The nurse is teaching a client about beclomethasone (Beconase) nasal spray prior to discharge. Which side effects will the nurse prepare the client to manage?

Question

1. Salt sensitivity and elevation of blood pressure
2. Nasal irritation and nosebleed
3. Bone demineralization and increased risk of fracture
4. Dyspepsia and gastric irritation

Answer 1

Correct Answer: 2
Rationale 1: Hypertension and other signs of Cushing syndrome occur only if large amounts are absorbed systemically.
Rationale 2: Nasal steroids cause local irritation and might trigger nosebleeds. Systemic symptoms are uncommon.
Rationale 3: Bone demineralization and other signs of Cushing syndrome occur only if large amounts are absorbed systemically.
Rationale 4: Gastric upset and other signs of Cushing syndrome occur only if large amounts are absorbed systemically.
Global Rationale: Transient nasal irritation, burning, sneezing, dryness are common adverse effects of this drug. Hypercorticism with symptoms of hypertension, bone demineralization, and gastric upset may occur but only if large amounts are swallowed. Nasal ulceration leading to nosebleeds may occur. Use increases risk for Candida infection.