Try Naxlex NCLEX-RN (Free-Trial)

A nurse is providing care to a client who has a history of asthma. The client presents with influenza symptoms that started the previous day. The provider orders an influenza test and prescribes an oral antiviral with instructions to begin the treatment as soon as possible. The client asks the nurse whether they can take the antiviral before the lab results are back. Which of the following responses by the nurse is appropriate?

"No, you should wait for lab confirmation because taking antivirals for a nonviral infection can increase side effects."

"No, you should wait for lab confirmation before beginning antiviral treatment, to prevent resistant viruses."

"Yes, antiviral treatment will ensure that you are less contagious and do not spread influenza to others."

"Yes, antiviral treatments are most effective when they are started within 48 hours of symptom onset."

Answer and Explanation

The Correct Answer is D

A. "No, you should wait for lab confirmation because taking antivirals for a nonviral infection can increase side effects.": While unnecessary use of antivirals can lead to side effects, prompt treatment in high-risk individuals (such as those with asthma) is crucial to mitigate complications, making this response less appropriate.

B. "No, you should wait for lab confirmation before beginning antiviral treatment, to prevent resistant viruses.": Delaying treatment in high-risk populations is not recommended as antivirals are most effective early in the course of the illness. This statement does not consider the urgency of treating influenza in vulnerable clients.

C. "Yes, antiviral treatment will ensure that you are less contagious and do not spread influenza to others.": While antivirals can reduce viral shedding, this response overlooks the critical importance of early treatment in reducing the severity of the illness and preventing complications.

D. "Yes, antiviral treatments are most effective when they are started within 48 hours of symptom onset.": Antivirals are most effective when initiated within 48 hours of the onset of influenza symptoms, especially in individuals with underlying conditions like asthma. Starting treatment early can reduce the severity and duration of symptoms, making this the most appropriate response.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Osmoreceptors in the pituitary gland regulate the secretion of cortisol in response to changes in plasma osmolality: This is incorrect as the pituitary gland itself does not have osmoreceptors; rather, the hypothalamus contains osmoreceptors.

B. Osmoreceptors in the hypothalamus detect high plasma osmolality and stimulate the release of antidiuretic hormone (ADH), which enhances water reabsorption in the kidneys: This is correct. Osmoreceptors in the hypothalamus sense changes in plasma osmolality and regulate ADH release to maintain water balance.

C. Osmoreceptors in the kidneys monitor blood pressure changes and regulate aldosterone secretion to control sodium reabsorption and water balance: This is not correct because the kidneys primarily use juxtaglomerular cells to sense blood pressure changes and regulate aldosterone, not osmoreceptors.

D. Osmoreceptors in the hypothalamus detect low plasma osmolality and inhibit the release of antidiuretic hormone (ADH), leading to increased urine production: This is partially correct; osmoreceptors do detect low osmolality, but their inhibition of ADH would decrease urine production, not increase it.

A. Perform needle decompression of the pleural space followed by chest tube insertion. B. Prescribe bronchodilators and schedule a pulmonary function test. C. Administer oral antibiotics and arrange follow-up in a week. D. Initiate high-flow oxygen therapy and monitor the patient.

Correct Answer is C

Explanation

A. Nasal saline irrigation alone: While nasal saline irrigation can help to clear out mucus and congestion, it is often not sufficient to treat bacterial sinusitis.

B. Oral decongestants alone: Decongestants may provide temporary relief of symptoms but are not effective against bacterial infections.

C. Oral antibiotics: Antibiotics are the most appropriate treatment for acute bacterial sinusitis, as they can target the underlying infection.

D. Intranasal corticosteroids alone: Corticosteroids can be helpful for managing allergic rhinitis but are not effective against bacterial infections.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following best describes the role of osmoreceptors in the regulation of water balance in the body?

Correct Answer is B

Explanation

Exhibits Which of the following is the most appropriate initial management for this patient?

Correct Answer is C

Explanation

A nurse is caring for a client who is postoperative following a tracheostomy and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?

A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to thin the client's respiratory secretions?

A nurse is assessing a client who has respiratory alkalosis. Which of the following findings should the nurse expect?

A nurse is caring for a client who has a positive Trousseau's sign and bone pain. Which of the following electrolyte imbalances should the nurse suspect to find with this client?

A nurse is reinforcing discharge instructions for a client who has asthma and is about to start using beclomethasone MDI. For which of the following findings should the nurse instruct the client to monitor and report to the provider as an adverse effect of the medication?

A nurse is collecting data from a client who has seasonal allergies and is taking an antihistamine. Which of the following findings is an adverse effect of this type of medication?

A nurse is assisting with preparations for administering intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L. Which of the following actions should the nurse plan to include? (Select all that apply.)

A nurse is reinforcing teaching to a graduating nurse about fluid volume deficit. Which of the following concepts about water balance should the nurse explain to the graduating nurse?