The nurse is providing care to a client with respiratory syncytial virus (RSV). The client's condition is not severe and there is no history of immune compromise. Which pharmacologic therapies does the nurse anticipate based on this data?
Select all that apply.
A) Nebulized epinephrine
B) Ribavirin
C) Systemic corticosteroids
D) Antibiotics
E) Antipyretics
Answer: A, C, E
Use of nebulized epinephrine in combination with systemic corticosteroids has been found to result in some reduction in RSV hospitalizations. Antipyretics may be used to treat the fever associated with RSV. Unless the client also has a bacterial infection, antibiotics will not be prescribed. The use of Ribavirin remains controversial because it has only marginal benefit. Its use is reserved for cases of severe disease, such as infants with complicated congenital heart disease or who are immunocompromised.
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After delivery, the nurse's assessment reveals a soft, boggy uterus located above the level of the umbilicus. What is the most appropriate nursing intervention?
a. Notify the physician. b. Massage the fundus. c. Initiate measures that encourage voiding. d. Position the patient flat.
One of the many changes in the skin resulting from aging is senile lentigo, or liver spots, which are caused by
a. decreased vasodilation and vasoconstriction of the dermal arterioles. b. thinning epidermis and loss of subcutaneous fat. c. overgrowth of the horny layer. d. inability of the melanocytes to produce an even pigmentation of the skin.
The nurse records a 1 for the pulse quality of the pedal pulse. This means that the pulse is:
1. absent. 2. normal. 3. thready. 4. forceful.
The client is nervous about an upcoming colposcopy and calls the nurse in the office to ask for a repeat explanation of the procedure. The nurse explains that it is an endoscopic procedure to:
a. provide direct visualization of the endome-trium to diagnose or treat a uterine problem b. provide direct visualization of the vagina and cervix to diagnose cervical dsyplasia or cancer of the cervix c. obtain an endometrial biopsy for diagnosis of endometrial tissue abnormalities d. remove a small piece of tissue for microscopic examination to diagnose prostate abnormalities