This topic contains a solution. Click here to go to the answer

Author Question: A patient has been prescribed phenylephrine (Neo-Synephrine) spray for nasal congestion. What ... (Read 47 times)

Melani1276

  • Hero Member
  • *****
  • Posts: 516
A patient has been prescribed phenylephrine (Neo-Synephrine) spray for nasal congestion. What information about adverse effects should the nurse provide in discharge teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. This drug may cause some stinging or burning in your nose.
  2. You may notice that your nasal secretions take on a slightly orange tint.
  3. You may feel like your blood pressure is low for the first few times you use this spray.
  4. One of the major adverse effects of this drug is rebound congestion if it is used more than a few days.
  5. Do not drink herbal teas while taking this medication.

Question 2

A patient who has a potassium level of 5.9 mEq/L will be given oral polystyrene sulfonate (Kayexalate). What nursing actions are necessary?
 
  1. Monitor for onset of action of this drug in an hour.
  2. Administer sorbitol concurrently.
  3. Repeat the dose in 4 hours if needed.
  4. Mix the dose with a high sugar liquid.
  5. Follow the dose with an enema.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Bigfoot1984

  • Sr. Member
  • ****
  • Posts: 321
Answer to Question 1

1,4
Rationale 1: Intranasal use of this drug can cause burning of the mucosa.
Rationale 2: There is no indication that orange-tinted nasal secretions should be expected.
Rationale 3: Intranasal medications, if used properly, should have little or no effect on blood pressure.
Rationale 4: Rebound congestion is likely to occur if the drug is used for over 35 days.
Rationale 5: There are no known drugherbal interactions with this drug.

Global Rationale: Intranasal use of this drug can cause burning of the mucosa. Rebound congestion is likely to occur if the drug is used for over 35 days. There is no indication that orange-tinted nasal secretions should be expected. Intranasal medications, if used properly, should have little or no effect on blood pressure. There are no known drugherbal interactions with this drug.

Answer to Question 2

1,2,3
Rationale 1: Polystyrene sulfonate (Kayexalate) has an onset of action of 1 hour.
Rationale 2: Sorbitol or another laxative is administered concurrently to promote rapid evacuation of potassium.
Rationale 3: The dose may be repeated in 4 hours if indicated.
Rationale 4: There is no need to mix the dose with a high sugar liquid.
Rationale 5: This drug may be given rectally, but there is no indication to use both routes of delivery.

Global Rationale: Polystyrene sulfonate (Kayexalate) has an onset of action of 1 hour. Sorbitol or another laxative is administered concurrently to promote rapid evacuation of potassium. The dose may be repeated in 4 hours if indicated. There is no need to mix the dose with a high sugar liquid. This drug may be given rectally, but there is no indication to use both routes of delivery.



Melani1276

  • Hero Member
  • *****
  • Posts: 516
Both answers were spot on, thank you once again




 

Did you know?

About 3.2 billion people, nearly half the world population, are at risk for malaria. In 2015, there are about 214 million malaria cases and an estimated 438,000 malaria deaths.

Did you know?

The top 10 most important tips that will help you grow old gracefully include (1) quit smoking, (2) keep your weight down, (3) take supplements, (4) skip a meal each day or fast 1 day per week, (5) get a pet, (6) get medical help for chronic pain, (7) walk regularly, (8) reduce arguments, (9) put live plants in your living space, and (10) do some weight training.

Did you know?

Cyanide works by making the human body unable to use oxygen.

Did you know?

By definition, when a medication is administered intravenously, its bioavailability is 100%.

Did you know?

Aspirin is the most widely used drug in the world. It has even been recognized as such by the Guinness Book of World Records.

For a complete list of videos, visit our video library