11. Mrs. Laura Quinn has telephoned the pediatric physician’s office stating tha
ID: 125005 • Letter: 1
Question
11. Mrs. Laura Quinn has telephoned the pediatric physician’s office stating that she has received word from her daughter’s school that she has head lice. Mrs. Quinn states that she is “totally embarrassed,” that “we are clean people,” and that she does not understand how such a thing could happen to her daughter. She has been instructed to obtain a topical solution of permethrin to treat the condition. a. How should the nurse respond to Mrs. Quinn’s embarrassment and to her statement that “we are clean people”? b. Discuss the instructions that the nurse should give Mrs. Quinn regarding the use of permethrin (include possible cross-sensitivities, dosage, frequency). What additional steps should Mrs. Quinn take in order to eliminate the head lice?
12. Frances Yin is a 78-year-old patient who has a history of chronic obstructive pulmonary disease. She has come to the medical clinic for a routine visit to monitor her respiratory status. Her medical history also includes rheumatoid arthritis. Her drug therapy for the arthritis includes disease-modifying antirheumatic drugs (DMARDs), which inhibit her immune system. Currently, an epidemic of influenza A is occurring in her geographic area. Mrs. Yin’s age, chronic pulmonary disease, and immunodeficiency place her in the high-risk category. Her primary care provider has recommended that she take the influenza A vaccine and a prophylactic course of amantadine. a. Mrs. Yin asks why she needs the influenza vaccine. She states, “I took one last year. Won’t that be enough? Why do I need one every year? Those things aren’t 100% effective anyway.” How should the nurse respond? b. Describe the potential adverse effects and nursing considerations related to the amantadine that has been prescribed for Mrs. Yin.
Explanation / Answer
11. Mrs. Laura Quinn has telephoned the pediatric physician’s office stating that she has received word from her daughter’s school that she has head lice. Mrs. Quinn states that she is “totally embarrassed,” that “we are clean people,” and that she does not understand how such a thing could happen to her daughter. She has been instructed to obtain a topical solution of permethrin to treat the condition.
a. How should the nurse respond to Mrs. Quinn’s embarrassment and to her statement that “we are clean people”?
Head lice are small, wingless, blood-sucking insects. They live in the hair on your head and feed off the blood from your scalp.
It is not because of cleanliness. So, the nurse should explain the possible causes to get the head lice for her daughter: May be:
Preschool and primary school understudies have the most elevated danger of getting head lice. They tend to play firmly together and share things that touch their heads. There is additionally an expanded danger of set out lice toward relatives of school-matured youngsters. Individuals who work in a day mind focus, preschool, or primary school share this hazard.
b. Discuss the instructions that the nurse should give Mrs. Quinn regarding the use of permethrin (include possible cross-sensitivities, dosage, frequency). What additional steps should Mrs. Quinn take in order to eliminate the head lice?
Permethrin:
Instructions to use:
Directions about reactions:
12. Frances Yin is a 78-year-old patient who has a history of chronic obstructive pulmonary disease. She has come to the medical clinic for a routine visit to monitor her respiratory status. Her medical history also includes rheumatoid arthritis. Her drug therapy for the arthritis includes disease-modifying antirheumatic drugs (DMARDs), which inhibit her immune system. Currently, an epidemic of influenza A is occurring in her geographic area. Mrs. Yin’s age, chronic pulmonary disease, and immunodeficiency place her in the high-risk category. Her primary care provider has recommended that she take the influenza A vaccine and a prophylactic course of amantadine.
a. Mrs. Yin asks why she needs the influenza vaccine. She states, “I took one last year. Won’t that be enough? Why do I need one every year? Those things aren’t 100% effective anyway.” How should the nurse respond?
The medical caretaker ought to clarify Frances Yin the purposes behind redundancy of the antibody. The reasons include:
Because of quick changes in flu infections and the moderately brief term of insurance of the flu antibody, the immunization is offered yearly. Flu immunization is especially vital for those at higher danger of intricacies, for example, more established grown-ups, who may get rehashed yearly inoculations.
The flu immunization isn't as viable as different antibodies, and antibody adequacy changes from year to year and by flu strain and age, with viability being to some degree bring down in more established grown-ups than more youthful grown-ups. In any case, the flu immunization by and large diminishes the odds of flu disease by about half, consequently diminishing the danger of related intricacies. Flu immunization likewise anticipates transmission of disease to others.
Since flu immunization is given every year, it is imperative to comprehend the effect of getting rehashed flu inoculations on the level of assurance offered by the antibody.
b. Describe the potential adverse effects and nursing considerations related to the amantadine that has been prescribed for Mrs. Yin.
Antagonistic impacts of Amantadine:
Alongside its required impacts, amantadine may cause some undesirable impacts. Despite the fact that not these symptoms may happen, on the off chance that they do happen they may require therapeutic consideration.
Ought to counsel specialist instantly if any of the accompanying symptoms happen while taking amantadine:
Less normal
Uncommon
Some reactions of amantadine may happen that for the most part needn't bother with medicinal consideration. These symptoms may leave amid treatment as body acclimates to the pharmaceutical.
More typical
Less normal or uncommon
Nursing considerations towards the drug:
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