A client with symptoms of influenza that started the previous day asks the clinic nurse about taking oseltamivir to treat the infection.
Which response should the nurse provide?
Explain to the client that antibiotics are not useful in treating viral infections such as influenza.
Advise the client that once symptoms occur it is too late to receive an influenza vaccination.
Refer the client to the healthcare provider at the clinic to obtain a medication prescription.
Instruct the client that over-the-counter medications are sufficient to manage influenza symptoms.
The Correct Answer is C
Choice A rationale:
It is true that antibiotics are not effective against viruses like influenza. They only work against bacteria.
However, while providing this information to the client is accurate, it does not directly address the client's inquiry about taking oseltamivir, which is an antiviral medication.
It's essential for the nurse to guide the client toward the appropriate healthcare provider who can assess the client's condition and make an informed decision about whether oseltamivir is a suitable treatment option.
Choice B rationale:
While it is true that influenza vaccination is most effective when given before exposure to the virus, it is still a relevant consideration even after symptoms have begun.
Studies have shown that antiviral medications like oseltamivir can potentially reduce the severity and duration of influenza symptoms, even when started within 48 hours of symptom onset.
Therefore, simply advising the client that it's too late for vaccination without exploring other potential treatment options would be incomplete and potentially disadvantageous to the client's care.
Choice C rationale:
This is the most appropriate response because it ensures that the client receives a comprehensive assessment and individualized treatment plan from a qualified healthcare provider.
The provider can evaluate the client's symptoms, medical history, and potential risk factors to determine if oseltamivir is a suitable medication.
Additionally, the provider can discuss other potential treatment options, such as over-the-counter medications for symptom relief, and provide guidance on self-care measures to promote recovery.
Choice D rationale:
While over-the-counter medications can help manage some symptoms of influenza, such as fever, aches, and cough, they do not directly target the virus itself.
Antiviral medications like oseltamivir can potentially shorten the duration of the illness and reduce the risk of complications, especially in individuals at higher risk.
Therefore, relying solely on over-the-counter medications without considering antiviral therapy could potentially delay recovery and increase the likelihood of adverse outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Step 1: Identify the desired dose and the available concentration. Desired dose: 500 mg of vancomycin
Available concentration: 500 mg per 100 ml
Step 2: Determine the volume needed to deliver the desired dose.
Since the available concentration is 500 mg per 100 ml, no further calculation is required. The volume needed to deliver 500 mg of vancomycin is already 100 ml.
Step 3: Calculate the infusion rate in mL/hr.
The medication needs to be administered over 1 hour.
Therefore, the infusion pump should be set to deliver the 100 ml of solution over 1 hour. Infusion rate = 100 ml / 1 hour = 100 mL/hr.
Correct Answer is B
Explanation
Choice A rationale:
While teaching the client about infection prevention measures is important, it is not the most immediate priority in this situation. The client is already potentially contagious, and these measures may not be sufficient to prevent transmission if the client is not properly isolated.
It's crucial to remember that the client may be experiencing cognitive impairment due to illness, making it harder to fully comprehend and adhere to instructions.
Additionally, some clients may not have access to or be able to afford masks and hand sanitizer, potentially hindering compliance with these measures.
Choice B rationale:
Isolating the client is the most critical action to prevent the spread of COVID-19 to others. This includes separating the client from other patients, family members, and healthcare workers who are not wearing proper PPE.
PPE, such as gloves, gowns, masks, and eye protection, creates a barrier between the healthcare worker and the client, minimizing the risk of transmission via direct contact or droplets.
Proper isolation techniques include placing the client in a designated negative-pressure isolation room, if available, or designating a separate area within a multi-bed room.
It's essential to restrict the client's movement within the healthcare facility and limit visitors to essential personnel only.
Choice C rationale:
Reporting the COVID-19 result to the local health department is important for tracking and managing the spread of the virus; however, it is not the most immediate priority in this situation.
The priority is to prevent further transmission by isolating the client.
Choice D rationale:
Counseling family members to monitor for symptoms is important, but it is not the most immediate priority in this situation. The priority is to prevent transmission by isolating the client.
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