A patient presents at the clinic with signs and symptoms of seasonal allergic rhinitis. The patient is prescribed a nasal steroid to relieve symptoms
Two days later, the patient calls the clinic and tells the nurse that he is frustrated and wants a new drug. What is the most appropriate response by the nurse? A) "It may take up to 2 weeks to get the full clinical effect. Try to keep using the drug as ordered."
B) "The drug must not work for you. Let's change to an oral steroid."
C) "You probably are administering the drug incorrectly. Come in and we can review the process."
D) "You probably need to try a different nasal steroid. This one should be effective by now."
A
Feedback:
Nasal steroids require about 2 weeks to reach their full clinical effect so the patient should be encouraged to use the drug for that length of time before changing drugs or giving up. The other responses could be appropriate if after 2 weeks the patient is still not getting relief.
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