A patient says, "My nose is always congested, and it just seems to get worse with the nasal spray I've been using.". The nurse realizes that this patient is describing which situation?
1. Incorrect administration of the nasal spray
2. An acute sinus infection that needs to be treated with antibiotics
3. Side effect of the nasal spray
4. Rebound nasal congestion
4
Rationale 1: There is no indication that the patient is not administering the nasal spray correctly.
Rationale 2: No other signs indicate that the patient has a bacterial sinus infection.
Rationale 3: The worsening nasal congestion is not considered a side effect of nasal spray.
Rationale 4: Chronic use of nasal sprays may lead to rhinitis medicamentosa, a rebound phenomenon of drug-induced nasal irritation and inflammation.
You might also like to view...
A Hispanic woman is hospitalized for complications of type 1 diabetes. The nurse speaks only English; the patient understands only Spanish
The patient is being discharged from the hospital, and the nurse needs to provide education related to her diabetes. However, the discharge instructions are in English. The nurse should use A) body language to educate her and then give her the discharge instructions. B) an interpreter to educate her and then give her the English version of the discharge instructions, so she can begin to learn the language. C) a translator to translate the materials and give them to her. D) an interpreter to review the discharge instructions with the patient and then give her the printed material translated into Spanish.
When conducting client teaching with a client and his family about the prescribed cholinergic therapy for myasthenia gravis, which of the following would be most important to include? Select all that apply
A) How to adjust dosage B) Indications of drug underdosage C) The need to monitor blood glucose levels D) How to keep a record of response to therapy E) The need to wear medical identification
Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief in the ethical principle of
a. justice. b. autonomy. c. nonmaleficence. d. death with dignity.
The clean linen cart and soiled linen hamper should be separated in the hallway by a distance of at least the width of ____________________ room/rooms.
Fill in the blank(s) with the appropriate word(s).