The nurse is evaluating outcomes for a client who has been using a nasal steroid consistently for several months. Which is the desired outcome?
1. The client reports decreased nasal congestion.
2. The client's upper respiratory system is free of infection.
3. The client is free of wheezing.
4. The client's tonsils are pink and free of swelling and exudate.
Correct Answer: 1
Rationale 1: Nasal steroids are indicated for control of allergic rhinitis. Nasal congestion, drainage, sneezing, and watery eyes should diminish after a month's use.
Rationale 2: Nasal steroids do not prevent infections.
Rationale 3: Nasal steroids do not decrease wheezing because they do not penetrate the lower airway.
Rationale 4: Nasal steroids do not protect the tonsils.
Global Rationale: Nasal steroids are indicated for control of allergic rhinitis. Nasal congestion, drainage, sneezing, and watery eyes should diminish after a month's use. Nasal steroids do not prevent infections. Nasal steroids do not decrease wheezing because they do not penetrate the lower airway. Nasal steroids do not protect the tonsils.
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