The clinic nurse receives multiple phone calls regarding client status. Which call should the nurse return first?

Question

Quizplus · Accepted Answer

11ecbb05_cbd3_3617_b433_c14bcfb69e82_MD0009_00 Infectious mononucleosis is caused by the Epstein-Barr virus. Spleen rupture is a serious complication of infectious mononucleosis that can occur spontaneously and present with sudden onset of left upper quadrant abdominal pain. The 16-year-old client should be taken to the emergency department for close monitoring of hemoglobin levels, supportive care to prevent hemorrhagic shock, and possible surgery. (Option A) Skin peeling is expected in the subacute stage of Kawasaki disease; the new skin might be tender. This client is not the priority. (Option B) Fever, cough, and a sore throat in a 7-year-old must be evaluated. However, the client's condition is not immediately life-threatening; this client should be treated after the client with infectious mononucleosis. (Option C) Corticosteroid inhalers can cause oral thrush. Clients must perform proper oral care (rinsing after use) and may use a nystatin oral suspension (swish throughout the mouth as long as possible before swallowing). This client is not the priority. Educational objective: A serious complication of infectious mononucleosis is a ruptured spleen, which would cause sudden onset of severe abdominal pain in the left upper quadrant.

The Clinic Nurse Receives Multiple Phone Calls Regarding Client Status