The patient is ordered a nasal spray. Which intervention should the nurse instruct the patient to do prior to administration of the nasal spray?

Ask the patient to use the bathroom

Instruct the patient to look up at the ceiling

Ask the patient to take a deep breath

Ask the patient to blow his/her nose to clear the nasal passages

Answer and Explanation

The Correct Answer is D

A. Asking the patient to use the bathroom is unrelated to the administration of nasal spray and is not necessary.
B. Instructing the patient to look up at the ceiling is not required for nasal spray administration and does not facilitate the process.
C. Asking the patient to take a deep breath is not directly related to the administration of nasal spray and does not affect its effectiveness.
D. Asking the patient to blow his/her nose to clear the nasal passages is important before administering nasal spray. Clearing nasal passages helps ensure that the medication can reach the nasal mucosa effectively, improving absorption and efficacy of the spray.

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Correct Answer is B

Explanation

A. Bringing the dropper from below the client's eye is incorrect as it increases the risk of contamination from the eyelashes.
B. Holding the ophthalmic solution 1 to 2 cm (1/2 to 3/4 in) above the lower conjunctival sac allows for accurate instillation into the eye without touching the dropper tip to the eye or eyelashes.
C. Instilling drops into the inner canthus is incorrect; drops should be placed into the conjunctival sac to ensure proper absorption.
D. Asking the client to look down may help expose the lower conjunctival sac but is not the correct action for administering the drops.

A. Insomnia B. Constipation C. Blurred vision D. Bleeding

Correct Answer is D

Explanation

A. Insomnia is not typically associated with aspirin therapy.
B. Constipation is not a common adverse effect of aspirin.
C. Blurred vision is not a common adverse effect of aspirin.
D. Aspirin is an antiplatelet medication and can increase the risk of bleeding, so monitoring for signs of bleeding (e.g., easy bruising, nosebleeds) is crucial.

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The patient is ordered a nasal spray. Which intervention should the nurse instruct the patient to do prior to administration of the nasal spray?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?

Correct Answer is D

Explanation

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