What statement by the patient leads the nurse to believe that he needs additional instruction regarding his nasal decongestant?
A) "I will blow my nose before instilling the nasal spray."
B) "I will report any dizziness, drowsiness, or rapid pulse."
C) "I will drink 2,000 to 3,000 mL of fluid daily."
D) "I will use it only when I have nasal discharge."
D
Feedback:
Decongestants decrease overproduction of secretions by causing local vasoconstriction to the upper respiratory tract (See Table 54.2). This vasoconstriction leads to a shrinking of swollen mucous membranes and tends to open clogged nasal passages, providing relief from the discomfort of a blocked nose and promoting drainage of secretions and improved airflow. The patient must understand proper administration, which includes clearing the nasal passages before inhaling the medication and increasing fluid intake and reporting adverse effects. The medication must be used on a regular basis to be effective. Option B is a distracter.
You might also like to view...
The nurse is assessing level of stress in a patient from another culture. Which question is the most appropriate in helping the nurse understand the impact of the patient's belief system?
a. "Do you engage in prayer to help you during times of stress?" b. "Do you go to church or other form of organized worship?" c. "Do you have certain beliefs that are helpful during times of stress?" d. "Do you want spiritual counseling while you are here?"
Which of the following statements describe the new patient/health-care consumer role?
1. Provide only the information asked for by the provider 2. Obtain information from a variety of sources 3. Engage in self-management of care 4. Assume providers will understand their needs 1. b only 2. b and c 3. a, b and c 4. All of the above.
A faith community nurse makes arrangements for Meals on Wheels for the homebound. Which of the following roles is the nurse implementing?
a. Counselor b. Coordinator c. Integrator of faith and health d. Advocate
A nurse in a long-term care facility is caring for multiple clients with dementia. In many clients with dementia, disorientation becomes more pronounced:
A) When they first awaken. B) In the middle of the night. C) At twilight. D) After taking medications.