A patient has been using phenylephrine (Neo-Synephrine) for nasal congestion. He states to the nurse that he is using more every day because his nose is so congested. What effect is the medication producing?
A) Reflex bradycardia
B) Mucosal hemorrhage
C) Tachycardia
D) Rebound congestion
D
Feedback:
Overuse of nasal decongestants leads to decreased effectiveness (tolerance), irritation and ischemic changes in the nasal mucosa, and rebound congestion. These effects can be minimized by using small doses only when necessary and for no longer than 3 to 5 days. Phenylephrine will not produce reflex bradycardia, mucosal irritation, or tachycardia.
You might also like to view...
What type of pulse would you expect to feel during his initial examination?
An 18-year-old college freshman presents to the clinic for evaluation of gastroenteritis. You measure the patient's temperature and it is 104 degrees Fahrenheit. A) Large amplitude, forceful B) Small amplitude, weak C) Normal D) Bigeminal
The nurse manager was commenting to her staff about the overtime hours she was putting in because of a shortage of nurses. This is an example of what type of game?
a. Blame others b. "Poor me" c. The corner d. The bear trapper
A patient has an acute myocardial infarction. Her electrocardiogram is normal except for a heart rate of 150 beats per minute. Her physician prescribes digoxin in both an initial “digitalizing†dose and a daily maintenance dose so that which of the following will occur?
A. a specific level of medication will be reached in the blood B. her heart rate will first speed up C. the drug will begin to weaken her heart’s contraction D. the drug will improve her appetite
1.08 + 31.2 = _____
a. 32.28 b. 32.082 c. 32.1 d. 32.4