The client tells the nurse that her symptoms have become worse since she has been using oxymetazoline (Afrin) for nasal congestion. What is the best assessment question for the nurse to ask?
1. "How old is the bottle you are using?"
2. "May I take your temperature?"
3. "Are you using any other inhaled medications?"
4. "How long have you been using the medication?"
4
Rationale 1: While it is possible that the client is using outdated medication, this is not the best question.
Rationale 2: Asking to take the client's temperature is not the best question.
Rationale 3: The use of other inhaled medications will not cause or prevent rebound congestion, so this question is unnecessary.
Rationale 4: Oxymetazoline (Afrin) can cause rebound congestion if used for too long, so length of treatment is the best assessment question.
Global Rationale: Oxymetazoline (Afrin) can cause rebound congestion if used for too long, so length of treatment is the best assessment question. While it is possible that the client is using outdated medication, this is not the best question. Asking to take the client's temperature is not the best question. The use of other inhaled medications will not cause or prevent rebound congestion, so this question is unnecessary.
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