The nurse is caring for a 15-year-old patient who has been diagnosed with mononucleosis. The patient asks how the infection was obtained. Which information should the nurse include when responding to the patient?
Inhaling airborne germs, such as after someone coughs.
Eating meat that is undercooked
Eating contaminated food
Drinking from the cup of a person with the infection
The Correct Answer is D
A. Mononucleosis, often caused by the Epstein-Barr virus (EBV), is not primarily spread through airborne droplets like some respiratory infections. While some respiratory secretions may be involved, it is not the main transmission route.
B. Mononucleosis is not transmitted through undercooked meat. This mode of transmission is more relevant for certain foodborne illnesses but not for viral infections like EBV.
C. Mononucleosis is not transmitted through contaminated food. This route is typical for various foodborne pathogens but does not apply to EBV.
D. Mononucleosis is often referred to as the "kissing disease" because it can be transmitted through saliva. Sharing drinks, utensils, or engaging in close personal contact with someone who has the infection can spread the virus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This is a strong indicator of effectiveness. Both antacids and PPIs aim to reduce gastric acidity, which alleviates symptoms such as heartburn, regurgitation, and discomfort. A decrease in gastric distress suggests that the medications are successfully managing the symptoms of GERD.
B. Amylase is an enzyme primarily related to carbohydrate digestion, and its levels are not directly related to GERD or the effectiveness of antacids and PPIs. Normalizing amylase levels would not indicate the effectiveness of treatment for GERD, making this option irrelevant in this context.
C. While a decrease in vomiting may indicate an improvement in GERD symptoms, it is not the primary focus of treatment with antacids and PPIs. GERD primarily involves symptoms like heartburn and acid reflux rather than vomiting. However, if vomiting was due to severe reflux, improvement might indicate effectiveness.
D. Gastric motility refers to the movement of food through the gastrointestinal tract. While normal gastric motility can be beneficial, antacids and PPIs do not primarily aim to increase motility; their focus is on reducing acidity and managing reflux symptoms.
Correct Answer is D
Explanation
A. While it may be important to inform the parents later, this is not the immediate priority. The first step should be to assess and manage the current situation before involving the parents.
B. This is a reasonable action to help soothe the itching and irritation caused by contact dermatitis. However, before applying compresses, it’s crucial to ensure that the area is clean and that there is no potential for worsening the condition.
C. This may be necessary if the reaction is severe or worsening, but in this case, the student is exhibiting signs consistent with contact dermatitis, which can often be managed effectively at school without immediate medical intervention.
D. Washing the affected area with soap and water helps remove any potential irritants or allergens that may be causing the dermatitis. This action can help prevent the condition from worsening and relieve some of the symptoms.
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