A young adult calls the clinic to ask for a prescription for a new flu drug.

He says he has had the flu for almost 4 days and just heard about a drug that can reduce the symptoms.

What is the nurse’s best response to his request?

“We’ll get you a prescription.

As long as you start treatment within the next 24 hours, the drug should be effective.”

“We will need to do a blood test to verify that you actually have the flu.”

“Drug therapy should be started within 2 days of symptom onset, not 4 days.”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

This choice is incorrect. While it’s true that antiviral drugs can be effective in treating the flu, they’re most effective when started within 48 hours of symptom onset. Starting treatment after 4 days may not provide the same benefits.

Choice B rationale:

This choice is incorrect. While a blood test can confirm the presence of the flu virus, it’s not typically necessary to diagnose the flu. Diagnosis is usually based on symptoms and the fact that the flu is widespread in the community.

Choice C rationale:

This choice is correct. Antiviral drugs are most effective when started within 2 days of symptom onset. After this time, the benefits of these drugs decrease. Therefore, starting treatment 4 days after symptoms begin may not significantly reduce the duration or severity of symptoms.

Choice D rationale:

This choice is incorrect. While it’s true that getting a flu vaccine is important, it’s not the best response in this situation. The flu vaccine won’t treat current illness. It’s designed to prevent future infections. In this case, the individual is already sick, so a booster vaccination wouldn’t be the most effective course of action.

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Correct Answer is D

Explanation

Choice A rationale:

Rifampin is an antibiotic used to treat or prevent tuberculosis (TB). However, the treatment with this medication typically lasts longer than one month. In fact, TB treatment usually involves taking several drugs for a long time.

Choice B rationale:

While it’s important to take some medications with meals to increase absorption or decrease stomach upset, rifampin should be taken at least 1 hour before or 2 hours after a meal. This helps to ensure optimal absorption of the medication.

Choice C rationale:

Insomnia is not typically listed as a common side effect of rifampin. The medication can cause a number of side effects, but these more commonly include things like upset stomach, loss of appetite, nausea, vomiting, diarrhea, and changes in behavior.

Choice D rationale:

One of the known side effects of rifampin is that it can cause a red-orange discoloration of body fluids, including urine, sweat, saliva, and tears. This can be alarming to patients if they are not forewarned, so it’s important for the nurse to provide this information during discharge instructions.

A. Macrolides B. Sulfonamides C. Carbapenems D. Tetracyclines

Correct Answer is B

Explanation

Choice A rationale:

Macrolides Macrolides, such as erythromycin and azithromycin, are a class of antibiotics that are typically used to treat infections caused by gram-positive bacteria and some respiratory tract infections. They are not the first line of treatment for urinary tract infections.

Choice B rationale:

Sulfonamides Sulfonamides, such as sulfamethoxazole, are often used to treat urinary tract infections. They work by stopping the growth of bacteria. Sulfonamides are often combined with other antibiotics like trimethoprim to increase their effectiveness. This combination is commonly known as co-trimoxazole.

Choice C rationale:

Carbapenems Carbapenems are a class of antibiotics that are usually reserved for serious infections caused by gram-negative bacteria. While they can be used to treat a variety of infections, they are not typically the first choice for urinary tract infections.

Choice D rationale:

Tetracyclines Tetracyclines are a group of broad-spectrum antibiotics that are effective against a wide range of bacteria. However, they are not typically used for urinary tract infections. They are more commonly used for infections such as acne, chlamydia, and Lyme disease.

Please consult with a healthcare professional for accurate information.

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A young adult calls the clinic to ask for a prescription for a new flu drug. He says he has had the flu for almost 4 days and just heard about a drug that can reduce the symptoms. What is the nurse’s best response to his request?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who has pulmonary tuberculosis and a new prescription for rifampin. Which of the following information should the nurse provide?

Correct Answer is D

Explanation

A patient has a urinary tract infection. The nurse knows that which class of drugs is especially useful for such infections?

Correct Answer is B

Explanation

A nurse is discussing the care of a client who has type 1 diabetes mellitus with an assistive personnel (AP). Which of the following situations should the nurse instruct the AP to report immediately?

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The nurse is reviewing the medication orders for a patient who will be receiving aminoglycoside therapy. Which other medication or medication class, if ordered, would be a potential interaction concern?

A nurse is contributing to the care plan for a client who has recently been diagnosed with type 2 diabetes mellitus. Which of the following interventions should the nurse include in the plan? (Select all that apply.)

When teaching a patient a skill such as self-injection of insulin, what is the best way to set up the teaching/learning session?

A nurse is caring for a client who has diabetes insipidus. Which of the following findings should the nurse expect?

A nurse is instructing a client newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. What information should the nurse include in the teaching?

A young adult calls the clinic to ask for a prescription for a new flu drug.

He says he has had the flu for almost 4 days and just heard about a drug that can reduce the symptoms.

What is the nurse’s best response to his request?