A nurse in a provider's office is reviewing the laboratory report of a young adult female client who has had the communicable disease mononucleosis for the past 3 weeks. Which of the following laboratory results indicate the client is recovering from the virus?

Lymphocytes 30%

RBC 4.4

Hgb 14 g/dL

Hct 42%

Answer and Explanation

The Correct Answer is A

A) Lymphocytes 30%:
Lymphocyte levels are typically elevated during the acute phase of mononucleosis as the body fights the Epstein-Barr virus. A level of 30% indicates that the lymphocyte count is returning to a more normal range, which suggests the client is recovering from the infection.

B) RBC 4.4:
The red blood cell count is not directly indicative of recovery from mononucleosis. While it provides information about the client's overall hematologic status, it does not specifically reflect the status of the viral infection.

C) Hgb 14 g/dL:
Hemoglobin levels can provide information about the client's oxygen-carrying capacity but do not specifically indicate recovery from mononucleosis. Normal hemoglobin levels are reassuring but not directly related to the viral infection's resolution.

D) Hct 42%:
Hematocrit levels, like hemoglobin, offer information about the client's blood composition but do not directly indicate recovery from mononucleosis. While normal hematocrit levels are desirable, they are not specific to the recovery status of the viral illness.

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Correct Answer is B

Explanation

A) Staying current on scheduled immunizations: While important for overall child health, staying current on immunizations is not a direct risk factor for sudden infant death syndrome (SIDS). Immunizations help prevent infections but do not specifically impact the likelihood of SIDS.

B) Maternal smoking during pregnancy: Maternal smoking during pregnancy is a significant risk factor for SIDS. Tobacco smoke exposure can negatively impact the baby's respiratory system and increase the risk of SIDS, making it crucial to address this risk factor.

C) Newborn who is large for gestational age: Being large for gestational age is not a recognized risk factor for SIDS. Risk factors for SIDS are more associated with environmental and prenatal conditions rather than birth weight alone.

D) Meconium staining of amniotic fluid: Meconium staining indicates potential fetal distress and complications during labor but is not a direct risk factor for SIDS. It is more related to the conditions surrounding birth rather than the risk of SIDS.

A. "I will remain in the hospital until my treatment is completed." B. "I will wear a surgical mask around my family." C. "I will need medication to treat my condition for the rest of my life." D. "I will need to provide a sputum specimen every 4 weeks until I test negative."

Correct Answer is D

Explanation

A) "I will remain in the hospital until my treatment is completed.": Hospitalization is not typically required for the entire duration of tuberculosis (TB) treatment. Most patients with TB can continue their treatment at home with proper medication and infection control measures, unless they have severe disease or complications.

B) "I will wear a surgical mask around my family.": A surgical mask is not sufficient to protect others from TB. Patients with active TB should wear an N95 respirator mask to reduce the risk of spreading the infection, especially in situations where close contact is unavoidable.

C) "I will need medication to treat my condition for the rest of my life.": TB treatment generally involves a course of medication lasting 6 to 9 months. Long-term, lifelong medication is not required; however, adherence to the full course of prescribed antibiotics is crucial to ensure the infection is fully eradicated.

D) "I will need to provide a sputum specimen every 4 weeks until I test negative.": Monitoring sputum samples every 4 weeks is a standard practice to assess the effectiveness of TB treatment and confirm that the patient is no longer infectious. This statement indicates an understanding of the ongoing evaluation needed during treatment.

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A nurse in a provider's office is reviewing the laboratory report of a young adult female client who has had the communicable disease mononucleosis for the past 3 weeks. Which of the following laboratory results indicate the client is recovering from the virus?

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