A client asks a nurse about the use of an over-the-counter nasal decongestant. It is important for the nurse to emphasize that these medications:
a. have a wide degree of safety and effectiveness
b. can be used whenever the nose feels "stuffy"
c. may have a reverse effect when used in excess
d. should be used in conjunction with oral decongestant products
C
Nasal decongestants are common over-the-counter drugs to shrink swollen mucous membranes. However, they may have a reverse or rebound effect by increasing nasal congestion when used in excess.
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When technology such as a bar-code medication administration (BCMA) system is used as part of the process of medication administration, fewer errors are made. The proper procedure when using the BCMA includes:
a. signing into the system using the patient's ID number. b. typing in the patient's name and room number. c. scanning the patient's ID, MAR, and medication. d. discontinuing the medication if the system signals an error.
Which of the following is true about overt or primary hypothyroidism?
a. TSH is elevated b. T4 is decreased c. T4 is increased d. a and b only
You are teaching the daughter how to instill ear drops of her father to remove impacted cerumen. What is important to teach this woman?
A) Insert the irrigating syringe deeply. B) Direct the flow of the ear drops toward the eardrum. C) Refrigerate before instillation. D) Place the container in warm water before instillation.
A patient with Addison disease is experiencing problems with fluid balance. What actions should the nurse take to help this patient?
Select all that apply. 1. teach to sit and stand slowly 2. monitor cardiac monitor rhythm 3. turn and reposition every 2 hours while awake 4. weigh the patient daily at the same time and in the same clothing 5. encourage oral fluid intake of 3000 mL/day and increased salt intake