A patient has been prescribed phenylephrine (Neo-Synephrine) spray for nasal congestion. What information about adverse effects should the nurse provide in discharge teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "This drug may cause some stinging or burning in your nose."
2. "You may notice that your nasal secretions take on a slightly orange tint."
3. "You may feel like your blood pressure is low for the first few times you use this spray."
4. "One of the major adverse effects of this drug is rebound congestion if it is used more than a few days."
5. "Do not drink herbal teas while taking this medication."
1,4
Rationale 1: Intranasal use of this drug can cause burning of the mucosa.
Rationale 2: There is no indication that orange-tinted nasal secretions should be expected.
Rationale 3: Intranasal medications, if used properly, should have little or no effect on blood pressure.
Rationale 4: Rebound congestion is likely to occur if the drug is used for over 3–5 days.
Rationale 5: There are no known drug–herbal interactions with this drug.
Global Rationale: Intranasal use of this drug can cause burning of the mucosa. Rebound congestion is likely to occur if the drug is used for over 3–5 days. There is no indication that orange-tinted nasal secretions should be expected. Intranasal medications, if used properly, should have little or no effect on blood pressure. There are no known drug–herbal interactions with this drug.
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