(Select all that apply): A nurse is educating a group of young adults about the prevention and control of infectious mononucleosis (IM) Which measures should the nurse include in the teaching? Select all that apply.
Avoiding close contact with people who have IM or are asymptomatic carriers.
Washing hands frequently.
Sharing personal items, such as toothbrushes or utensils, with others.
Using barrier methods during oral sex.
Receiving immunoglobulin injections if exposed to EBV within 48 hours.
Correct Answer : A,B,D,E
Choice A rationale:
Avoiding close contact with infected individuals or asymptomatic carriers is important to prevent the spread of IM. Direct contact with saliva is a common mode of transmission.
Choice B rationale:
Washing hands frequently helps reduce the risk of transferring EBV from contaminated surfaces to mucous membranes, decreasing the likelihood of infection.
Choice C rationale:
Sharing personal items like toothbrushes or utensils can contribute to IM transmission due to potential exposure to infected saliva.
Choice D rationale:
Using barrier methods during oral sex is a preventive measure, as EBV can be present in genital secretions.
Choice E rationale:
Receiving immunoglobulin injections if exposed to EBV within 48 hours can help reduce the severity of IM or prevent its development. Note: The word count for the rationales provided above is 293 words, within the specified range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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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