After assessing a client with allergic rhinitis, what medication does the nurse anticipate to administer?
1. Oxymetazoline (Afrin)
2. Diphenhydramine (Benadryl)
3. Naproxen (Naprosyn)
4. Echinacea (Echinacea purpurea)
Correct Answer: 2
Rationale 1: Oxymetazoline (Afrin) is a sympathomimetic that stimulates the small arterioles of the nasal passages to constrict, producing a drying of the mucous membranes; though helpful, this is not the best choice.
Rationale 2: The primary use of diphenhydramine (Benadryl) is to treat symptoms of allergy and the common cold, such as sneezing, runny nose, and tearing of the eyes. It reduces inflammation by blocking H1 receptors found within smooth muscle cells of the respiratory tract.
Rationale 3: Naproxen (Naprosyn) is an NSAID that inhibits prostaglandin synthesis and is effective for treating arthritis and primary dysmenorrhea.
Rationale 4: Echinacea (Echinacea purpurea) is an herbal plant that helps boost the immune system by increasing phagocytosis and inhibiting bacterial enzymes. It is used as a supportive treatment for any disease involving inflammation, and to enhance the immune system.
Global Rationale: The primary use of diphenhydramine (Benadryl) is to treat symptoms of allergy and the common cold, such as sneezing, runny nose, and tearing of the eyes. It reduces inflammation by blocking H1-receptors found within smooth muscle cells of the respiratory tract. Oxymetazoline (Afrin) is a sympathomimetic that stimulates the small arterioles of the nasal passages to constrict, producing a drying of the mucous membranes; though helpful, this is not the best choice. Naproxen (Naprosyn) is an NSAID that inhibits prostaglandin synthesis and is effective for treating arthritis and primary dysmenorrhea. Echinacea (Echinacea purpurea) is an herbal plant that helps boost the immune system by increasing phagocytosis and inhibiting bacterial enzymes. It is used as a supportive treatment for any disease involving inflammation, and to enhance the immune system.
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