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    Ati Rn 54 Paediatrics Unit 5 ( Fresno City College) Proctored Exam

    The nurse provides discharge teaching on mononucleosis. Which statement does the nurse include in the discharge teaching?

    Explanation & Rationale

    Rationale: A. "Ensure you get adequate rest and stay hydrated until you feel better.": Rest and hydration are the cornerstone of managing mononucleosis, as the illness is viral and self-limiting. Adequate rest supports immune function, and maintaining hydration helps manage fever, sore throat, and fatigue, promoting recovery without the need for antiviral medications. B. "Avoid active or contact sports for 1 week.": Avoiding contact sports is important due to the risk of splenic rupture from hepatosplenomegaly; however, the restriction usually lasts at least 3–4 weeks or until the spleen is no longer enlarged. C. "Avoid taking any over-the-counter medications like ibuprofen.": Over-the-counter medications such as acetaminophen or ibuprofen may be used to relieve fever and discomfort, provided there are no contraindications. Advising complete avoidance could unnecessarily limit symptom management and is not standard discharge teaching. D. "Be sure to complete the entire course of antibiotics.": Antibiotics are not indicated for mononucleosis because it is caused by the Epstein-Barr virus, not bacteria. Prescribing antibiotics unnecessarily can lead to adverse reactions, such as rash, and is not part of proper discharge teaching.

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