Author Question: A child with seasonal rhinitis has used budesonide (Rhinocort Aqua) for several years. The parents ... (Read 29 times)

Haya94 · **on:** Jul 23, 2018

A child with seasonal rhinitis has used budesonide (Rhinocort Aqua) for several years. The parents are concerned that the child's rate of growth has slowed. What will the nurse do?

a. Reassure the parents that this is an expected side effect.
b. Suggest that the parents discuss using fluticasone (Flonase) with the provider.
c. Tell the parents to administer the drug only when symptoms are severe.
d. Tell the parents that antihistamines work as well as intranasal glucocorticoids.

Question 2

A nurse provides teaching to a patient with allergic rhinitis who will begin using an intranasal glucocorticoid. Which statement by the patient indicates understanding of the teaching?

a. If the glucocorticoid causes burning or itching, I should use it every other day.
b. I should clear secretions from my nose before using the glucocorticoid.
c. I should use the glucocorticoid whenever I have symptoms.
d. I will probably develop systemic effects from the topical glucocorticoid.

ashely1112 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
A worrisome systemic effect of intranasal glucocorticoids is suppression of linear growth in children. Although rare, it can occur; however, it is less likely with fluticasone and mometasone, so these two preparations are better options for children. Reassuring parents that this is an expected side effect is incorrect. Intranasal glucocorticoids should be given daily and not as needed. Antihistamines are not as effective as glucocorticoids, because antihistamines work only against one mediator of allergic inflammation.

Answer to Question 2

ANS: B
Patients using intranasal glucocorticoids should be taught to clear secretions from the nasal passages before using the medication. Intranasal glucocorticoids should be used regularly on a daily basis to achieve optimal effects and not every other day or as needed. Systemic effects from intranasal glucocorticoids can occur but are not likely.