Describe the potential adverse effects and nursing considerations related to the amantadine that has been prescribed for Mrs. Yin.
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.