Order:

• IV Fluids: LR @ 85 mL/hr
• Tubing Factor: 20 gtts/mL

How many gtts/min are the IV fluids infusing? Round your answer to the nearest whole number.

A. Sitting up comfortably in bed is not ideal for nasal spray administration; the client should be in an upright position, possibly sitting on the edge of a chair.

B. Tilting the head slightly to the side is correct; this position helps the medication to be delivered effectively to the nasal passages.

C. Inserting the tip of the nose piece into one nostril is correct; this ensures that the medication is delivered directly into the nasal cavity.

D. Holding the breath for a few seconds after administering the spray is correct; this allows for better absorption of the medication in the nasal mucosa.

E. Blowing the nose 1 minute after administering the spray is incorrect; the client should avoid blowing their nose for at least a few minutes after administration to allow the medication to be absorbed effectively.

A. Taking smaller doses of decongestants several times a day may be appropriate for some medications but does not address the risk of rebound congestion associated with prolonged use.

B. Expecting relief within a few days may not be realistic if the cold symptoms persist for 2 weeks, indicating a potential need for further evaluation.

C. OTC decongestants can be effective, and many patients find relief from symptoms without requiring a prescription.

D. Using decongestants for an extended period can lead to rebound congestion, where nasal passages become more congested once the medication is stopped, making this a crucial point for the nurse to communicate.