A client is diagnosed with influenza A and is prescribed oseltamivir.
Which of the following statements by the client indicates a need for further education?

“This medication will shorten the duration of my symptoms.”.

“This medication will prevent me from spreading the virus to others.”.

“This medication will work best if I start taking it within 48 hours of symptom onset.”.

“This medication may cause nausea and vomiting as side effects.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

The statement, "This medication will shorten the duration of my symptoms," is correct. Oseltamivir is an antiviral medication used to treat influenza, and it can reduce the duration of symptoms when taken early in the course of the illness.

Choice B rationale:

The statement, "This medication will prevent me from spreading the virus to others," is incorrect. While oseltamivir can help reduce the severity and duration of symptoms, it does not prevent the spread of the virus to others. Clients with influenza should still take precautions to avoid transmitting the virus to others.

Choice C rationale:

The statement, "This medication will work best if I start taking it within 48 hours of symptom onset," is correct. Oseltamivir is most effective when started within 48 hours of the onset of symptoms.

Choice D rationale:

The statement, "This medication may cause nausea and vomiting as side effects," is correct. Nausea and vomiting are potential side effects of oseltamivir, and clients should be informed about these possible adverse reactions.

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Correct Answer is A

Explanation

Choice A rationale:

Use a peak flow meter to assess the respiratory status. Assessing the client's respiratory status using a peak flow meter is the most appropriate next action after administering albuterol, a bronchodilator. It helps determine the client's lung function and response to the medication. This information guides further interventions and treatment decisions.

Choice B rationale:

Administer a stat dose of corticosteroids. Administering corticosteroids may be indicated in some cases of respiratory distress or exacerbation of asthma. However, it should not be the immediate next step after albuterol administration. Assessing the client's response to albuterol through lung function testing (peak flow) is essential before deciding on additional medications.

Choice C rationale:

Document the normal finding in the client's health record. Documenting normal findings is important for maintaining accurate medical records, but in this case, it is premature. The nurse should first assess the client's response to albuterol and ensure that the respiratory status is indeed normal before documenting the findings.

Choice D rationale:

Repeat a dose of the client's rescue drug. Administering another dose of the rescue drug (albuterol) without assessing the client's response and lung function would not be the most appropriate action. It is essential to determine whether the initial dose was effective before considering additional doses or alternative treatments.

A. Carry on with surgical preparation of the client without a signed informed consent. B. Ask the man's friend to sign the informed consent since the client is unresponsive. C. Notify the unit manager that an emergency court order is needed to allow surgery. D. Continue to provide life support until a thorough search for a guardian is completed.

Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale: In emergencies where immediate surgery is required to save a life, implied consent is assumed if the patient is unresponsive and no family is available. Ethical and legal guidelines allow proceeding without signed consent to avoid delays that could be life-threatening.

Choice B rationale: A close friend typically does not have legal authority to provide informed consent for medical procedures unless they have been designated as a healthcare proxy. Therefore, this action would not be legally appropriate in this situation.

Choice C rationale: Seeking an emergency court order for surgery could cause delays that are detrimental to the patient's health. In life-threatening situations, implied consent is sufficient, and prompt action is necessary to save the patient's life.

Choice D rationale: Continuing to provide life support without proceeding with surgery may not be sufficient to address the life-threatening condition. Immediate surgical intervention is necessary, and implied consent allows this to be done without waiting for a guardian.

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A client is diagnosed with influenza A and is prescribed oseltamivir.Which of the following statements by the client indicates a need for further education?

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Naxlex Comprehensive Predictor Exams

After a client receives a dose of albuterol, the nurse evaluates the medication's effects by auscultating the client's lung fields. Which action should the nurse take next based on the assessment?

Correct Answer is A

Explanation

An unresponsive male victim of a diving accident is brought to the emergency department where it is determined that immediate surgery is required to save his life. The client is accompanied by a close friend, but no family members are available. Which action should the nurse take first?

Correct Answer is A

Explanation

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A client is diagnosed with influenza A and is prescribed oseltamivir.
Which of the following statements by the client indicates a need for further education?