repare for the NCLEX by exploring this question on managing symptoms for a client with potential Zika virus. Learn the best medication options and treatment considerations.
The nurse in the student health center is caring for a client who returned from a study abroad trip in Africa currently experiencing myalgia and a headache. Based on the clinical information, which prescription should the nurse plan to administer first?
A. Albuterol inhaler 2 puffs every four hours PRN
B. Prednisone 20 mg PO daily
C. Acetaminophen 500 mg PO every six hours PRN
D. Ibuprofen 600 mg PO every four to six hours PRN Scroll down for the correct answer!
The correct answers to today’s NCLEX-RN® Question are…
C. Acetaminophen 500 mg PO every six hours PRN
Rationale: This would be the best option to relieve the client’s symptoms. Acetaminophen is an analgesic and antipyretic that can safely be administered until the test for Zika fever is confirmed. This medication will help relieve the client’s fever, myalgia, and headache.
Major Takeaway
Treatment of Zika fever includes supportive care, such as rest, hydration, and the use of medications like analgesics and antipyretics, such as acetaminophen. Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs), like ibuprofen, should be avoided until dengue fever, an infection with a similar presentation, has been ruled out because using NSAIDs in dengue infections can increase the risk of hemorrhage.
| Vital Signs | Normal Ranges |
| Temperature (Oral) | 36.5-37.5°C or 97.6-99.6°F |
| Pulse | 60-100/min |
| Respirations | 12-20/min |
| Blood Pressure | <120/80 mm Hg |
Incorrect answer explanations
A. Albuterol inhaler 2 puffs every four hours PRN
Rationale: This would not be the best option to relieve the client’s symptoms. Albuterol is a bronchodilator which is used to relieve the symptoms of asthma, such as lung constriction and wheezing.
B. Prednisone 20 mg PO daily
Rationale: This would not be the best option to relieve the client’s symptoms. Prednisone is a corticosteroid that is used to treat inflammation associated with conditions such as asthma or allergies.
D. Ibuprofen 600 mg PO every four to six hours PRN
Rationale: This would not be the best option to relieve the client’s symptoms. Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs), like ibuprofen, should be avoided until dengue fever, an infection with a similar presentation, has been ruled out. This is because using NSAIDs in the setting of dengue infections can increase the risk of hemorrhage.
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