:
Antiprotozoal drugs like metronidazole are used to treat infections caused by protozoa, not bacteria like Treponema pallidum.
Choice D rationale:
Antiretroviral therapy (ART) is used to manage HIV/AIDS, which is caused by the human immunodeficiency virus (HIV), not syphilis. It is not an appropriate treatment for syphilis infection.
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