The nurse is providing patient teaching for an adolescent diagnosed with mononucleosis. Which of the following teaching points should the nurse include?
A) Avoid playing contact sports during the acute phase of the illness.
B) Be sure to finish the entire course of antibiotics even if symptoms disappear.
C) Arrange to have schooling at home for the next 3 to 4 months.
D) Wash your towels and clothes separately from the rest of the family.
A
Feedback:
Mononucleosis, which typically infects the salivary glands, is transmitted by droplets in saliva, coughs, and sneezes, and by direct contact with mucous membranes (mouth-to-mouth). It is not transmitted by washing towels and clothing with the laundry of others. Treatment for mononucleosis is symptomatic; it includes rest, fluids, and analgesics, not antibiotics. If liver or spleen enlargement is present, the greatest risk of rupture is present during the first 2 to 4 weeks of the illness. Strenuous exercise and contact sports should be avoided while the organ(s) are enlarged. The school nurse and teachers need to make arrangements for schooling at home during the acute phase (first 2–4 weeks).
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