(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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A rationale:
Administering the measles vaccine within 72 hours of exposure is an appropriate measure to prevent transmission. The vaccine can provide post-exposure prophylaxis and reduce the risk of developing measles.
Choice B rationale:
Quarantining the client for 14 days is an appropriate measure to prevent transmission. Measles is highly contagious, and isolation can help contain the spread of the virus.
Choice C rationale:
Reporting the exposure to the local health authorities is essential for public health monitoring and contact tracing. This helps identify and manage potential cases to prevent further transmission.
Choice D rationale:
Wearing a mask when in contact with the client is an appropriate measure to prevent transmission. Measles is primarily spread through respiratory droplets, and wearing a mask can help reduce the risk of infection.
Choice E rationale:
Educating the client about the symptoms of measles and when to seek medical attention is crucial for early detection and prompt treatment. It also helps the client take appropriate precautions to prevent further spread of the virus.
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.
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