The nurse is preparing education for a patient who has developed rebound nasal congestion resulting from use of topical decongestants. What information will the nurse include? (Select all that apply.)
a. For future topical decongestant use, follow the dosage directions daily. Do not overuse.
b. Stop the topical decongestant at once.
c. A decrease in congestion will occur immediately.
d. Nasal steroid solutions can be used but may take several days to reduce inflammation and congestion.
e. Use nasal saline spray to moisturize irritated mucosa.
ANS: A, B, D, E
The best treatment for rebound nasal congestion caused by use of topical decongestants is prevention. Further use of the medication will exacerbate the nasal congestion. Nasal steroid solutions may help gradually reduce the congestion without exacerbating the symptoms. Nasal saline spray will bring comfort to the irritated nasal mucosa by moisturizing them. A decrease in the nasal congestion will occur gradually.
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