A client is in the family practice clinic reporting a severe "cold" that started 4 days ago. On examination, the nurse notes the client also has a severe headache and muscle aches. What action by the nurse is best?

a. Educate the client on oseltamivir (Tamiflu).
b. Facilitate admission to the hospital.
c. Instruct the client to have a flu vaccine.
d. Teach the client to sneeze in the upper sleeve.


ANS: D
Sneezing and coughing into one's sleeve helps prevent the spread of upper respiratory infections. The client does have manifestations of the flu (influenza), but it is too late to start antiviral medications; to be effective, they must be started within 24 to 48 hours of symptom onset. The client does not need hospital admission. The client should be instructed to have a flu vaccination, but now that he or she has the flu, vaccination will have to wait until next year.

Nursing

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