Which of the following is an adverse reaction to topical nasal steroid?

Choice A rationale

Cardiac glycosides are not known for increasing heart rate. Instead, they tend to decrease heart rate by enhancing vagal tone and increasing the refractory period of the atrioventricular node, which helps in controlling heart rate, especially in atrial fibrillation.

Choice B rationale

Cardiac glycosides actually increase the force of myocardial contractions. They inhibit the sodium-potassium ATPase pump, which leads to an increase in intracellular sodium and calcium levels in the myocardial cells, thus increasing the force of contraction.

Choice C rationale

Cardiac glycosides do not significantly decrease conduction velocity. They primarily affect the contractility and heart rate but their influence on conduction velocity is relatively mild.

Choice D rationale

Cardiac glycosides improve renal blood flow and increase urine output by increasing the cardiac output and reducing the activation of the renin-angiotensin-aldosterone system. This helps in relieving symptoms of heart failure.

Choice A rationale

Administering the medication even if the name of the drug can be clearly read is risky because the rest of the label might contain essential information like dosage, expiration date, and other critical instructions. Administering a medication without complete labeling increases the risk of medication errors.

Choice B rationale

Discarding the entire bottle and contents and obtaining a new bottle is the safest option. It ensures that the nurse is using a medication with a fully intact label, which includes all necessary information to safely administer the medication, such as dosage, route, and expiration date.

Choice C rationale

Asking another nurse to verify the contents of the bottle is not sufficient because the torn and soiled label still lacks complete information. Without all details, there's a risk of administering the wrong dosage or an expired medication.

Choice D rationale

Finding the drug information and making a new label for the bottle is not appropriate because it does not guarantee the accuracy of the dosage or other critical details that were on the original label. It's better to use a completely labeled and verified medication bottle.