The nurse is instructing a patient on the administration of nasal spray. What information is most important to include in this teaching plan?
A) Finish the bottle of nasal spray to clear the infection effectively.
B) Nasal spray can be shared between family members only.
C) Administer the nasal spray in a prone position.
D) Overuse of nasal spray may cause rebound congestion.
Ans: D
Feedback: The use of topical decongestants is controversial because of the potential for a rebound effect. The patient should hold his or her head back for maximum distribution of the spray. Only the patient should use the bottle.
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A method used to kill all microorganisms, including spores, is:
a. disinfecting. b. using an antiseptic. c. using chlorine bleach. d. sterilizing.
What is the usual treatment for tachycardia?
a. administration of atropine c. depends on cause b. administration of epinephrine d. placement of a permanent pacemaker
The nurse is planning care for a pregnant client prone to substance abuse. When the client states, "My baby isn't getting my drugs; I am," which response by the nurse is the most appropriate?
1. "Most illicit drugs will cross the placenta and hurt the baby." 2. "Even drugs that do not cross the placenta can hurt your baby by preventing nutrients from getting across the placenta." 3. "Research shows taking drugs can cause your baby to be born too early." 4. "You are correct. You are far enough along in your pregnancy that drugs will not harm your baby." 5. "If you continue to take drugs, it will make you have a very irritable infant."
Why does the nurse monitor the patient closely after administering a drug with a low therapeutic index?
A. There is a low variability of responses to this drug. B. The average lethal dose of the drug is much higher than the therapeutic dose. C. The dose required to produce a therapeutic response in 50% of patients is low. D. The highest dose needed to produce a therapeutic effect is close to the lethal dose.