An NP sees a patient who reports persistent seasonal symptoms of rhinorrhea, sneezing, and nasal itching every spring unrelieved with diphenhydramine (Benadryl). The NP should prescribe:
a. azelastine (Astelin).
b. triamcinolone (Nasacort AQ).
c. phenylephrine (Neo-Synephrine).
d. cromolyn sodium (Nasalcrom).
B
According to randomized controlled trials in patients with allergic rhinitis, oral antihistamines are used first to help control itching, sneezing, rhinorrhea, and stuffiness in most patients. Intranasal corticosteroids are indicated for patients who do not respond to antihistamines. Azelastine is a topical antihistamine. Phenylephrine is a decongestant, and this patient does not have congestion. Cromolyn sodium is less effective than intranasal corticosteroids.
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A nurse is providing care to several pregnant women at the clinic. The nurse would screen for group B streptococcus infection in a client at:
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Because of the use of these two drugs, the nurse closely observes the client for which occurrence? 1. Increase in seizure activity 2. Migraine headaches and generalized irritability 3. Bleeding from the gums and bruising of the skin 4. Stevens–Johnson syndrome