What statement best represents infectious mononucleosis? a. ...

[Yi-Chen]

What statement best represents infectious mononucleosis?
 
  a. Herpes simplex type 2 is the principal cause.
  b. A complete blood count shows a characteristic leukopenia.
  c. A short course of ampicillin is used when pharyngitis is present.
  d. Clinical signs and symptoms and blood tests are both needed to establish the diagnosis.

Question 2

When caring for a child after a tonsillectomy, what intervention should the nurse do?
 
  a. Watch for continuous swallowing.
  b. Encourage gargling to reduce discomfort.
  c. Apply warm compresses to the throat.
  d. Position the child on the back for sleeping.

[mrphibs]

Answer to Question 1

ANS: D
The characteristics of the diseasemalaise, sore throat, lymphadenopathy, central nervous system manifestations, and skin lesionsare similar to presenting signs and symptoms in other diseases. Hematologic analysis (heterophil antibody and monospot) can help confirm the diagnosis. However, not all young children develop the expected laboratory findings. Herpes-like Epstein-Barr virus is the principal cause. Usually, an increase in lymphocytes is observed. Penicillin, not ampicillin, is indicated. Ampicillin is linked with a discrete macular eruption in infectious mononucleosis.

Answer to Question 2

ANS: A
Continuous swallowing, especially while sleeping, is an early sign of bleeding. The child swallows the blood that is trickling from the operative site. Gargling is discouraged because it could irritate the operative site. Ice compresses are recommended to reduce inflammation. The child should be positioned on the side or abdomen to facilitate drainage of secretions.