The health care provider orders amantadine (Symmetrel) for a client with influenza. Which part of the client's health history would the nurse report to the health care provider prior to administering amantadine (Symmetrel)?
1. Epilepsy
2. Chronic obstructive pulmonary disease (COPD)
3. Diabetes mellitus
4. Allergy to shellfish
Correct Answer: 1
Rationale 1: Amantadine (Symmetrel) is associated with seizures, and should not be administered to a client with epilepsy.
Rationale 2: Chronic obstructive pulmonary disease (COPD) is an indication for amantadine because influenza could be fatal in this client.
Rationale 3: Diabetes is not a contraindication to the use of amantadine.
Rationale 4: An allergy to shellfish is not a contraindication to the use of amantadine.
Global Rationale: Amantadine should be used cautiously in patients with CNS disease, suicidal ideation, or psychiatric disorders, including seizures or psychoses, because the antiviral may worsen these conditions. COPD, diabetes, and shellfish allergy is not a contraindication to use of amantadine.
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