A nurse is providing education to a group of teenagers about infectious mononucleosis. Which statement made by a participant indicates a need for further teaching?
"I should avoid sharing utensils with my friends.”
"If my friend has mono, it's okay to share a drink with a straw.”
"I will be immune to mono once I have it.”
"I need to wait for at least 4 to 6 weeks to see if I develop any symptoms after exposure.”
The Correct Answer is B
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.
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 C
Explanation
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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