MONONUCLEOSIS IHP Student's Name * First Middle Last Suffix This field is required. Please complete the following fields: First,Last. PhotoAccepted file types: jpg, gif, png, jpeg, Max. file size: 100 MB.DoB Month Incorrect Value for Month field Day Incorrect Value for Month field Year Incorrect Value for Month field Please enter a valid date. GR/LevelDaycareEEPKKN010203040506070809101112Post-GraduateWould you like to add the student's ID number? Yes No ID Campus/Building Would you like to add the student's homeroom number and teacher's name? 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Yes No ContactContact Name Add RemoveRelationship Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Name RelationshipChoose one:ParentGuardianOtherContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFaxContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFax Add More Treating Physician Add RemovePhysician Phone Number Add RemovePhysician Fax Number Add RemoveTreating Physician Physician Phone Number Physician Fax Number Add More Preferred Hospital City MEDICAL DIAGNOSIS(ES)Add a medication or procedure? Yes No MEDICATIONS/PROCEDURES Medication/Procedure Strength Dose ModeChoose one:OralTopicalInhaledIntranasalSQNebulizerSublingualRectalIMIVSched/PRN?Choose OneScheduledPRNTime Frequency If PRN, administer for Medication/Procedure Add RemoveStrength Add RemoveDose Add RemoveMode Add RemoveSched/PRN? Add RemoveTime Add RemoveFrequency Add RemoveIf PRN, administer for Add Remove Add More MEDICAL HISTORYASSESSMENT NursingList InterventionList OutcomesList Nursing Diagnosis: Fatigue Related to systemic viral infection caused by Epstein-Barr Virus (EBV) Related to prolonged recovery period Interventions The school nurse will allow the student to rest in a designated quiet area if fatigue becomes overwhelming. The school nurse will collaborate with teachers to reduce the student’s workload or adjust assignments. The school nurse will encourage the student to pace activities and prioritize rest at home. The school nurse will educate the student and caregivers about the importance of adequate hydration and nutrition to support recovery. Expected Outcomes The student will report improved energy levels during school hours. The student will demonstrate the ability to manage fatigue through pacing and prioritizing activities. Nursing Diagnosis: Risk for Activity Intolerance Related to weakness and fatigue due to illness Related to prolonged physical inactivity during recovery Interventions The school nurse will collaborate with physical education teachers to exempt the student from strenuous activities. The school nurse will encourage light physical activity, such as walking, to maintain mobility within tolerable limits. The school nurse will monitor the student for signs of overexertion, such as dizziness or shortness of breath, and intervene promptly. The school nurse will allow the student to resume normal activities gradually based on their tolerance. Expected Outcomes The student will tolerate light activities without significant discomfort or fatigue. The student will gradually increase participation in school and recreational activities. Nursing Diagnosis: Risk for Infection Related to compromised immune response due to active viral infection Related to potential for secondary infections Interventions The school nurse will educate the student and caregivers about infection prevention measures, such as proper hand hygiene and avoiding close contact with others. The school nurse will encourage the student to avoid sharing personal items like water bottles or utensils. The school nurse will monitor for signs of secondary infections, such as persistent fever, sore throat, or cough, and notify caregivers as needed. The school nurse will limit the student’s exposure to crowded environments during the acute phase of illness. Expected Outcomes The student will remain free from secondary infections during recovery. The student and caregivers will demonstrate understanding of infection prevention practices. Nursing Diagnosis: Risk for Impaired Skin Integrity Related to rash associated with mononucleosis or potential allergic reactions to medications (e.g., antibiotics) Related to prolonged immobility leading to pressure points Interventions The school nurse will monitor the student’s skin for rashes or irritation, particularly if antibiotics are prescribed. The school nurse will educate the student and caregivers about proper skin care and moisturizing to prevent dryness. The school nurse will encourage movement and position changes during rest periods to prevent pressure-related skin issues. The school nurse will report any signs of rash or skin irritation to the student’s healthcare provider. Expected Outcomes The student will maintain intact skin with no signs of rash or irritation. The student and caregivers will demonstrate understanding of skin care practices. Nursing Diagnosis: Acute Pain (Sore Throat, Headache, or Abdominal Pain) Related to inflammation of the throat and lymph nodes Related to enlarged spleen or liver causing discomfort Interventions The school nurse will provide saltwater gargles or throat lozenges for sore throat relief, if allowed. The school nurse will encourage hydration to soothe the throat and reduce discomfort. The school nurse will allow the student to use a quiet area to rest if headaches or abdominal pain become severe. The school nurse will communicate with caregivers about over-the-counter pain relief medications approved by the healthcare provider. Expected Outcomes The student will report decreased pain during school hours. The student will demonstrate improved comfort through school-based and home interventions. Nursing Diagnosis: Risk for Splenic Injury Related to splenomegaly (enlarged spleen) commonly associated with mononucleosis Related to risk of trauma from physical activities Interventions The school nurse will educate the student and caregivers about the importance of avoiding contact sports or heavy lifting for 4-6 weeks or as directed by the healthcare provider. The school nurse will collaborate with physical education teachers to ensure the student is excused from activities that pose a risk. The school nurse will monitor the student for signs of splenic injury, such as sudden abdominal pain, lightheadedness, or shortness of breath. The school nurse will reinforce the importance of following healthcare provider recommendations for activity restrictions. Expected Outcomes The school nurse will reinforce the importance of following healthcare provider recommendations for activity restrictions. Nursing Diagnosis: Deficient Knowledge Related to lack of understanding about mononucleosis, its symptoms, and the recovery process Related to misconceptions about transmission and prevention Interventions The school nurse will provide age-appropriate education to the student and caregivers about mononucleosis, its symptoms, and expected recovery timeline. The school nurse will teach the importance of rest, hydration, and proper nutrition in managing the condition. The school nurse will dispel myths about the condition and educate peers about prevention to reduce stigma (if the family consents). The school nurse will offer written resources or visual aids to reinforce education about the condition. Expected Outcomes The student and caregivers will demonstrate understanding of mononucleosis management and prevention. The student will follow recommended guidelines to support recovery and prevent complications. Nursing Diagnosis: Risk for Social Isolation Related to prolonged absence from school or social activities due to illness Related to fatigue or discomfort limiting participation in group events Interventions The school nurse will encourage the student to maintain virtual or remote interactions with friends during recovery. The school nurse will collaborate with teachers to provide assignments and opportunities for participation while the student is at home. The school nurse will facilitate gradual reintegration into classroom and extracurricular activities as the student’s energy improves. The school nurse will provide emotional support to address feelings of isolation or frustration about activity restrictions. Expected Outcomes The student will maintain social connections with peers during recovery. The student will report feeling included and supported upon returning to school. Would you like to add another nursing diagnosis? Yes No Nursing DiagnosisNursing DiagnosisAdd your own nursing diagnosisInterventionsAdd your own nursing interventionsExpected OutcomesAdd your own expected outcomesNursing Diagnosis Add RemoveInterventions Add RemoveExpected Outcomes Add Remove Add More EVALUATIONNOTESIHP Developed ByName First Last Title Date Month Day Year Please enter a valid date. Do you want to include physician and parent signature lines? Yes Download IHP Clicking this button will download this IHP to your computer and return you to the blank IHP. Return Clicking this button will return you to the IHP to make changes.
