Author Question: The client receives beclomethasone (Beconase) intranasally as treatment for allergic rhinitis. He ... (Read 21 times)

burchfield96 · **on:** Jul 23, 2018

The client receives beclomethasone (Beconase) intranasally as treatment for allergic rhinitis. He asks the nurse if this drug is safe because it is a glucocorticoid. What is the best response by the nurse?

1. Intranasal glucocorticoids produce almost no serious adverse effects.
2. Intranasal glucocorticoids are safe if you do not swallow any while using them.
3. Intranasal glucocorticoids are safe if they are not used too long.
4. Intranasal glucocorticoids are safe only if used once a day.

Question 2

The client receives diphenhydramine (Benadryl) to control allergic symptoms. Which common symptom does the nurse teach the client to report to the physician?

1. Sedation
2. Diarrhea
3. Projectile vomiting
4. Urinary hesitancy

tmlewis4706 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Intranasal glucocorticoids produce almost no serious adverse effects.
Rationale 2: Swallowing glucocorticoids used for intranasal application could potentially cause reactions, but large amounts would need to be swallowed. This option states they are dangerous if swallowed in any quantity.
Rationale 3: There is no time frame for the use of intranasal glucocorticoids; they produce almost no serious adverse effects.
Rationale 4: Intranasal glucocorticoids may be used more than once a day; they produce almost no serious adverse effects.

Answer to Question 2

Correct Answer: 4
Rationale 1: Sedation is a common side effect, but does not need to be reported.
Rationale 2: Diarrhea is not a common side effect.
Rationale 3: Projectile vomiting is not a common side effect.
Rationale 4: Urinary hesitancy is an anticholinergic effect of diphenhydramine (Benadryl) and should be reported to the physician.