Exhibits A nurse is collecting data from an adolescent who has a new diagnosis of infectious mononucleosis. Which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

Rationale for Correct Choice: Pain level: The client reports left upper quadrant pain rated 8/10, worsened with palpation, along with grimacing and guarding. These are concerning signs in a client with infectious mononucleosis, as they may indicate splenic enlargement or splenic rupture, a known complication. Rationale for Incorrect Choices: Intake: The client is eating about 60% of meals and drinking at least 8 cups of water daily, which indicates adequate hydration and nutrition. These values are acceptable and do not suggest clinical deterioration. Skin condition: A fine, non-itchy rash over the chest and abdomen can occur with infectious mononucleosis, especially if the client was treated with antibiotics like ampicillin or amoxicillin. It is a known, benign reaction and typically self-limiting. Temperature: A temperature of 38.2° C (100.8° F) is considered a low-grade fever and is common in the early stages of mononucleosis. It does not, by itself, require urgent intervention unless associated with other signs of systemic deterioration.