An adolescent presents to the clinic with extreme fatigue, fever, and body aches and is diagnosed with Epstein-Barr virus. What statement by the adolescent shows that discharge teaching was effective?

"My symptoms should subside within 7-10 days."

"I won't share my drinks or utensils with anyone."

"I will be on bedrest until I feel better."

"A full course of antibiotics will treat this illness."

Answer and Explanation

The Correct Answer is B

A. Symptoms of Epstein-Barr virus, also known as mononucleosis, can last for several weeks to months, not just 7-10 days.

B. Epstein-Barr virus is spread through saliva, so avoiding sharing drinks or utensils helps prevent transmission.

C. Bed rest is recommended, but it is not the only measure needed; monitoring and managing symptoms is also important.

D. Epstein-Barr virus is a viral infection, and antibiotics are not effective in treating viral illnesses.

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Correct Answer is B

Explanation

A. Intravenous fluids are generally not required if the child is alert and active with mild dehydration; oral rehydration is usually sufficient.

B. Oral rehydration solutions are appropriate for treating mild dehydration and should be given in small amounts frequently.

C. Chicken broth is not ideal for replacing electrolytes because it is low in electrolytes and high in sodium. Oral rehydration solutions are preferred.

D. A depressed soft spot (fontanel) is a sign of severe dehydration in infants. For a 4-year-old, signs of dehydration would include changes in urine output, thirst, or dry mucous membranes rather than a depressed fontanel.

A. Partial to complete paralysis in the lower extremities B. Unilateral port-wine birthmark C. A protruding sac containing abdominal contents D. A fusion of cranial suture lines

Correct Answer is A

Explanation

A. Myelomeningocele is a type of spina bifida where there is a protrusion of the meninges and spinal cord through a defect in the vertebrae. This condition can result in partial to complete paralysis in the lower extremities due to the involvement of the spinal cord.

B. A unilateral port-wine birthmark is typically associated with conditions like Sturge-Weber syndrome, not myelomeningocele.

C. A protruding sac containing abdominal contents is characteristic of omphalocele, not myelomeningocele.

D. Fusion of cranial suture lines is not associated with myelomeningocele but rather with craniosynostosis.

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An adolescent presents to the clinic with extreme fatigue, fever, and body aches and is diagnosed with Epstein-Barr virus. What statement by the adolescent shows that discharge teaching was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A clinic nurse is caring for a 4-year-old client with acute diarrhea and mild dehydration who is afebrile, active, and alert. The nurse is providing instructions to the parent. Which statement by the parent indicates understanding?

Correct Answer is B

Explanation

A newborn has been admitted to the intensive care unit with a diagnosis of myelomeningocele. The nurse could expect which of the following with the disorder?

Correct Answer is A

Explanation

A 4-year-old client presents to the emergency department with drooling, agitation, and inability to cough. The nurse should recognize these findings are associated with which diagnosis?

A nurse is performing a developmental assessment on a 4-year-old client. What assessment finding would warrant further investigation?

While assessing a preadolescent client, the nurse notes curvature of the client's spine. Which statement by the parent supports this observation?

A pediatric client is admitted to the unit with failure to thrive. The mother states that the child has been "spitting up" and excessively crying immediately after every bottle. What diagnostic test will the nurse anticipate to confirm a diagnosis?

During a well-check for a 12-month-old, the nurse plans to administer the first dose of the varicella vaccine. What is an appropriate action for the nurse to take?

A 1-month-old infant is seen in a clinic and is diagnosed with developmental dysplasia of the hip (DDH). On assessment, the nurse understands that which finding would be noted in this condition?

The nurse analyzes the laboratory results of a pediatric client with hemophilia. The nurse understands which result will most likely be abnormal in this client?