(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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
"I'll take antibiotics to treat the viral infection."
Choice A rationale:
Warm compresses can help alleviate discomfort from swollen lymph nodes, which is common in infectious mononucleosis. This statement does not require further intervention.
Choice B rationale:
Avoiding contact sports is a reasonable precaution because IM can cause splenomegaly (enlarged spleen), which can increase the risk of rupture during physical activity. This statement does not require further intervention.
Choice C rationale:
Taking acetaminophen to relieve fever is appropriate and can help manage symptoms of infectious mononucleosis. This statement does not require further intervention.
Choice D rationale:
Antibiotics are not effective against viral infections like IM. The nurse should intervene and provide education about the viral nature of IM and the lack of benefit from antibiotics.
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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