The nurse is aware that to achieve the most therapeutic effects, the best time to administer oseltamivir (Tamiflu) or zanamivir (Relenza) is:
1. as soon as the client has been exposed to someone with influenza.
2. any time during the course of the illness.
3. at the same time as the vaccine.
4. within 48 hours of the onset of symptoms.
Correct Answer: 4
Rationale 1: Oseltamivir (Tamiflu) and zanamivir (Relenza) should be given within 48 hours of the onset of symptoms.
Rationale 2: When oseltamivir and zanamivir are given within 48 hours of the onset of symptoms, their use can shorten the normal 7-day course of influenza to 5 days.
Rationale 3: Oseltamivir (Tamiflu) and zanamivir (Relenza) should be given within 48 hours of the onset of symptoms, not at the same time as the vaccine.
Rationale 4: Oseltamivir (Tamiflu) and zanamivir (Relenza) are examples of a new classification of drugs called neuraminidase inhibitors that are used to treat active influenza infection. When given within 48 hours of the onset of symptoms, their use can shorten the normal 7-day course of influenza to 5 days.
Global Rationale: Given within 48 hours of the onset of symptoms, the two neuraminidase inhibitors, oseltamivir (Tamiflu) and zanamivir (Relenza), will shorten the normal 7-day duration of influenza symptoms to 5 days.
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The home care nurse is examining a newborn. The newborn is noted to be sleeping in a basket on a pillow with a stuffed animal, a fluffy blanket covering the infant. The most important nursing action is to:
1. Remove the stuffed animal from the basket and place it on the floor. 2. Teach the parents the risk of SIDS from soft items in the infant's bed. 3. Make certain that the blanket is firmly tucked under the baby. 4. Ask if the color of the blanket has cultural significance.
Which heart sound should the nurse record as normal?
a. Ventricular gallop in a 20-year-old patient b. Atrial gallop in a 25-year-old patient c. Friction rub in a 45-year-old patient d. Medium diastolic murmur in a 50-year-old patient
Based on accepted standards of care for documentation, identify all the elements that nurses should include in clients' medical records
a. Blank spaces between the lines for late entries b. Date and time on all entries c. Opinions about the client's behaviors d. Statements about the physician's attitude toward the nurses e. Direct observations f. Quotes of statements made by clients and families
The nurse identifies which physiological barriers as helpful to defend the body from microorganisms?
1. Heavy smoking 2. Moisturizing the skin 3. Breakdown of skin 4. Voiding quantity sufficient