A patient who has used an adrenergic nasal spray for 2 weeks complains that, "I am more stuffed up now than I was when I was sick." What advise should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "You are having an allergic reaction to the nasal spray. Stop using it immediately."
2. "You probably have developed a secondary infection."
3. "Try increasing the amount of fluids you are drinking."
4. "Switch to a saline-based nasal spray."
5. "Continue to use your current nasal spray until the congestion goes away."
3,4
Rationale 1: There is no evidence that an allergic reaction has occurred.
Rationale 2: There is no evidence that a secondary infection has occurred.
Rationale 3: Increased oral fluids may help to thin secretions, making them easier to remove.
Rationale 4: The patient is probably experiencing rebound congestion. Switching from the adrenergic spray to a saline spray will keep the mucosa moist and more comfortable until the effects of the adrenergic spray abate.
Rationale 5: The patient is probably experience rebound congestion. Continuing to use this spray is contraindicated.
Global Rationale: The patient is probably experiencing rebound congestion. Switching from the adrenergic spray to a saline spray will keep the mucosa moist and more comfortable until the effects of the adrenergic spray abate. Increased oral fluids may help to thin secretions, making them easier to remove. There is no evidence that an allergic reaction or secondary infection has occurred. Continuing to use this spray is contraindicated.
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