This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient has been using an intranasal sympathomimetic for allergic rhinitis for 10 days. While ... (Read 63 times)

Charlie

  • Hero Member
  • *****
  • Posts: 640
on: Jul 23, 2018
A patient has been using an intranasal sympathomimetic for allergic rhinitis for 10 days. While reducing the medication, the patient notices increased stuffiness. Select the nurse's best response.
 
  a. Restart the nasal spray and continue it indefinitely, because you have chronic rhinitis.
  b. Do not restart the spray. You will need systemic glucocorticoids to relieve the symptoms.
  c. Discontinue drug use in one nostril at a time to reduce this rebound congestion.
  d. These agents were inappropriate for use in your condition, and you should never use them again.

Question 2

A patient is starting azelastine (Astelin) spray for allergic rhinitis. The nurse should discuss which common side effect during patient education?
 
  a. Hemoptysis
  b. Bitter taste
  c. Cough
  d. Increased stuffiness for the first month of therapy


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

briseldagonzales

  • Sr. Member
  • ****
  • Posts: 303
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Rebound congestion can occur when intranasal sympathomimetics are used for prolonged periods, requiring the patient to increase the frequency of doses. This can be stopped by abrupt decongestant withdrawal, which can be extremely uncomfortable. A less drastic approach is to discontinue the drug in one nostril at a time.
Rebound congestion develops when topical agents are used for longer than a few days. Restarting the spray would cause the patient to use progressively larger and more frequent doses to overcome the rebound congestion. This would not be an appropriate recommendation.
Glucocorticoids would not reverse the rebound congestion.
Intranasal sympathomimetics are appropriate for allergic rhinitis, but their use should be limited to 3 to 5 days to minimize rebound congestion.

Answer to Question 2

ANS: B
A bitter taste in the mouth occurs in about 20 of patients using azelastine nasal spray. Patients should be informed of this side effect.
Hemoptysis, cough, and increased nasal stuffiness are not common side effects.


Charlie

  • Member
  • Posts: 640
Reply 2 on: Jul 23, 2018
Gracias!

matt95

  • Member
  • Posts: 317
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Did you know?

Street names for barbiturates include reds, red devils, yellow jackets, blue heavens, Christmas trees, and rainbows. They are commonly referred to as downers.

Did you know?

Warfarin was developed as a consequence of the study of a strange bleeding disorder that suddenly occurred in cattle on the northern prairies of the United States in the early 1900s.

Did you know?

Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

Electroencephalography (EEG). To perform the EEG, electrodes attached to the patient’s head pick up Electroencephalography (EEG). To perform the EEG, electrodes attached to the patient’s head pick up
Immunization with a vaccine. A healthcare professional is injecting a vaccine into the patient’s arm Immunization with a vaccine. A healthcare professional is injecting a vaccine into the patient’s arm
An oral contraceptive showing the daily doses and the different formulation taken in the last 7 days An oral contraceptive showing the daily doses and the different formulation taken in the last 7 days
A physical therapist helping the patient on parallel bars. A physical therapist helping the patient on parallel bars.
Anatomy of the heart. Remember: It is labeled right and left based on the patient’s perspective. Anatomy of the heart. Remember: It is labeled right and left based on the patient’s perspective.
Average Number of Days per Year with Thunderstorms Average Number of Days per Year with Thunderstorms
Video: Dorsal Recumbent Position

For a complete list of videos, visit our video library