Author Question: A 29-year-old female patient has sinusitis, so the physician orders a topical nasal decongestant. ... (Read 38 times)

silviawilliams41 · **on:** Jul 23, 2018

A 29-year-old female patient has sinusitis, so the physician orders a topical nasal decongestant. What instructions should be given?

A) Avoid becoming pregnant during decongestant therapy.
B) Increase fluids to 2 L/d.
C) Restrict fluids to 500 mL/d.
D) Take the medication with meals.

Question 2

The provider orders a maintenance dose of oral aminophylline, 3 mg/kg every 6 hour. The patient weighs 50 kg. How many mg should the nurse administer to the patient in a 24-hour period?

What will be an ideal response?

gstein359 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Institute other measures to help relieve the discomfort of congestion (e.g., humidity, increased fluid intake, cool environment, avoidance of smoke-filled areas) as appropriate. The medication does not need to be taken with meals or to restrict fluids. It would be inappropriate to tell the patient to avoid becoming pregnant.

Answer to Question 2

600 milligram
Feedback:
The patient's weight times the number of milligram/kilogram will provide daily dosage of medication: 50 kg 3 mg/kg = 150 mg per dose. The patient is to receive a dose every 6 hours. The number of hours in a day divided by the number of hours separating each dose supplies the number of dosages the patient receives per day: 24 hours 6 hours between doses = 4 doses per day. If each dose is 150 mg and the patient receives 4 of these doses a day, the total amount of medication received is 150 mg 4 daily doses = 600 mg.