A patient is starting azelastine (Astelin) spray for allergic rhinitis. The nurse should discuss which common side effect during patient education?
a. Hemoptysis
b. Bitter taste
c. Cough
d. Increased stuffiness for the first month of therapy
ANS: B
A bitter taste in the mouth occurs in about 20% of patients using azelastine nasal spray. Patients should be informed of this side effect.
Hemoptysis, cough, and increased nasal stuffiness are not common side effects.
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An elderly patient in the ICU with chronic renal failure has just undergone surgery for a synthetic arteriovenous graft in her left forearm for dialysis access
The nurse recognizes that the most likely reason this patient received a graft instead of a fistula is which of the following? A) Thrombosis is less likely to occur with grafts than with fistulas. B) Fistulas are more prone to infection than are grafts. C) The patient's own blood vessels were not adequate for fistula formation. D) An aneurysm is more likely to occur in a fistula than in a graft.
An 81-year-old male patient who has a diagnosis of orthostatic hypotension is experiencing an episode of particularly low blood pressure
The man's body has responded by increasing levels of angiotensin II in the bloodstream, a hormone that decreases the glomerular filtration rate in the kidneys and contributes to an increase in blood pressure. Which of the following phenomena best describes what has occurred? A) Positive feedback B) Adaptation C) Negative feedback D) Homeostasis
A patient has sepsis and is placed on broad-spectrum antibiotics. Her temperature is 37.8à‚ °C. Her BUN level is elevated. She continues on vasopressor therapy. What other steps should be taken to protect the patient from inadequate organ perfusion?
a. Increase net ultrafiltrate of fluid. b. Discontinue vasopressor support. c. Assess the patient for blood loss and hypotension. d. Notify the physician of access pressures.
Nurses have the ethical responsibility to tell the truth to their patients. What is this principle known as?
a. Justice b. Veracity c. Beneficence d. Autonomy