The client with seasonal allergies is taking oxymetazoline (Afrin). What should the nurse teach the client about this medication?

Take this medication at bedtime because it causes drowsiness.

This medication should only be used for asthma.

Limit the use of this medication to 3 days to prevent rebound nasal congestion

Stop this medication immediately.

Answer and Explanation

The Correct Answer is C

A. Take this medication at bedtime because it causes drowsiness.

Oxymetazoline is not known to cause drowsiness. It is a nasal decongestant that works by constricting blood vessels in the nasal passages to alleviate congestion.

B. This medication should only be used for asthma.

Oxymetazoline is not a medication specifically used for asthma. It is primarily used as a nasal decongestant for relieving nasal congestion associated with conditions such as allergies and the common cold.

C. Limit the use of this medication to 3 days to prevent rebound nasal congestion

Oxymetazoline is a nasal decongestant commonly used to relieve nasal congestion due to conditions like seasonal allergies or the common cold. Prolonged use of nasal decongestant sprays like oxymetazoline can lead to rebound congestion, where the nasal passages become more congested when the medication is stopped. Therefore, it is important to limit the use of oxymetazoline to a short duration (typically 3 days) to avoid this rebound effect.

D. Stop this medication immediately.

Abruptly stopping oxymetazoline is not recommended, as it may lead to rebound congestion. The nurse should advise the client to follow the recommended duration of use and, if needed, consult with a healthcare provider before discontinuing the medication.

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Correct Answer is ["A"]

Explanation

A. “Drink extra water while taking this medication.”

This is correct. Guaifenesin is an expectorant that works by thinning and loosening mucus in the airways. Drinking extra water helps to enhance its effectiveness by keeping the patient well-hydrated.

B. “Monitor urine output closely.”

Monitoring urine output is not typically necessary with guaifenesin. It does not have a diuretic effect, and excessive monitoring of urine output may not be relevant in this context.

C. “Take it with an oral antihistamine for better effectiveness.”

Guaifenesin is often used in combination with other medications, but taking it with an oral antihistamine is not a standard recommendation. The combination should be based on the specific guidance of the healthcare provider.

D. “Avoid driving or using heavy machinery while on this medication.”

Guaifenesin does not typically cause sedation or impairment, so there is generally no need to avoid driving or using heavy machinery. This instruction may not be necessary for this medication.

A. Epinephrine B. Montelukast (Singulair) C. Theophylline D. Tiotropium Bromide (Spiriva)

Correct Answer is A

Explanation

A. Epinephrine

Epinephrine is a bronchodilator that can be used in emergencies to treat acute bronchospasm. It works by relaxing the smooth muscles in the airways and can be administered via inhalation or injection. However, it is not typically the first-line treatment for COPD, and other bronchodilators are often preferred.

B. Montelukast (Singulair)

Montelukast is a leukotriene receptor antagonist that is used for the long-term control and prevention of symptoms in conditions like asthma, but it is not typically used for acute bronchospasm. It is more commonly used for maintenance therapy to prevent exacerbations.

C. Theophylline

Theophylline is a bronchodilator that can be used to treat acute bronchospasm in COPD. However, it is not commonly used as a first-line treatment due to its narrow therapeutic range and potential for side effects. It may be considered in certain cases when other bronchodilators are not well-tolerated or effective.

D. Tiotropium Bromide (Spiriva)

Tiotropium bromide is a long-acting antimuscarinic bronchodilator used for the long-term maintenance treatment of COPD. It is not typically prescribed for the treatment of acute bronchospasm but rather for the prevention of symptoms over the long term.

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The client with seasonal allergies is taking oxymetazoline (Afrin). What should the nurse teach the client about this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has the feeling of having “chest tightness” while experiencing “cold-like” symptoms. Her cough is nonproductive. Her physician prescribed guaifenesin (Mucinex) to help with secretions. When teaching about this medication, what should the nurse instruct? (Select all that apply)

Correct Answer is ["A"]

Explanation

Which medication is prescribed for a client with COPD to treat acute bronchospasm?

Correct Answer is A

Explanation

Which statement is accurate regarding methylxanthine (Theophylline)?

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