Oseltamivir is the priority as it must be given within 48 hours of symptom onset for optimal antiviral efficacy, especially in high-risk elderly patients. Other interventions like hydration and comfort measures are supportive but secondary.
심화 해설
Clinical Judgment
This question assesses clinical prioritization and time-sensitive intervention. The key is the Critical Cue of a '68-year-old elderly patient' and '48 hours since symptom onset.' For Influenza A, the effectiveness of oseltamivir depends heavily on administration within 48 hours of symptom onset. Missing this time window drastically reduces the drug's efficacy. While other interventions are all important, administering the antiviral is the top priority due to this irreversible time constraint.
Memory Tip:
Time for Tamiflu! The most critical factor in influenza management is Time. Remember to administer within 48 hours.
KR vs US:
In Korea, prescribing antivirals upon influenza diagnosis is common, but in NGN/US exams, 'timely administration of an already prescribed medication' is often prioritized higher than 'reporting' such as Notify HCP!. If a medication is prescribed, administering it is the nurse's core responsibility.
임상 시나리오
Clinical Practice Guide
When managing influenza patients, it is also important to implement Droplet Precautions. Wearing a mask, maintaining a distance of at least 1 meter, and hand hygiene are essential. Acetaminophen or ibuprofen can be used to manage high fever and pain, and recommending fluid intake to prevent dehydration is an essential supportive treatment.
Caution:
In SATA (Select All That Apply) questions, if asked "What interventions are needed for an influenza patient?", options 1, 2, 3, and 4 can all be correct. However, in a question like this that asks "What is the priority initial intervention?", be careful of the trap where you must select one time-sensitive intervention.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.