Author Question: A client diagnosed with viral rhinitis tells the nurse that she has been using a decongestant nasal ... (Read 53 times)

brutforce · **on:** Jun 25, 2018

A client diagnosed with viral rhinitis tells the nurse that she has been using a decongestant nasal spray for several weeks and the symptoms are getting worse. Which of the following does the nurse suspect is occurring with this client?

1. Developing pneumonia
2. Subacute rhinitis
3. Rhinitis medicamentosa
4. Chronic otitis media

Question 2

A client is recovering from a total laryngectomy with the placement of a tracheostomy. The nurse should include which of the following instructions to this client?

1. Clean the tracheostomy tube with soap and water daily.
2. Limit protein in the diet.
3. Restrict fluids.
4. The nasogastric tube will be in for 2 weeks.

kmb352 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

3
Rhinitis medicamentosa can occur with overuse of decongestant nasal sprays, and it leads to rebound nasal congestion that is often worse that the original nasal congestion. The use of nasal sprays does not cause pneumonia, subacute rhinitis, or chronic otitis media.

Answer to Question 2

4
Clients recovering from a laryngectomy are unable to take nutrition orally for about 10 to 14 days. During this time the client will receive nutrition via intravenous fluids, enteral feedings through a nasogastric tube, or parenteral nutrition. Protein and fluids are not limited. The tracheostomy tube is not cleaned with soap and water.