A client has been prescribed a nasal decongestant for nasal ...

[acc299]

A client has been prescribed a nasal decongestant for nasal stuffiness due to a common cold. The client is also taking an antidepressant that is a monoamine oxidase inhibitor. The nurse would warn the client about which of the following?
 
  A) Hypotension
  B) Severe headache
  C) Sedation
  D) Bradycardia

Question 2

A 21-year-old client complains of a mild stinging sensation on using a nasal spray decongestant. Which response by the nurse would be most appropriate?
 
  A) You need to stop the medication immediately.
  B) The dose is probably too strong and needs to be reduced.
  C) This sensation is common and usually disappears with continued use.
  D) We better contact your primary health care provider right away.

[Andromeda18]

Answer to Question 1

Ans: B
Feedback:
The nurse should warn the client of the possibility of severe headache due to an interaction between the two drugs. Such an interaction may also result in hypertensive crisis instead of hypotension. Sedation and bradycardia do not occur when an MAOI and decongestant are used together.

Answer to Question 2

Ans: C
Feedback:
The nurse needs to assure the client that the mild stinging sensation usually disappears with continued use. The drug needs to be stopped only if the stinging sensation is severe. The dose of the medication does not need to be altered. The primary health care provider does not need to be consulted immediately in the presence of a mild stinging sensation.

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TYSM

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