The nurse is caring for a group of clients. Which client does the nurse suspect is most likely to have mononucleosis?
A) A 46-year-old male who is complaining of chest pain and weakness
B) A 19-year-old college student with cervical node enlargement and fever
C) A 28-year-old female with lower abdominal discomfort and vaginal discharge
D) A 30-year-old male client with a cough, chest discomfort, and fever
B
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The virus most commonly affects young adults, especially those in close living quarters, such as armed services housing and college dormitories. Fatigue, fever, sore throat, headache, and cervical lymph node enlargement typically occur. The tonsils ooze white or greenish-gray exudates. Pharyngeal swelling can compromise swallowing and breathing. Some clients develop a faint red rash on their hands or abdomen. The liver and spleen become enlarged. The other clients with presenting symptoms do not correlate with the symptoms of mononucleosis.
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