The nurse is planning care for a client with allergies who has an order for a sympathomimetic drug. The nurse is aware that the desired effect for this client is:

1. relief of nasal dryness.
2. relief of nasal stuffiness.
3. calming of a wet cough.
4. increased blood flow to the nose.


Correct Answer: 2
Rationale 1: Nasal dryness is not the goal of sympathomimetic drug use, although it can become a problem.
Rationale 2: Sympathomimetic drugs shrink the nasal mucous membranes and relieve stuffiness.
Rationale 3: Sympathomimetic drugs have a minimal effect on a wet cough.
Rationale 4: Arterioles shrink with less blood flow.
Global Rationale: Sympathomimetics (also called adrenergic agonists) with alpha-adrenergic activity are effective at relieving the nasal congestion associated with the common cold and allergic rhinitis when given by either the PO or intranasal route. Nasal dryness is not the goal of sympathomimetic drug use, although it can become a problem. Sympathomimetic drugs have a minimal effect on a wet cough. Arterioles shrink with less blood flow.

Nursing

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