The nurse is teaching a client about the side effects of intranasal beclomethasone (Beconase), including:
1. nuchal rigidity and headache.
2. burning and nosebleed.
3. muscle aches and conjunctivitis.
4. frequent sneezing and hiccups.
Correct Answer: 2
Rationale 1: Intranasal steroids do not cause neck stiffness.
Rationale 2: Intranasal steroids typically are well tolerated. The client might experience burning at the time of application, as well as nosebleed and headache.
Rationale 3: Intranasal steroids do not cause muscle aches or conjunctivitis.
Rationale 4: Intranasal steroids do not cause sneezing; they relieve it. They do not trigger hiccups either.
Global Rationale: Intranasal corticosteroids such as beclomethasone may cause transient nasal irritation along with burning, sneezing, and dryness. Nasal ulceration may lead to nosebleed. The remaining symptoms are not adverse effects of beclomethasone.
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