A 45-year-old patient presents to the clinic with persistent nasal congestion that has worsened despite frequent use of an over-the-counter nasal decongestant for the past three weeks. Which of the following is the most appropriate nursing intervention?
Advise the patient to continue using the nasal decongestant but reduce the frequency to once daily.
Suggest increasing the dosage of the current nasal decongestant to manage congestion.
Educate the patient on discontinuing the nasal decongestant and recommend a saline nasal spray for symptom relief.
Prescribe a stronger nasal decongestant to alleviate symptoms more effectively.
The Correct Answer is C
A. Advise the patient to continue using the nasal decongestant but reduce the frequency to once daily: Continued use, even at a reduced frequency, may not resolve the underlying issue. Prolonged use of topical nasal decongestants can lead to rebound congestion (rhinitis medicamentosa), which won't improve without discontinuation.
B. Suggest increasing the dosage of the current nasal decongestant to manage congestion: Increasing the dosage worsens rebound congestion and the dependence cycle. Higher doses can also raise the risk of systemic side effects such as elevated blood pressure or tachycardia.
C. Educate the patient on discontinuing the nasal decongestant and recommend a saline nasal spray for symptom relief: This is the most appropriate intervention. Rebound congestion is best managed by stopping the decongestant. Saline sprays help moisturize nasal passages and reduce symptoms safely during withdrawal.
D. Prescribe a stronger nasal decongestant to alleviate symptoms more effectively: A stronger formulation would likely exacerbate the problem. The key to managing rhinitis medicamentosa is breaking the cycle of decongestant overuse, not intensifying it.
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Related Questions
Correct Answer is B
Explanation
A. Instruct the patient to limit their fluid intake: Limiting fluids can worsen secretion thickness and impair mucociliary clearance. Hydration is essential for thinning secretions and supporting the action of mucolytics like Acetylcysteine.
B. Perform chest physiotherapy: Chest physiotherapy, including percussion and postural drainage, helps mobilize loosened secretions following Acetylcysteine administration. This facilitates airway clearance and improves ventilation and oxygenation.
C. Instruct the patient to avoid coughing to prevent airway irritation: Coughing is a natural and beneficial response that helps expel mucus after mucolytic therapy. Inhibiting the cough reflex can lead to secretion retention and airway obstruction.
D. Administer a bronchodilator: While bronchodilators may be helpful in patients with bronchospasm, they are not required after every dose of Acetylcysteine. Chest physiotherapy is more directly effective in clearing mucus after mucolytic administration.
Correct Answer is ["7.9"]
Explanation
Convert the ounces to a fraction of a pound:
16 ounces = 1 pound.
6 ounces = 6/16 pound
= 0.375 pound
Total weight in pounds = 17 pounds + 0.375 pound = 17.375 pounds
1 kg= 2.2 pounds
Weight in kg = 17.375 pounds / 2.2 pounds/kg
=7.8977 kg
Round to the nearest tenth:
Rounded weight = 7.9 kg
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