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: Dopamine is not the appropriate medication for an allergic reaction. It is a neurotransmitter and is not used in the treatment of anaphylaxis.
Choice B rationale: Epinephrine is the first-line treatment for anaphylaxis, including severe difficulty breathing and swelling of the tongue. It acts quickly to reverse the symptoms of an allergic reaction.
Choice C rationale: Norepinephrine is not the medication of choice for an allergic reaction. It primarily acts as a vasoconstrictor and is used in conditions like septic shock.
Choice D rationale: Pseudoephedrine is a decongestant and is not the appropriate medication for treating an allergic reaction with respiratory distress.
Correct Answer is A
Explanation
Choice A rationale: Abstinence syndrome (withdrawal) from alcohol is characterized by symptoms such as muscle cramps, tremors, and tachycardia.
Choice B rationale: Hyperventilation, chest pain, and ptosis are not typical manifestations of alcohol withdrawal.
Choice C rationale: Increased urination, dry cough, and hypothermia are not characteristic of alcohol withdrawal.
Choice D rationale: Epistaxis, ascites, and exophthalmos are not specific to alcohol withdrawal and may indicate other health issues.
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