The nurse cares for a patient with seasonal allergies. The provider recommends phenylephrine [Neo-synephrine], an adrenergic agonist nasal spray to treat symptoms of allergic rhinitis. The nurse is most concerned if the patient makes which of the following statements?
"The medicine will help me to breathe."
"I can use the nasal spray as often as needed."
"Increasing my oral fluids will help with hydration."
The Correct Answer is B
Choice A rationale: Phenylephrine can help relieve nasal congestion and improve breathing.
Choice B rationale: Using the nasal spray as often as needed can lead to rebound congestion and should be avoided. Phenylephrine nasal spray should be used according to the healthcare provider's instructions.
Choice C rationale: Increasing oral fluids can help with hydration, especially when using a decongestant nasal spray.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Administering the medication with an empty stomach may enhance absorption but is not the best strategy for addressing "on-off" episodes.
Choice B rationale: The correct answer. High-protein foods can interfere with the absorption of levodopa, leading to "on-off" episodes.
Choice C rationale: Vitamin B6 supplementation is not typically used to address "on- off" episodes associated with levodopa/carbidopa.
Choice D rationale: Discontinuing the drug for 10 days (a "drug holiday") is not recommended and may result in a worsening of symptoms.
Correct Answer is B
Explanation
Choice A rationale: Atropine is not primarily used to prevent anxiety. Its main use is to increase heart rate by blocking vagal effects on the heart.
Choice B rationale: Atropine is commonly used to prevent or treat bradycardia, particularly during anesthesia induction, when vagal stimulation can lead to significant slowing of the heart rate.
Choice C rationale: Dry mouth is a common side effect of atropine, not its primary use. Atropine is not given to prevent dry mouth.
Choice D rationale: Atropine is not used to prevent hypertension. Its primary cardiovascular effect is to increase heart rate.
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