Answer to Question 1
Correct Answer: 1
Rationale 1: Nasal steroids are indicated for control of allergic rhinitis. Nasal congestion, drainage, sneezing, and watery eyes should diminish after a month's use.
Rationale 2: Nasal steroids do not prevent infections.
Rationale 3: Nasal steroids do not decrease wheezing because they do not penetrate the lower airway.
Rationale 4: Nasal steroids do not protect the tonsils.
Global Rationale: Nasal steroids are indicated for control of allergic rhinitis. Nasal congestion, drainage, sneezing, and watery eyes should diminish after a month's use. Nasal steroids do not prevent infections. Nasal steroids do not decrease wheezing because they do not penetrate the lower airway. Nasal steroids do not protect the tonsils.
Answer to Question 2
Correct Answer: 2
Rationale 1: Hypertension and other signs of Cushing syndrome occur only if large amounts are absorbed systemically.
Rationale 2: Nasal steroids cause local irritation and might trigger nosebleeds. Systemic symptoms are uncommon.
Rationale 3: Bone demineralization and other signs of Cushing syndrome occur only if large amounts are absorbed systemically.
Rationale 4: Gastric upset and other signs of Cushing syndrome occur only if large amounts are absorbed systemically.
Global Rationale: Transient nasal irritation, burning, sneezing, dryness are common adverse effects of this drug. Hypercorticism with symptoms of hypertension, bone demineralization, and gastric upset may occur but only if large amounts are swallowed. Nasal ulceration leading to nosebleeds may occur. Use increases risk for Candida infection.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Establishing a caring and trusting relationship helps the client come to terms with a terminal illne
Entry level nurse competencies
To check pupillary reflexes the nurse first holds the penlight
The nurse begins the general survey