Author Question: A client is suffering from rebound congestion. Which of the following would the nurse expect to do ... (Read 26 times)

Mimi

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A client is suffering from rebound congestion. Which of the following would the nurse expect to do to help the client experience relief from rebound congestion? Select all that apply.
 
  A) Suggest the client switch from a topical decongestant to an oral product.
  B) Recommend the client switch from an oral decongestant to a topical product.
  C) Tell the client to abruptly discontinue the decongestant product.
  D) Advise the client to gradually discontinue the decongestant product.
  E) Suggest a saline irrigation of the nasal passages in place of the decongestant.

Question 2

A client taking metoprolol (Lopressor) 50 mg one tablet twice daily begins taking over-the-counter pseudoephedrine. The nurse would assess for which of the following? Select all that apply.
 
  A) Hyperglycemic episode
  B) Hypertensive episode
  C) Rebound congestion
  D) Hypoglycemic episode
  E) Bradycardic episode



katieost

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Answer to Question 1

Ans: A, D, E
Feedback:
Rebound congestion can be treated by a switch from a topical to an oral decongestant, gradual discontinuation of the topical decongestant, or replacement of the topical decongestant with saline irrigation of the nasal passages.

Answer to Question 2

Ans: B, E
Feedback:
A client taking a beta-adrenergic blocker, such as metoprolol, and a decongestant, such as pseudoephedrine, may develop an initial hypertensive episode followed by a bradycardic episode.



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