Infectious Mononucleosis

Infectious Mononucleosis ( 11 Questions)

A client with infectious mononucleosis is experiencing hepatomegaly and jaundice. What might the nurse expect the client to report?


Correct Answer: A

Choice A rationale:

In a client with infectious mononucleosis experiencing hepatomegaly (enlarged liver) and jaundice, they are likely to report a yellowish tint in their skin and eyes. Jaundice is a condition characterized by the buildup of bilirubin, a yellow pigment formed from the breakdown of red blood cells, which results in a yellow discoloration of the skin and the whites of the eyes (sclera) This occurs when the liver is unable to process bilirubin effectively, leading to its accumulation in the bloodstream.

Choice B rationale:

Although headaches and dizziness can be associated with various medical conditions, they are not specific symptoms of infectious mononucleosis or related to hepatomegaly and jaundice.

Choice C rationale:

Red spots on the roof of the mouth (palate) are known as petechiae and are often seen in conditions like streptococcal pharyngitis (strep throat) While streptococcal pharyngitis may present similarly to infectious mononucleosis, petechiae are not typically associated with mononucleosis or related to hepatomegaly and jaundice.

Choice D rationale:

Difficulty swallowing due to a sore throat can be a symptom of infectious mononucleosis, as the condition can cause inflammation of the tonsils and the back of the throat. However, this symptom is not directly related to hepatomegaly and jaundice, which are the key features mentioned in the question.




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