A child is diagnosed with influenza, probably type A disease. ...

[mcmcdaniel]

A child is diagnosed with influenza, probably type A disease. Management includes:
 
  a. Clear liquid diet for hydration.
  b. Aspirin to control fever.
  c. Amantadine hydrochloride to reduce symptoms.
  d. Antibiotics to prevent bacterial infection.

Question 2

Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection. Instructions for nose drops should include:
 
  a. Avoiding use for more than 3 days.
  b. Keeping drops to use again for nasal congestion.
  c. Administering drops until nasal congestion subsides.
  d. Administering drops after feedings and at bedtime.

[beccamahon]

Answer to Question 1

ANS: C
Amantadine hydrochloride may reduce symptoms related to influenza type 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's syndrome. Acetaminophen or ibuprofen is a better choice. Preventive antibiotics are not indicated for influenza unless there is evidence of a secondary bacterial infection.

Answer to Question 2

ANS: A
Vasoconstrictive nose drops such as Neo-Synephrine should not be used for more than 3 days to avoid rebound congestion. Drops should be discarded after one illness because they may become contaminated with bacteria. Vasoconstrictive nose drops can have a rebound effect after 3 days of use. Drops administered before feedings are more helpful.

[mcmcdaniel]

Excellent

[helenmarkerine]

TYSM