An older male client with several chronic conditions is using pseudoephedrine (Sudafed) for cold symptoms. Which adverse effect does the nurse teach the client to report to the physician?
1. Increased coughing
2. Irritated, crusty nares
3. Thickening and color change of nasal drainage
4. Decreased urinary stream
Correct Answer: 4
Rationale 1: Decongestants do not affect coughing.
Rationale 2: Earlier irritation often makes the outer opening to the nares red and sore after several days of a cold. The problem will gradually improve.
Rationale 3: Nasal drainage often evolves from clear to colored in the common cold.
Rationale 4: Pseudoephedrine can cause diminished urinary outflow in clients who have prostate enlargement.
Global Rationale: Pseudoephedrine should not be used by patients with severe HTN, severe coronary artery disease, or hypersensitivity to this drug, or by those who take monoamine oxidase inhibitor (MAOI) drugs. Alpha-adrenergic agonists should be used with caution in patients with prostatic enlargement, because these drugs increase smooth muscle activity in the prostate gland and may diminish urinary outflow. Decongestants do not affect coughing. Earlier irritation often makes the outer opening to the nares red and sore after several days of a cold. The problem will gradually improve. Nasal drainage often evolves from clear to colored in the common cold.
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