Overview
Introduction
Infectious mononucleosis is usually the clinical syndrome produced by primary infection with Epstein Barr virus (EBV).
NCLEX-PN
NCLEX-PN
Infectious mononucleosis is usually the clinical syndrome produced by primary infection with Epstein-Barr virus (EBV). EBV enters through the oropharynx, infects epithelial cells and B lymphocytes, and then remains latent in the body. The resulting immune response produces fever, pharyngitis, lymphadenopathy, atypical lymphocytes, and often striking fatigue. For the LVN/LPN, the diagnosis is less important than recognizing the pattern and identifying what changes the priority. A patient with uncomplicated fatigue and sore throat needs hydration, symptom relief, and activity precautions. A patient who cannot handle secretions, develops sudden left-upper-quadrant pain, or becomes hypotensive needs immediate escalation.
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