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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["31"]
Explanation
Total volume to be infused = 750 mL
Total infusion time = 4 hours
Convert hours to minutes: 4 hours × 60 minutes/hour = 240 minutes
Drop factor = 10 gtt/mL
- Calculate the total number of drops needed:
Total drops (gtt) = Total volume (mL) × Drop factor (gtt/mL)
= 750 mL × 10 gtt/mL
= 7500 gtt
- Calculate the flow rate in drops per minute (gtt/min):
Flow rate (gtt/min) = Total drops (gtt) / Total infusion time (minutes)
= 7500 gtt / 240 minutes
= 31.25 gtt/min
- Round to the nearest whole number:
Rounding 31.25 to the nearest whole number gives 31.
= 31 gtt/min.
Correct Answer is ["4"]
Explanation
Desired dose = 8 mg
The medication label for Perphenazine Tablets, USP states: 2 mg per tablet.
- Determine the number of tablets needed:
Number of tablets = Desired dose / Dose per tablet
= 8 mg / 2 mg/tablet
= 4 tablets.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.