The nurse is caring for a client with chronic nasal congestion. The client is being treated with phenylephrine (Neo-Synephrine). What are some possible nursing diagnoses for this client? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Constipation
2. Knowledge deficit, related to drug therapy
3. Urinary retention
4. Ineffective breathing pattern
5. Anxiety
Correct Answer: 2, 4
Rationale 1: Constipation is incorrect because it is not related to the medical condition or medication.
Rationale 2: Knowledge deficit, related to drug therapy is related to chronic nasal congestion, and is appropriate for this client.
Rationale 3: Urinary retention is incorrect because it is not related to the medical condition or medication.
Rationale 4: Ineffective breathing pattern is related to chronic nasal congestion, and is appropriate for this client.
Rationale 5: Anxiety is not related to chronic nasal congestion, and is not appropriate for this client.
Global Rationale: Knowledge deficit, related to drug therapy is related to chronic nasal congestion, and is appropriate for this client. Ineffective breathing pattern is related to chronic nasal congestion, and is appropriate for this client. Constipation is incorrect because it is not related to the medical condition or medication. Urinary retention is incorrect because it is not related to the medical condition or medication. Anxiety is not related to chronic nasal congestion, and is not appropriate for this client.
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