A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?

Assist the client to a side-lying position.

Hold the dropper 2 cm (1 in) above the naris.

Tell the client to blow her nose gently before the instillation.

Instruct the client to stay in the same position for 2 min.

Answer and Explanation

The Correct Answer is C

Rationale-blowing the nose clears any mucus plugs allowing for optimal absorption
A. Lying on the side post application may lead to spillage of the applied drop
B. Holding the dropper too far leads to spillage with too little medication getting to the desired area
D. Tilting the head too long may lead to unnecessary irritation

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Correct Answer is B

Explanation

B. methotrexate is a dihydrofolate reductase inhibitor which inhibits synthesis of building block for DNA synthesis and repair
A. Filgrastim is a growth factor used to boost neutrophil production
C. Transfusion-maybe necessary in the case of severe anemia
D. Allopurinol is an anti-uricemic agent used in gout

A. Restrict your daily fluid intake to 1000ml. B. Expect your urine to turn pink or red while taking this medication. C. Discontinue the medication once your symptoms subside. D. Notify your provider if you experience any changes in your hearing.

Correct Answer is D

Explanation

D. Vancomycin is an ototoxic antibiotic
A. Vancomycin is nephrotoxic and restricting fluid intake increases the risk of renal damage
B. Vancomycin does not cause change in urine color
C. The client should take the medication as prescribed regardless of symptoms for clearance of infection

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A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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