A patient says to the nurse what type of medications would be most effective for treating seasonal and perennial rhinitis. Which response by the nurse is correct?
Pseudoephedrine [Sudafed]
Intranasal cromolyn sodium [Atrovent]
Propranolol [Inderal]
Fluticasone propionate [Flonase]
The Correct Answer is D
Choice A reason: Pseudoephedrine, a decongestant, relieves nasal congestion by vasoconstriction but doesn’t address inflammation or histamine-mediated symptoms like sneezing or itching in rhinitis. It’s less effective than intranasal corticosteroids, which target the underlying allergic response, making this choice less optimal for comprehensive rhinitis treatment.
Choice B reason: Intranasal cromolyn sodium stabilizes mast cells, reducing histamine release, but it’s less effective than corticosteroids for rhinitis. Atrovent (ipratropium) is incorrectly referenced here, as it treats rhinorrhea, not inflammation. Corticosteroids like fluticasone are preferred, making this choice incorrect for optimal treatment.
Choice C reason: Propranolol, a beta-blocker, treats hypertension and cardiac conditions, not rhinitis. It has no effect on allergic inflammation, histamine, or nasal congestion. Its use in rhinitis could worsen symptoms by causing bronchoconstriction in asthmatics, making this choice inappropriate and incorrect.
Choice D reason: Fluticasone propionate, an intranasal corticosteroid, reduces inflammation, edema, and histamine effects in seasonal and perennial rhinitis. It targets the allergic cascade, decreasing nasal congestion, sneezing, and itching, making it the most effective and guideline-recommended treatment, thus the correct choice for rhinitis management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Low drug interactions are desirable but unrelated to ease of administration. Adherence is directly tied to administration simplicity, so this is incorrect.
Choice B reason: Low production cost is a manufacturing benefit, not administration ease. Patient adherence is the outcome of easy administration, so this is incorrect.
Choice C reason: Storage stability aids logistics, not administration. Easy administration improves compliance, like taking oral pills, so this is incorrect for the outcome.
Choice D reason: Easy administration, like simple dosing or oral routes, enhances patient adherence by reducing barriers. This is the desired outcome, making it correct.
Correct Answer is D
Explanation
Choice A reason: Captopril PO is used for chronic hypertension, not acute crises, due to slower onset. IV nitroprusside acts rapidly to control severe hypertension, so this is incorrect.
Choice B reason: Hydralazine PO has a slower onset, unsuitable for hypertensive crisis requiring immediate control. IV nitroprusside is faster and titratable, making this incorrect for acute management.
Choice C reason: Minoxidil PO is for refractory hypertension, not emergencies, due to delayed action. Sodium nitroprusside IV is preferred for rapid control, so this is incorrect.
Choice D reason: Sodium nitroprusside IV is the drug of choice for hypertensive crisis, offering rapid, titratable blood pressure reduction. This aligns with urgent needs, making it the correct choice.
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