A patient has been prescribed an adrenergic nasal spray. What medication instruction should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "Do not share this spray with anyone."
2. "Sit upright while using this spray."
3. "Only use this spray for 3–5 days."
4. "Do not shake the bottle before using this spray."
5. "Keep this spray refrigerated."
1,2,3
Rationale 1: Sharing nasal sprays may spread infection.
Rationale 2: The patient should sit upright to use this medication so that it is delivered appropriately, avoiding overdosage.
Rationale 3: Adrenergic nasal sprays may cause rebound congestion if used more that 3–5 days.
Rationale 4: There is no indication that the bottle should not be shaken.
Rationale 5: There is no indication that the medication should be refrigerated.
Global Rationale: Sharing nasal sprays may spread infection. The patient should sit upright to use this medication so that it is delivered appropriately, avoiding overdosage. Adrenergic nasal sprays may cause rebound congestion if used more that 3–5 days. There is no indication that the bottle should not be shaken. There is no indication that the medication should be refrigerated.
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