Nursing 213

N213: Health Differences Across the Lifespan 3 Study Guide • Teach patient about disease process, transmission, and management of symptoms o Teach the importance of not sharing cups or eating utensils and avoiding contact with saliva o Teach about complications due to inadequate rest and heavy lifting o Explain that the Eppstein-Barr virus can be long lasting and even permanent, but can be managed with adequate rest Expected outcomes for mononucleosis: • Verbalizes reduction in symptoms • Demonstrates knowledge of disease management and prevention of transmission • Verbalizes reduction in fatigue • Demonstrates the ability to pace self and manage activity levels Rubeola (Measles) Measles are one of the infectious diseases that most children are immunized for. This disease still poses quite a large health risk due to lack of immunizations in some, or reduction in immunity over a period of years after immunizations were given. Measles are caused by the Rubeola virus. The virus is highly contagious among non-immunized children, teenagers, and adults. It can be very harmful to pregnant women and their fetus because it is responsible for some birth defects. Complications in infected children are very rare, but can include otitis media, pneumonia, encephalitis, bronchiolitis, laryngitis, and mastoiditis. The virus is spread by coughing and sneezing and is a respiratory virus, even though there is a rash present. Once exposed, measles incubation can last up to two weeks before the acute phase of illness. The duration of the illness usually lasts anywhere from seven to 10 days. Signs and symptoms of rubeola (measles): • Fatigue • Lethargy • Fever • Cough, runny nose, and cold-like symptoms • Conjunctivitis • Maculopapular rash from head to toe • Photosensitivity • White spots in the mouth (Koplik’s spots)

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