A child is diagnosed with influenza, probably type A disease. Management includes which recommendation?

a. Clear liquid diet for hydration
b. Aspirin to control fever
c. Amantadine hydrochloride (Symmetrel) to reduce symptoms
d. Antibiotics to prevent bacterial infection


ANS: C
Amantadine hydrochloride may reduce symptoms related to influenza A if administered within 24 to 48 hours of onset. It is ineffective against type B or C. A clear liquid diet is not necessary for influenza, but maintaining hydration is important. Aspirin is not recommended in children because of increased risk of Reye syndrome. Acetaminophen or ibuprofen is a better choice. Preventive antibiotics are not indicated for influenza unless there is evidence of a secondary bacterial infection.

Nursing

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