Pediatric Nursing Demystified

Test Results

• Epstein-Barr (EB) virusis the principal causing agent.


• The incubation period following exposure is 4 to 6 weeks.


• The diagnosis is established by atypical leukocytes and a positive
  heterophil agglutination test.


• Spot test to determine blood agglutination of significant agglutinins.

Treatment

• No specific treatment for this disease process


• Mild analgesics


• Force fluids and humidified air are usually sufficient.

Nursing Interventions

• When the spleen is enlarged, activities in which the child may
  receive a blow to the abdomen should be avoided.


• Diet counseling to meet growth and energy needs during the illness
  is recommended.


• Education should be directed to avoid secondary infections.


• Exposure to persons outside the family should be carefully considered,
  and adolescents should be supported and assured that the course of
  illness is temporary.


• Advise the patient and family that regular activities may resume
  when the acute phase of the illness has ended.

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(^80) Pediatric Nursing Demystified

1. The nurse teaches the caregiver of the infant diagnosed with nasopharyngitis to call
   the physician if which of the following occurs?
   a. Coughing.
   b. Infant becomes irritable.
   c. Shows signs and symptoms of an ear infection (correct answer).
   d. Low-grade fever.
   Answer:


2. The nurse would expect which of the following to be appropriate for the infant diagnosed
   with staphylococcal pneumonia?
   a. Administer a course of antibiotics as prescribed.
   b. Monitor intake and output strictly to detect cardiac overload.
   c. Administer antitussives every 2 to 3 hours to relieve symptoms.
   d. Postural drainage every 2 hours.
   Answer:

✔ ROUTINE CHECKUP 1