The nurse should teach the hypertensive client planning to use an ...

[DelorasTo]

The nurse should teach the hypertensive client planning to use an oral nasal decongestant such as pseudoephedrine (Sudafed) to:
 
  a. read the label carefully before using
  b. to avoid the drying of nasal passages caused by this drug, use saline drops.
  c. take the medication with plenty of oral fluids
  d. contact her health care provider before using the product.

Question 2

A client has profuse sinus drainage when he lies down and is planning to take an OTC decongestant, the nurse should recommend that the client:
 
  a. decrease fluid intake to reduce sinus drainage.
  b. take the decongestant before bedtime.
  c. get 6 to 8 hours of sleep per night.
  d. see a health care provider before taking an OTC decongestant.

[nikmaaacs]

Answer to Question 1

ANS: D

Feedback
A Incorrect: Although good advice, it is not the best nursing response in this situation.
B Incorrect: Although good advice, it is not the best nursing response in this situation.
C Incorrect: Although appropriate advice for most clients, because of her hypertension, this client may be on fluid restrictions plus this drug increases blood pressure.
D Correct: Because many decongestants including pseudoephedrine increase blood pressure, the client should consult with her health care provider first.

Answer to Question 2

ANS: B

Feedback
A Incorrect: The client should increase fluid intake unless contraindicated by another medical condition.
B Correct: Taking the decongestant before bedtime will help decrease the sinus drainage occurring when the client lies down.
C Incorrect: Clients should get 8 hours of sleep/night but this will not be the best assistance for this client.
D Incorrect: This is not necessary.

[DelorasTo]

Excellent

[kusterl]

Thanks for the timely response, appreciate it