The nurse caring for a child with mononucleosis can expect the child to exhibit which symptoms?

Ear pain and fever.

Elevated WBC and sedimentation rate.

Increased BUN and serum creatinine.

Positive Epstein-Barr, and malaise.

Answer and Explanation

The Correct Answer is D

Rationale

A. Ear pain is not typically a common symptom of mononucleosis. Fever, however, is commonly seen in mononucleosis due to the body's immune response to the viral infection.

B. In mononucleosis, there is often an increase in white blood cells (specifically lymphocytes) and an elevated sedimentation rate (ESR). These changes reflect the body's immune response to the Epstein- Barr virus infection.

C. Increased blood urea nitrogen (BUN) and serum creatinine levels are not typically associated with mononucleosis. These markers are more indicative of kidney function and are not directly affected by the viral infection causing mononucleosis.

D. A positive test for Epstein-Barr virus (EBV) antibodies is diagnostic for mononucleosis. Malaise, which is a general feeling of discomfort or illness, is a hallmark symptom of mononucleosis along with other systemic symptoms like fatigue, sore throat, swollen lymph nodes, and sometimes a rash.

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Correct Answer is B

Explanation

Rationale

A This statement is incorrect for diabetes management. People with diabetes should avoid soaking their feet in hot water, as it can lead to burns and skin damage, which is particularly risky due to potential nerve damage (neuropathy) and poor circulation common in diabetes.

B. This statement demonstrates good understanding. Alcohol can affect blood sugar levels and should be consumed in moderation by people with diabetes. Limiting intake to 1-2 drinks per day (following healthcare provider's advice) is generally recommended to minimize the impact on blood sugar levels and overall health.

C. Exercise is crucial for managing blood glucose levels in people with diabetes. Physical activity helps muscles use glucose for energy and can lower blood sugar levels. Understanding the importance of regular exercise is key for effective diabetes management.

D. While keeping wounds covered is generally good advice to prevent infection, using antibiotic ointment on every wound is not necessary unless specifically advised by a healthcare professional. Proper wound care, including cleaning with mild soap and water, keeping the wound clean and dry, and seeking medical attention for any signs of infection

A. Report the complaint of eye pain to the surgeon. B. Begin postoperative prophylactic antibiotics. C. Apply bilateral eye shields to reduce photosensitivity. D. Administer an antiemetic to prevent vomiting.

Correct Answer is A

Explanation

Rationale

A. Acute pain following laser trabeculoplasty could indicate increased intraocular pressure, inflammation, or other complications. Reporting the pain to the surgeon allows for prompt evaluation and intervention, which may include further assessment of intraocular pressure, examination of the surgical site, and consideration of additional treatment modalities such as pain management or anti- inflammatory medications.

B. Postoperative antibiotics are typically prescribed to prevent infection after surgery. However, acute pain alone may not indicate an infection, and starting antibiotics without assessing the cause of pain could delay appropriate management. Antibiotics are not indicated as the first-line response to acute pain in this context.

C. Eye shields are commonly used after eye surgery to protect the eye from light and potential trauma. While important for protecting the eye, applying eye shields addresses a different aspect of postoperative care (protecting the eye from external factors), rather than addressing the acute pain reported by the client.

D. Nausea and vomiting can sometimes occur postoperatively due to anesthesia or medications. However, administering an antiemetic is not the appropriate action in response to acute eye pain following laser trabeculoplasty. It does not address the underlying cause of the pain and is not part of the standard immediate management for this situation.

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The nurse caring for a child with mononucleosis can expect the child to exhibit which symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing teaching to a client with type 2 diabetes mellitus about important points for disease and symptom management. Which response by the client indicates understanding?

Correct Answer is B

Explanation

Following laser trabeculoplasty surgery for open-angle glaucoma, the client reports acute pain deep within the eye. Which action should the nurse take?

Correct Answer is A

Explanation

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