A 29-year-old female patient has sinusitis, so the physician orders a topical nasal decongestant. What instructions should be given?

A) Avoid becoming pregnant during decongestant therapy.
B) Increase fluids to 2 L/d.
C) Restrict fluids to 500 mL/d.
D) Take the medication with meals.


B
Feedback:
Institute other measures to help relieve the discomfort of congestion (e.g., humidity, increased fluid intake, cool environment, avoidance of smoke-filled areas) as appropriate. The medication does not need to be taken with meals or to restrict fluids. It would be inappropriate to tell the patient to avoid becoming pregnant.

Nursing

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A patient is diagnosed with high blood pressure. Which of the following events occur with hypertension?

A) The kidneys excrete more fluid. B) Fluid loss increases blood volume. C) Decreased blood volume increases blood pressure. D) Increased cardiac output increases blood pressure.

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The nurse anticipates that an order for an isotonic intravenous (IV) solution will read

a. 0.45% sodium chloride. b. 0.9% sodium chloride. c. 3% sodium chloride. d. 5% dextrose in water.

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The nurse is reviewing the principles of the Affordable Care Act with a client. What information should the nurse include when discussing the act with the client?

1. Individuals will be fined if they do not have health insurance. 2. Employers must offer health insurance if they meet identified requirements. 3. Insurance can be purchased through exchanges. 4. Individuals with preexisting health conditions cannot be denied health insurance coverage. 5. Health insurance is free.

Nursing

The nurse is caring for a client whose labor is being augmented with oxytocin. He or she recognizes that the oxytocin should be discontinued immediately if there is evidence of:

a. Uterine contractions occurring every 8 to 10 minutes. b. A fetal heart rate (FHR) of 180 with absence of variability. c. The client's needing to void. d. Rupture of the client's amniotic membranes.

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