The nurse anticipates that a 16-year-old girl with infectious mononucleosis will be placed on bed rest to
prevent liver involvement.
protect her from joint involvement.
prevent splenic rupture.
prevent irritation of her stiff neck.
The Correct Answer is C
A. Liver involvement (hepatomegaly) can occur in infectious mononucleosis, but bed rest does not prevent liver complications; monitoring liver function is more relevant.
B. Joint involvement is not a typical complication of infectious mononucleosis, so this is not a rationale for bed rest.
C. Splenomegaly is common in infectious mononucleosis, and the enlarged spleen is at risk for rupture, especially with physical activity or trauma. Bed rest is recommended to minimize risk of splenic injury, which can be life-threatening.
D. Neck stiffness (cervical lymphadenopathy) may cause discomfort, but bed rest is not primarily to prevent neck irritation; this is a secondary consideration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Mineralocorticoids (e.g., fludrocortisone) are used to treat adrenal insufficiency, not hyperthyroidism.
B. Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism, which is the opposite condition.
C. Dexamethasone is a corticosteroid used to reduce inflammation or treat adrenal insufficiency, not to manage thyroid hormone excess.
D. Methimazole is an antithyroid medication that inhibits thyroid hormone synthesis, making it the first-line treatment for hyperthyroidism in children, including Graves’ disease. Nurses should monitor for adverse effects such as rash, fever, or signs of infection, which can indicate agranulocytosis.
Correct Answer is B
Explanation
A. Notifying the physician for itching is not necessary unless signs of secondary infection or worsening symptoms occur.
B. The child likely has impetigo, a highly contagious bacterial skin infection. Children can return to school 24 hours after starting antibiotic therapy, as the risk of transmission decreases significantly after this period.
C. Keeping the child home until lesions are fully healed is unnecessary and can prolong absence from school. Antibiotic treatment effectively reduces contagion before complete healing.
D. Vigorous cleaning with Betadine is not recommended, as harsh scrubbing can irritate the skin and worsen the lesions. Gentle cleansing and application of prescribed topical or systemic antibiotics are preferred.
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