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. Vaginal discharge associated with a hydatidiform mole is usually brownish or dark red, not clear. Profuse, clear discharge is not characteristic.
B. Hydatidiform mole involves abnormal trophoblastic growth, typically without a viable fetus, so fetal heart rate is absent rather than irregular.
C. hCG levels in a hydatidiform mole are elevated or rising abnormally high, rather than declining.
D. Excessive uterine enlargement is a hallmark finding because the uterus grows more rapidly than expected for gestational age due to the proliferation of abnormal trophoblastic tissue. Other signs may include hyperemesis gravidarum, early preeclampsia, and passage of grape-like vesicles.
Correct Answer is ["1600"]
Explanation
Step 1: Use the formula
Heparin dose = Dose per kg × Weight
Heparin dose = 20 units/kg × 80 kg = 1600 units
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