(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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
"Elevated liver function test results."
Choice A rationale:
Infectious mononucleosis typically leads to an increased white blood cell (WBC) count, with a predominance of lymphocytes, not neutrophils. A decreased WBC count with neutrophil predominance is not expected.
Choice B rationale:
A negative heterophile antibody test is uncommon in infectious mononucleosis. A positive test result is characteristic of IM, indicating the presence of antibodies against the Epstein-Barr virus.
Choice C rationale:
Infectious mononucleosis can affect the liver, leading to elevated liver function test results, particularly levels of alanine transaminase (ALT) and aspartate transaminase (AST)
Choice D rationale:
An elevated erythrocyte sedimentation rate (ESR) is often seen in inflammatory conditions but is not specific to infectious mononucleosis. IM is more likely to be associated with an elevated WBC count and atypical lymphocytes on a blood smear.
Correct Answer is C
Explanation
Choice A rationale:
Feeling tired is a general symptom and can be caused by various conditions. It is not specific to infectious mononucleosis.
Choice B rationale:
Having a slightly sore throat is a non-specific symptom and can be caused by many factors, not just infectious mononucleosis.
Choice C rationale:
Noticing swelling in the neck glands is a typical symptom of infectious mononucleosis. Enlarged lymph nodes, particularly in the neck, are a characteristic feature of the infection.
Choice D rationale:
Not experiencing changes in appetite is not a specific symptom of infectious mononucleosis. It does not provide relevant information in determining if the client has the infection.
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