A 12-year-old girl presents to the emergency room with complaints ...

[Mr. Wonderful]

A 12-year-old girl presents to the emergency room with complaints of a sore throat, fever, and malaise for the past six days. The parents have noticed that she has been progressively sleeping more. The patient is diagnosed with mononucleosis.
 
  The caregiver education done by the nurse should include all of the following except: 1. Rest periods should follow play/activity periods.
   2. After the girl goes back to school, she should not participate in ice hockey for 6 to 8 weeks.
   3. Keep her well hydrated, and provide nutrition that is high in protein.
   4. Give acetaminophen or ibuprofen for fever management.

Question 2

The nurse reminds the parent of a teething 5-month-old infant that to reduce the discomfort of teething the parent can:
 
  a. Give ibuprofen dissolved in warm water
  b. Give small, hard candies to relieve the discomfort
  c. Rub the swollen gum with a warm washcloth
  d. Provide a hard rubber teething ring

[blfontai]

Answer to Question 1

4
Feedback
1. Rest periods should be provided for the child.
2. The child should not participate in contact sports for 6 to 8 weeks after having mononucleosis.
3. Hydration and a diet high in protein are needed for increasing the immune system.
4. Fever is not present at this stage of the healing process.

Answer to Question 2

D
A hard rubber teething ring is helpful for teething discomfort. Ibuprofen is not given to children younger than 6 months of age. Cold applications are more effective than warm ones.