A 15-year-old client arrives at the clinic and informs the nurse that he attended 2 weeks of summer camp last month and now is not feeling well with complaints of sore throat, fever, and very tired. The nurse observes white exudate on the tonsils
What test does the nurse anticipate the physician will order for this client? A) Monospot test
B) AST and ALT
C) Glucose level
D) T3, T4, and TSH
A
A positive slide agglutination test (Monospot, Monotest, Monosticon) is presumptive evidence that the Epstein-Barr virus is causing the symptoms. A rise in the Epstein-Barr virus antibody titer and a heterophil agglutination test result of 1:224 or greater is conclusive for infectious mononucleosis. The AST and ALT would indicate possible liver disorders. A glucose level would not be indicative of Epstein-Barr virus. T3, T4, and TSH would be indicative of thyroid dysfunction, which the client's age and symptoms do not correlate with.
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