A client is receiving a phenylephrine (Afrin) nasal spray for the symptoms of a cold. Which assessment parameter would the nurse expect to see improved?

Question

1. A decrease in nasal stuffiness
2. Improved energy level
3. Less coughing
4. Fewer nasal secretions

Answer 1

Correct Answer: 1
Rationale 1: Phenylephrine is a decongestant topical preparation that decreases puffiness of the mucous membranes inside the nose. Subjectively, the client will experience less stuffiness.
Rationale 2: Energy levels will improve as the cold subsides; there is no medication that assists with that symptom.
Rationale 3: The client will still have posterior pharyngeal irritation with coughing.
Rationale 4: An antihistamine decreases the quantity of secretions.
Global Rationale: Sympathomimetics (also called adrenergic agonists) with alpha-adrenergic activity are effective at relieving the nasal congestion associated with the common cold and allergic rhinitis when given by either the PO or intranasal route. The intranasal preparations such as oxymetazoline (Afrin, Others) are available OTC as sprays or drops and produce a noticeable response within minutes. Energy levels will improve as the cold subsides; there is no medication that assists with that symptom. The client will still have posterior pharyngeal irritation with coughing. An antihistamine decreases the quantity of secretions.