Which assessment is most relevant to the care of a client with a new order for an inhaled nasal steroid?

Question

1. History of chronic bronchitis
2. History of emphysema
3. History of allergic rhinitis
4. History of asthma

Answer 1

Correct Answer: 3
Rationale 1: A nasal inhaler does not penetrate deeply enough to manage bronchitis.
Rationale 2: A nasal inhaler does not penetrate deeply enough to have any effect on emphysema symptoms.
Rationale 3: Inhaled steroids are appropriate for the management of allergic rhinitis.
Rationale 4: A nasal inhaler does not penetrate deeply enough to manage asthma symptoms.
Global Rationale: Because of their effectiveness and safety, the intranasal corticosteroids have joined antihistamines as first-line drugs in the therapy of allergic rhinitis. They are now considered the most effective drug treatment for seasonal and perennial allergic rhinitis. These inhalers do not penetrate deeply enough to manage bronchitis or asthma and are not appropriate for the management of allergic rhinitis.