A patient has been prescribed phenylephrine (Neo-Synephrine) ...

[Melani1276]

A patient has been prescribed phenylephrine (Neo-Synephrine) spray for nasal congestion. What information about adverse effects should the nurse provide in discharge teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. This drug may cause some stinging or burning in your nose.
  2. You may notice that your nasal secretions take on a slightly orange tint.
  3. You may feel like your blood pressure is low for the first few times you use this spray.
  4. One of the major adverse effects of this drug is rebound congestion if it is used more than a few days.
  5. Do not drink herbal teas while taking this medication.

Question 2

A patient who has a potassium level of 5.9 mEq/L will be given oral polystyrene sulfonate (Kayexalate). What nursing actions are necessary?
 
  1. Monitor for onset of action of this drug in an hour.
  2. Administer sorbitol concurrently.
  3. Repeat the dose in 4 hours if needed.
  4. Mix the dose with a high sugar liquid.
  5. Follow the dose with an enema.

[Bigfoot1984]

Answer to Question 1

1,4
Rationale 1: Intranasal use of this drug can cause burning of the mucosa.
Rationale 2: There is no indication that orange-tinted nasal secretions should be expected.
Rationale 3: Intranasal medications, if used properly, should have little or no effect on blood pressure.
Rationale 4: Rebound congestion is likely to occur if the drug is used for over 35 days.
Rationale 5: There are no known drugherbal interactions with this drug.

Global Rationale: Intranasal use of this drug can cause burning of the mucosa. Rebound congestion is likely to occur if the drug is used for over 35 days. There is no indication that orange-tinted nasal secretions should be expected. Intranasal medications, if used properly, should have little or no effect on blood pressure. There are no known drugherbal interactions with this drug.

Answer to Question 2

1,2,3
Rationale 1: Polystyrene sulfonate (Kayexalate) has an onset of action of 1 hour.
Rationale 2: Sorbitol or another laxative is administered concurrently to promote rapid evacuation of potassium.
Rationale 3: The dose may be repeated in 4 hours if indicated.
Rationale 4: There is no need to mix the dose with a high sugar liquid.
Rationale 5: This drug may be given rectally, but there is no indication to use both routes of delivery.

Global Rationale: Polystyrene sulfonate (Kayexalate) has an onset of action of 1 hour. Sorbitol or another laxative is administered concurrently to promote rapid evacuation of potassium. The dose may be repeated in 4 hours if indicated. There is no need to mix the dose with a high sugar liquid. This drug may be given rectally, but there is no indication to use both routes of delivery.

[Melani1276]

Both answers were spot on, thank you once again

[Bigfoot1984]

Great! Please up vote