The client asks the nurse which antihistamines are available as intranasal sprays. Which response by the nurse is most appropriate?(Select all that apply.)
1. Loratadine (Claritin)
2. Diphenhydramine (Benadryl)
3. Olopatadine (Patanase)
4. Azelastine (Astelin)
5. Neo-synephrine (Afrin)
3, 4
Rationale 1: Loratadine (Claritin) is not available as a nasal spray.
Rationale 2: Diphenhydramine (Benadryl) is not available as a nasal spray.
Rationale 3: Azelastine (Astelin) is approved for nonallergic rhinitis. Although it is a first-generation agent, azelastine causes less drowsiness than do others in its class because it is applied locally to the nasal mucosa, and limited systemic absorption occurs. Olopatadine (Patanase) is a second-generation antihistamine approved in 2008 for allergic rhinitis.
Rationale 4: Azelastine (Astelin) is approved for nonallergic rhinitis. Although it is a first-generation agent, azelastine causes less drowsiness than do others in its class because it is applied locally to the nasal mucosa, and limited systemic absorption occurs. Olopatadine (Patanase) is a second-generation antihistamine approved in 2008 for allergic rhinitis.
Rationale 5: Neo-synephrine (Afrin) is a decongestant.
Global Rationale: Azelastine (Astelin) is approved for nonallergic rhinitis. Although it is a first-generation agent, azelastine causes less drowsiness than do others in its class because it is applied locally to the nasal mucosa, and limited systemic absorption occurs. Olopatadine (Patanase) is a second-generation antihistamine approved in 2008 for allergic rhinitis.
You might also like to view...
A child with nephritic syndrome is severely edematous. The primary health care provider has placed the child on bed rest. An important nursing intervention for this child would be to:
1. Monitor BP every 30 minutes. 2. Reposition the child every two hours. 3. Limit visitors. 4. Encourage fluids.
On the second postoperative day, a patient who has had an abdominal hysterectomy complains of gas and abdominal distention. Which intervention would be most appropriate to stimulate a bowel movement?
a. Offering carbonated beverages b. Encouraging ambulation at least four times per day c. Administering a 1000-mL soapsuds enema d. Applying an abdominal binder
A patient is admitted to the mental health unit because of suicidal ideations and several suicide attempts in the past
As the nurse manager, you realize that the patient is a safety risk, and you assign one of the staff members to do a 1 to 1 with the client. After lunch, the patient informs the staff member of the need to use the bathroom. After several minutes, the staff member knocks on the bathroom door, but there is no answer. The staff member immediately presses the emergency call light and pushes the door open only to find that the patient has hung herself. The patient's death would be considered which of the following? a. Unfortunate accident c. Grievous error b. What the patient really wanted d. Sentinel event
Which of the following nursing activities is an example of tertiary level caregiving?
1. Teaching a client how to irrigate a new colostomy 2. Providing a class on hygiene for an elementary school class 3. Informing a client that her infant can be immunized at the health department 4. Arranging for a hospice nurse to visit with the family of a client with lung cancer