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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale:

NAAT is a highly sensitive and specific diagnostic method used to detect the genetic material of the causative organism. It is suitable for diagnosing gonorrhea and can be performed using urine samples, making it non-invasive and convenient.

Choice B rationale:

Serologic tests are used to detect antibodies produced by the body in response to infections. It is not the primary diagnostic method for confirming acute gonorrhea, as antibodies may take time to develop.

Choice C rationale:

Wet mount microscopy is more commonly used to diagnose Trichomonas vaginalis, not gonorrhea. It involves examining vaginal discharge under a microscope to identify the parasite.

Choice D rationale:

Visual inspection of genital warts is not relevant to diagnosing gonorrhea. It is used for diagnosing and assessing the severity of warts caused by HPV.

A. "I should inform all my sexual partners about my diagnosis and encourage them to get tested.” B. "I will take antibiotics as prescribed and complete the full course of treatment.” C. "I may need resistance testing to determine the most appropriate antibiotics for my treatment.” D. "I can stop using condoms once my symptoms resolve.”

Correct Answer is D

Explanation

Choice A rationale:

This choice is correct because the patient demonstrates understanding of the importance of notifying sexual partners and encouraging them to get tested. This approach helps prevent the spread of chlamydia.

Choice B rationale:

This choice is correct as well. Taking antibiotics as prescribed and completing the full course of treatment is essential to ensure complete eradication of the infection and prevent antibiotic resistance.

Choice C rationale:

This choice is also correct. Resistance testing may be necessary in cases of antibiotic-resistant strains of chlamydia to determine the most effective treatment.

Choice D rationale:

This choice is incorrect. The patient should continue using condoms even after symptom resolution to prevent reinfection and the transmission of STIs.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with suspected gonorrhea. Which diagnostic method should the nurse anticipate using to confirm the infection?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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