What action should the practical nurse (PN) instruct the client to perform prior to the instillation of nasal drops?
Use a tissue to clear the nose.
Inhale deeply through the nose.
Hold the breath temporarily.
Exhale deeply through the nose.
The Correct Answer is A
Choice A rationale
Clearing the nose with a tissue prior to the instillation of nasal drops can help to remove
mucus and other obstructions, allowing the medication to reach the nasal passages more
effectively15.
Choice B rationale
Deep inhalation through the nose is not typically recommended prior to the instillation of
nasal drops. It could potentially draw the medication deeper into the nasal passages or into the
throat, rather than allowing it to remain in the intended area15.
Choice C rationale
Holding the breath temporarily is not typically necessary or recommended prior to the
instillation of nasal drops15.
Choice D rationale
the nasal passages, but it is not as effective or recommended as using a tissue to clear the
nose15.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Metronidazole is an antibiotic used to treat various infections. Seizure activity is a serious side effect of metronidazole and should be reported to the charge nurse immediately.
Choice B rationale
While headache is a common side effect of metronidazole, it is not as serious as seizure activity and does not necessarily need to be reported to the charge nurse unless it is severe or persistent.
Choice C rationale
A metallic taste in the mouth is a common side effect of metronidazole. It is not a serious side effect and does not need to be reported to the charge nurse.
Choice D rationale
Abdominal cramping can be a side effect of metronidazole. However, it is not as serious as seizure activity and does not necessarily need to be reported to the charge nurse unless it is severe or persistent.
Correct Answer is A
Explanation
Choice A rationale
If a child undergoing a blood transfusion complains of itchy skin and appears flushed, these
could be signs of a transfusion reaction. The PN should stop the transfusion immediately.
Choice B rationale
While inspecting the infusion site is a part of regular monitoring during a transfusion, it would
not typically be the first action in response to symptoms of a possible transfusion reaction.
Choice C rationale
Applying lotion to the skin would not address the underlying issue if the child is experiencing a
transfusion reaction.
Choice D rationale
Checking the vital signs is important, but the first action should be to stop the transfusion if a
reaction is suspected.
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