Page 1162 - Saunders Comprehensive Review For NCLEX-RN

XIV. Infectious Mononucleosis
A. Description
1. Agent: Epstein-Barr virus
2. Incubation period: 4 to 6 weeks
3. Communicable period: Unknown
4. Source: Oral secretions

5. Transmission: Direct intimate contact

B. Assessment
1. Fever, malaise, headache, fatigue, nausea, abdominal
pain, sore throat, enlarged red tonsils

2. Lymphadenopathy and hepatosplenomegaly

3. Discrete macular rash most prominent over the trunk
may occur.
C. Interventions
1. Provide supportive care.
2. Monitor for signs of splenic rupture.

Teach the parents of a child with mononucleosis to monitor for

signs of splenic rupture, which include abdominal pain, left upper
quadrant pain, and left shoulder pain.
XV. Rocky Mountain Spotted Fever
A. Description
1. Agent: Rickettsia rickettsii
2. Incubation period: 2 to 14 days
3. Source: Tick from a mammal, most often from wild
rodents and dogs
4. Transmission: Bite of infected tick

B. Assessment
1. Fever, malaise, anorexia, vomiting, headache, myalgia
2. Maculopapular or petechial rash primarily on the
extremities (ankles and wrists), but may spread to
other areas, characteristically on the palms and soles
C. Interventions
1. Provide vigorous supportive care.
2. Administer antibiotics as prescribed.

3. Teach the child and parents about protection

from tick bites (Box 40-3).
XVI. Community-Associated Methicillin-Resistant Staphylococcus aureus (CA-
MRSA)

A. Description (also see Chapter 13)

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