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?

Refer the client to the healthcare provider at the clinic to obtain a medication prescription.

Explain to the client that antibiotics are not useful in treating viral infections such as influenza.

Instruct the client that over-the-counter medications are sufficient to manage influenza symptoms.

Advise the client that once symptoms occur it is too late to receive an influenza vaccination.

Answer and Explanation

The Correct Answer is A

A. Refer the client to the healthcare provider at the clinic to obtain a medication prescription: Oseltamivir is an antiviral medication that requires a prescription. Early initiation, ideally within 48 hours of symptom onset, can reduce the severity and duration of influenza, making prompt referral essential.

B. Explain to the client that antibiotics are not useful in treating viral infections such as influenza: While this is true, it does not address the client’s question about oseltamivir, which is an antiviral, not an antibiotic.

C. Instruct the client that over-the-counter medications are sufficient to manage influenza symptoms: Over-the-counter meds can help alleviate symptoms but do not treat the viral infection itself. Oseltamivir can shorten illness duration if started early, so OTC meds alone may not be sufficient.

D. Advise the client that once symptoms occur it is too late to receive an influenza vaccination: Vaccination is preventative and should be given before exposure or illness onset. However, this response does not address treatment options once symptoms have started.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew: Gastrointestinal upset is a common side effect of feverfew, so clients should be aware of these potential symptoms, but this is not the most critical teaching point.

B. Increased anxiety and nervousness have been reported by those taking feverfew: There is limited evidence linking feverfew to increased anxiety or nervousness; this is not a primary concern or common adverse effect.

C. Feverfew may interact with aspirin or nonsteroidal antiinflammatory drugs (NSAIDs): Feverfew can increase the risk of bleeding by potentiating the effects of aspirin and NSAIDs. Clients need to be cautioned about this interaction, especially if they take these medications regularly.

D. Those with allergies to chamomile, ragweed, or yarrow should not take feverfew: Cross-reactivity is possible in clients allergic to these plants; however, counseling on bleeding risk when combined with other drugs takes precedence due to potential serious complications.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A","dropdown-group-3":"C"}

Explanation

Non opioid analgesic: Morphine is not a non-opioid analgesic; drugs in this category, like acetaminophen or NSAIDs, work through different pathways and do not bind opioid receptors.

Partial opioid agonist: Partial opioid agonists activate opioid receptors but with limited effect, often producing less analgesia and sometimes antagonistic effects. Morphine fully activates opioid receptors, producing stronger effects.

Pure opioid agonist: Morphine is a pure opioid agonist, meaning it fully stimulates opioid receptors, especially mu receptors, resulting in potent analgesia, sedation, and respiratory depression.

Mu: Morphine primarily activates mu opioid receptors, which are responsible for pain relief, sedation, euphoria, and respiratory depression. These receptors are the main targets for opioid analgesia.

Dopamine: Dopamine receptors regulate reward, motivation, and motor function. Morphine does not directly activate dopamine receptors as part of its mechanism for pain relief.

Muscarinic: Muscarinic receptors are involved in parasympathetic nervous system functions. Morphine does not act directly on these receptors for analgesic effects.

Chronic neuropathic pain: While morphine may be used in some chronic pain situations, neuropathic pain often responds better to other medications such as anticonvulsants or antidepressants due to differing pain mechanisms.

Mild inflammatory pain: Mild inflammatory pain is usually treated with non-opioid analgesics like NSAIDs. Morphine is generally reserved for moderate to severe pain levels.

Acute postoperative pain: Morphine is commonly used to manage acute postoperative pain because of its strong analgesic properties effective against nociceptive pain caused by surgery or injury.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?

Correct Answer is C

Explanation

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A","dropdown-group-3":"C"}

Explanation

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