Nursing 213

N213: Health Differences Across the Lifespan 3 Study Guide • Teach patients how to cope with activity intolerance o Encourage patient to take frequent rest periods and schedule activities to allow forrest o Instruct patient to rest after meals to allow for digestion o Encourage patient to pace themselves and not overdo things withtoo many activities Expected outcomes for tuberculosis: • Patient has relief of symptoms • Patient has a clear and airway • Patient can verbalize and demonstrate transmission prevention • Patient understands and verbalizes medication compliance Mononucleosis Mononucleosis is also known as “the kissing disease,” or “mono,” and is most often seen in children and young adults. This disease is most often transmitted via saliva and can be spread by kissing, sharing cups or utensils, and less often coughing or sneezing. It is most often seen in areas where young adults live in close proximity such as college dormitories and summer camps. The infectious organism is the Eppstein-Barr virus, which can have severe and profound effects on the spleen and other lymphatic organs in the body. It is actually a type of Herpes virus. If a patient with mono does not rest, the spleen can become enlarged and even rupture. Often, a patient does not even know they have mono for several weeks after infection. After transmitted, the virus incubates in the body for up to six weeks before acute infection begins. The active infection can last for weeks and months. After the acute phase, the virus can remain in the body and symptoms can return at any time under periods of stress. Mononucleosis is usually self-limiting and clears up with strict rest. Patients must be extremely cautious to avoid complications which include lymphadenopathy, enlarged spleen with possible ruptures, pneumonia, and impaired airway. The Eppstein-Barr virus is also suspected to be in connection with chronic fatigue syndrome, although it hasn’t been proven. Signs and symptoms of mononucleosis: • Sore throat • Throat swelling • High fever • Swollen glands • Anorexia • Myalgia • Glandular pain • Maculopapular eruptions • Extreme fatigue

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