Author Question: Which medication may be given to patients with allergic seasonal rhinitis who do not respond to ... (Read 38 times)

Jramos095 · **on:** Jul 24, 2018

Which medication may be given to patients with allergic seasonal rhinitis who do not respond to antihistamines and sympathomimetics?

a. Leukotrienes
b. Mineralocorticoids
c. Corticosteroids
d. Cortisol

Question 2

Which instruction will the nurse include when teaching a patient with seasonal rhinitis and blocked nasal passages about intranasal corticosteroid therapy?

a. Clear your nasal passage after administration.
b. Anticipate a therapeutic benefit within 24 hours.
c. Use a decongestant prior to administration.
d. Report nasal burning to your health care provider.

stallen · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: C
Corticosteroids, whether applied topically or administered systemically, have been shown to be highly effective for the treatment of allergic rhinitis. Leukotrienes, made in the body, are mediators of the inflammatory response. Mineralocorticoids do not affect allergic responses. Cortisol is not the steroid of choice for the treatment of an allergic response.

Answer to Question 2

ANS: C
Use of a decongestant just before intranasal corticosteroid administration ensures adequate penetration. The patient should clear the nasal passages before, not after, administration. The therapeutic benefit occurs after 24 hours. Nasal burning tends to resolve with continued therapy.