The nurse is instructing a client with allergic rhinitis about the correct technique for using an intranasal inhaler. Which instruction is most important for the nurse to provide the client?

Hold one nostril closed while spraying the other nostril.

Use the inhaler when first awakening in the morning.

Avoid shaking the inhaler immediately before using

Angle the tip of the inhaler upward while spraying.

Answer and Explanation

The Correct Answer is A

A. Hold one nostril closed while spraying the other nostril: Closing one nostril while administering the spray ensures the medication is delivered more effectively into the nasal passages, allowing for better absorption and symptom control by maximizing the contact of the medication with the nasal mucosa.

B. Use the inhaler when first awakening in the morning: The specific timing of intranasal corticosteroid use may vary depending on the healthcare provider's instructions and the client's symptom pattern. While morning use can be beneficial due to peak allergy symptoms, it is not the most critical technique instruction. Proper administration ensures better drug efficacy regardless of timing.

C. Avoid shaking the inhaler immediately before using: Some nasal sprays, especially suspensions, require shaking to evenly distribute the medication. Advising not to shake could lead to inconsistent dosing and reduced effectiveness, depending on the specific medication.

D. Angle the tip of the inhaler upward while spraying: The inhaler tip should be angled slightly outward toward the ear, not straight upward, to target the correct nasal structures. Spraying directly upward could lead to discomfort or less effective drug delivery.

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Correct Answer is D

Explanation

A. Headache: Although headache can occur as a mild side effect of azithromycin, it is not typically serious or life-threatening. It does not require immediate reporting unless it is severe or associated with other concerning symptoms.

B. Urinary frequency: Urinary symptoms like frequency are not common adverse effects of azithromycin. If present, they are more likely related to the underlying infection rather than the medication itself.

C. Flatulence and nausea: Gastrointestinal symptoms such as nausea and flatulence are common and expected with azithromycin. They are usually mild and do not require the client to contact the healthcare provider unless they become severe or persistent.

D. Yellow sclera: Yellowing of the sclera is a sign of jaundice, which could indicate liver dysfunction. Azithromycin can rarely cause hepatotoxicity, making this symptom important to report immediately to the healthcare provider for evaluation.

A. Monitor urinary output. B. Notify the healthcare provider (HCP). C. Prepare to give insulin. D. Obtain fingerstick blood glucose.

Correct Answer is D

Explanation

A. Monitor urinary output: While monitoring output is important, it does not provide immediate diagnostic information regarding the cause of the client’s thirst. It is a supportive action but not the most efficient first step to investigate potential hyperglycemia.

B. Notify the healthcare provider (HCP): Notifying the HCP is appropriate if there are abnormal findings or the client’s condition worsens. However, the nurse should gather objective data—such as a blood glucose reading—before contacting the provider.

C. Prepare to give insulin: Insulin should not be administered without confirmation of elevated blood glucose. Giving insulin without verifying hyperglycemia could lead to serious complications, including hypoglycemia.

D. Obtain fingerstick blood glucose: Methylprednisolone, a corticosteroid, can raise blood glucose levels, and excessive thirst is a classic symptom of hyperglycemia. Checking the client’s blood glucose is the most appropriate first action to determine if elevated glucose is causing the symptom.

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The nurse is instructing a client with allergic rhinitis about the correct technique for using an intranasal inhaler. Which instruction is most important for the nurse to provide the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is D

Explanation

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