Author Question: A patient has been prescribed an adrenergic nasal spray. What medication instruction should the ... (Read 23 times)

Alygatorr01285 · **on:** Jul 23, 2018

A patient has been prescribed an adrenergic nasal spray. What medication instruction should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. Do not share this spray with anyone.
2. Sit upright while using this spray.
3. Only use this spray for 35 days.
4. Do not shake the bottle before using this spray.
5. Keep this spray refrigerated.

Question 2

The patient is receiving hydrochlorothiazide (Microzide) as well as digoxin (Lanoxin). Which lab result would the nurse recognize as most significant?

1. ALT level of 35 units/L
2. Sodium level of 140 mEq/L
3. Potassium level of 2.9 mEq/L
4. BUN level of 20 mg/dl

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

Answer to Question 1

1,2,3
Rationale 1: Sharing nasal sprays may spread infection.
Rationale 2: The patient should sit upright to use this medication so that it is delivered appropriately, avoiding overdosage.
Rationale 3: Adrenergic nasal sprays may cause rebound congestion if used more that 35 days.
Rationale 4: There is no indication that the bottle should not be shaken.
Rationale 5: There is no indication that the medication should be refrigerated.

Global Rationale: Sharing nasal sprays may spread infection. The patient should sit upright to use this medication so that it is delivered appropriately, avoiding overdosage. Adrenergic nasal sprays may cause rebound congestion if used more that 35 days. There is no indication that the bottle should not be shaken. There is no indication that the medication should be refrigerated.

Answer to Question 2

3
Rationale 1: This ALT level is within normal range.
Rationale 2: The concern is not sodium levels; this sodium level is within normal range.
Rationale 3: Hypokalemia caused by hydrochlorothiazide (Microzide) may increase digoxin (Lanoxin) toxicity. The normal range for potassium is 3.5 to 5.2 mEq/L.
Rationale 4: The concern is not kidney function, and this BUN is within normal range.
Global Rationale: Hypokalemia caused by hydrochlorothiazide (Microzide) may increase digoxin (Lanoxin) toxicity. The normal range for potassium is 3.5 to 5.2 mEq/L. The concern is hypokalemia, not sodium levels; this sodium level is within normal range. The concern is hypokalemia, not liver damage, and this ALT level is within normal range. The concern is hypokalemia, not kidney function, and this BUN is within normal range.