Which of the following is an adverse reaction to topical nasal steroid?
Rebound effect.
Local ulceration.
Increased nasal drainage.
Suppression of healing.
The Correct Answer is B
Choice A rationale
The rebound effect is typically associated with decongestants rather than topical nasal steroids. It occurs when nasal congestion worsens after stopping decongestant use.
Choice B rationale
Local ulceration is a potential adverse reaction to topical nasal steroids due to the localized irritation and thinning of the nasal mucosa with prolonged use.
Choice C rationale
Increased nasal drainage is not a common adverse reaction to topical nasal steroids. These medications typically reduce inflammation and decrease nasal drainage.
Choice D rationale
Suppression of healing is not an adverse reaction associated with topical nasal steroids. These drugs are more likely to reduce inflammation and promote healing of the nasal mucosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
This choice is incorrect. Although knowledge about drug therapy is important, it is not the most immediate concern in this scenario. The priority nursing diagnosis should address the potential risks associated with the drug’s side effects, such as sedation, which can impair the patient’s ability to function safely.
Choice B rationale
This choice is incorrect. While effective health maintenance and medication adherence are crucial, they do not directly address the immediate risk posed by the drug’s sedative effects. The priority should be to prevent harm and ensure the patient’s safety, which involves mitigating the risk of injury related to sedation.
Choice C rationale
This choice is correct. The primary concern with sedative drugs, especially in elderly patients, is the increased risk of falls and injuries due to impaired coordination and alertness. The nursing diagnosis “Risk for injury, related to adverse effect of the drug” directly addresses this critical issue, making it the priority in this situation.
Choice D rationale
This choice is incorrect. Noncompliance due to the cost of the drug is an important consideration, but it does not address the immediate safety risk posed by sedation. The priority should be to ensure the patient’s safety by managing the side effects that could lead to injury. Cost-related concerns can be addressed after ensuring that the patient is not at immediate risk of harm. .
Correct Answer is B
Explanation
Choice A rationale
Ethosuximide (Zarontin) is used to treat absence seizures and is not suitable for emergency control of status epilepticus. It primarily works by affecting the T-type calcium channels in the brain.
Choice B rationale
Diazepam (Valium) is used in the emergency control of status epilepticus due to its fast-acting anticonvulsant properties. It enhances the effect of the neurotransmitter GABA, leading to an inhibitory effect on neuronal activity.
Choice C rationale
Phenobarbital (Luminal) is a barbiturate used for long-term management of epilepsy but is less preferred for immediate emergency control of status epilepticus due to its slower onset of action.
Choice D rationale
Phenytoin (Dilantin) can be used for the maintenance treatment of seizures, but it is less effective for the immediate control of status epilepticus compared to benzodiazepines like diazepam.
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