A child has been diagnosed with influenza and is prescribed ...

[jenna1]

A child has been diagnosed with influenza and is prescribed oseltamivir (Tamiflu). Which instruction by the nurse is most important?
 
  A.
  Do not use aspirin with this drug.
  B.
  Encourage plenty of liquids.
  C.
  Rinse the inhaler after each use.
  D.
  This will cure the flu in 5 days.

Question 2

A parent is refusing to have a child vaccinated, preferring to have the child contract the illness and develop natural immunity. Which response by the nurse is best?
 
  A.
  I'm sure you know what is best for your baby.
  B.
  I'll have to report you to social work.
  C.
  That practice is dangerous and illegal.
  D.
  These diseases have many serious consequences.

[tkempin]

Answer to Question 1

ANS: B
Common side effects of Tamiflu include nausea, vomiting, GI distress, and diarrhea. The child should drink plenty of fluids to avoid dehydration. Aspirin is not used in children at all due to the risk of Reye's syndrome. Tamiflu is not given via inhaler. The medication is not curative.

Answer to Question 2

ANS: D
Parents do have the right to refuse vaccinations, but the nurse has the responsibility of ensuring the parents have adequate information about the diseases and vaccinations. Informing the parent about possible consequences of contracting a disease is an important part of this job. The nurse should not just acquiesce and say the parent knows best without educating him or her. The other two options are threatening, and it is not illegal for a parent to opt out of vaccinations.