(Select all that apply): A nurse is caring for a patient with infectious mononucleosis. Which interventions should the nurse include in the patient's care plan? Select all that apply.

Administer antiviral medications.

Encourage adequate fluid intake.

Advise the patient to rest and avoid strenuous activities.

Provide comfort measures for sore throat, such as warm saline gargles.

Instruct the patient to eat a high-protein diet to support immune function.

Answer and Explanation

Correct Answer : B,C,D

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.

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Correct Answer is B

Explanation

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.

A. "My skin and eyes have a yellowish tint.” B. "I have a constant headache and dizziness.” C. "I noticed some red spots on the roof of my mouth.” D. "I have difficulty swallowing due to a sore throat.”

Correct Answer is A

Explanation

Choice A rationale:

In a client with infectious mononucleosis experiencing hepatomegaly (enlarged liver) and jaundice, they are likely to report a yellowish tint in their skin and eyes. Jaundice is a condition characterized by the buildup of bilirubin, a yellow pigment formed from the breakdown of red blood cells, which results in a yellow discoloration of the skin and the whites of the eyes (sclera) This occurs when the liver is unable to process bilirubin effectively, leading to its accumulation in the bloodstream.

Choice B rationale:

Although headaches and dizziness can be associated with various medical conditions, they are not specific symptoms of infectious mononucleosis or related to hepatomegaly and jaundice.

Choice C rationale:

Red spots on the roof of the mouth (palate) are known as petechiae and are often seen in conditions like streptococcal pharyngitis (strep throat) While streptococcal pharyngitis may present similarly to infectious mononucleosis, petechiae are not typically associated with mononucleosis or related to hepatomegaly and jaundice.

Choice D rationale:

Difficulty swallowing due to a sore throat can be a symptom of infectious mononucleosis, as the condition can cause inflammation of the tonsils and the back of the throat. However, this symptom is not directly related to hepatomegaly and jaundice, which are the key features mentioned in the question.

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(Select all that apply): A nurse is caring for a patient with infectious mononucleosis. Which interventions should the nurse include in the patient's care plan? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A client with infectious mononucleosis is experiencing hepatomegaly and jaundice. What might the nurse expect the client to report?

Correct Answer is A

Explanation

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(Select all that apply): A nurse is caring for a patient with infectious mononucleosis. Which interventions should the nurse include in the patient's care plan? Select all that apply.