The nurse caring for a client with allergic rhinitis who is using a decongestant nasal spray would determine that teaching goals have been met when the client says
a. "Nasal sprays must be combined with an oral antihistamine to achieve relief."
b. "Overuse can result in nosebleeds and mucosal ulceration."
c. "Rebound rhinitis (rhinitis medicamentosa) is common with continual use."
d. "The spray should be used round-the-clock at equally spaced intervals."
C
Because the prolonged use of topical nasal sprays can cause rhinitis medicamentosa (recurrence of congestion), it is advisable to limit their use to no more than 3-5 days.
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The nurse is caring for a patient planning to undergo a uterine fibroid embolization. What information can the nurse provide? (Select all that apply.)
a. It involves laser destruction of fibroids. b. It has fewer physiological effects than drug therapy. c. It is nonsurgical. d. It is associated with more psychological effects than surgery. e. It has a faster recovery time than surgery.
The nurse discusses the benefit of adding a statin drug to a client's medication regimen based on the understanding that this group of drugs can reduce the risk of death from which of the following? Select all that apply
A) Stroke B) Transient ischemic attack C) Kidney disease D) Hepatic disease E) Cancer
Normally, the jugular veins are most distended when the
a. patient is lying flat. b. head of the bed (HOB) is elevated at a 45° angle. c. head of the bed is at a 90° angle. d. patient is upright.
Within a healthcare environment, where the gap between revenues and costs can mean the difference between sustainability of an organization and nonsustainability of an organization or services, it is critical for nurse managers to:
a. Maintain a clear vision of how to trim healthcare costs. b. Balance value-added services against costs and revenues. c. Consistently delete programs that are of high cost. d. Implement programs that bring in additional revenues.