A patient tells the nurse, I have been using a decongestant nasal spray for 3 months, but I still have terrible nasal congestion. The nurse could appropriately respond:
1. You probably need an antibiotic to clear up the congestion.
2. Are you sure you are administering the nasal spray correctly?
3. Nasal decongestant sprays can cause rebound congestion with long-term use.
4. Who told you to use that kind of nasal spray for 3 months?
Question 2
When discussing discharge instructions provided to the parents of a 2-year-old with an ear infection, the nurse would know that more teaching is required if the mother states:
1. I will pull her pinna down and back to straighten the ear canal before I put in the eardrops.
2. I will pull her pinna up and back to straighten the ear canal before I put in the eardrops.
3. I will position the dropper so that the drop rolls down the wall of the canal, to prevent it from landing on her eardrum.
4. I will be careful not to let the dropper touch her skin to prevent contamination of the medicine.
Nurse collaboration
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Building competency in patient centered care
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