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 manifestation?
1. incorrect use of the nasal spray
2. acute sinus infection that needs to be treated with antibiotics
3. adverse effect of the nasal spray
4. rebound nasal congestion
Correct Answer: 4
Chronic use of nasal sprays may lead to rhinitis medicamentosa, a rebound phenomenon of drug-induced nasal irritation and inflammation. The nasal spray is being used correctly. The worsening nasal congestion is not considered an adverse effect. No other signs indicate that the patient has a bacterial sinus infection.
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