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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Restrict the client’s intake of fluids.
Fluid restriction is not a standard intervention during the administration of monoclonal antibodies.
B. Premedicate the client with morphine.
Morphine is not a standard premedication for monoclonal antibody infusions. Premedication may be used in some cases, but the specific medications used depend on the patient's individual needs and the nature of the monoclonal antibody being administered.
C. Stay with the client during the first 15 minutes of the infusion.
The rationale for staying with the client during the initial part of the infusion is to monitor for any immediate hypersensitivity reactions or infusion-related adverse events, which can sometimes occur early in the infusion process. This allows the nurse to respond promptly if the client experiences any adverse reactions.
D. Assess the client for the development of ototoxicity.
Ototoxicity (hearing loss) is not a common concern with monoclonal antibody infusions. The focus of assessment during the infusion is primarily on immediate hypersensitivity reactions and other infusion-related adverse events.
Correct Answer is A
Explanation
A. To help prevent Tumor Lysis Syndrome.
Encouraging fluid intake is crucial for patients undergoing chemotherapy, especially when there's a risk of Tumor Lysis Syndrome (TLS). TLS is a potentially serious complication that can occur when cancer cells release their contents into the bloodstream, leading to metabolic imbalances. Adequate hydration helps prevent the concentration of these released substances and reduces the risk of TLS.
B. Staying hydrated decreases oral dryness that the patient may exhibit as a result of chemotherapy.
While hydration is generally important for overall well-being, oral dryness is not typically a direct consequence of bladder cancer chemotherapy. It might be a side effect of certain medications, but the primary concern in this case is likely related to preventing TLS.
C. To help prevent new onset diabetes mellitus.
The rationale for fluid intake in the context of bladder cancer chemotherapy is not typically related to preventing new onset diabetes mellitus. The primary focus is usually on managing potential side effects of chemotherapy and promoting overall health.
D. Because it is better to encourage water Vs. carbonated beverages.
While encouraging water over carbonated beverages is generally a healthy choice, the primary rationale for increased fluid intake in the context of bladder cancer chemotherapy is more specific and related to preventing Tumor Lysis Syndrome.
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