Which nursing action is appropriate for a child with mononucleosis?

• A. Only family visitors.
• B. Bedrest.
• C. Clear liquids.
• D. Hydration and adequate nutrition should be maintained.

Answer: (A)

A key idea in caring for a child with mononucleosis is providing supportive care that meets the child’s immediate needs for fluids and energy. Mono often brings fever, sore throat, fatigue, and poor appetite, so keeping the child well hydrated and ensuring adequate nutrition helps maintain circulation, supports healing, and reduces fatigue. Sips of fluids or a balanced diet with even small, frequent meals can prevent dehydration and conserve energy for the illness to run its course. Rest is helpful as tolerated, but rigid bedrest isn’t required for all patients. While it’s wise to limit exposure to others to reduce the spread of the virus, the most essential nursing action focusing on the child’s recovery is maintaining hydration and nutrition. Also note that activity should be limited if splenomegaly is present or suspected, and any sudden abdominal pain or shoulder pain should prompt medical evaluation.