A client has been diagnosed with allergic rhinitis. Which symptoms would the nurse expect to observe?

(Select All that Apply.)

A. Wheezing: Wheezing is not a typical symptom of allergic rhinitis. It is more commonly associated with asthma or other lower respiratory conditions.

B. Sneezing: Sneezing is a common symptom of allergic rhinitis. It is often triggered by exposure to allergens such as pollen, dust mites, or pet dander.

C. Watery eyes: Watery eyes, also known as allergic conjunctivitis, frequently accompany allergic rhinitis. This symptom occurs due to inflammation of the conjunctiva in response to allergen exposure.

D. Nasal congestion: Nasal congestion, or a stuffy nose, is a hallmark symptom of allergic rhinitis. It occurs as a result of inflammation and swelling of the nasal mucosa in response to allergens.

E. Urticaria: Urticaria, commonly referred to as hives, may occur in some individuals with allergic rhinitis. However, it is more commonly associated with other types of allergic reactions, such as food allergies or drug allergies.

A. This is normal.
Guaifenesin is an expectorant medication commonly used to help loosen and thin mucus in the airways, making it easier to cough up. Coughing up phlegm after taking guaifenesin is a typical and expected response to the medication. Therefore, reassuring the client that this is a normal effect of the medication is appropriate.

B. This requires further investigation: Coughing up phlegm after taking guaifenesin is a common and expected outcome, so further investigation is not necessary unless there are other concerning symptoms or indications.

C. This is indicative of an allergic reaction: Coughing up phlegm after taking guaifenesin is not indicative of an allergic reaction. Allergic reactions to guaifenesin are rare and typically present with more severe symptoms such as rash, itching, swelling, or difficulty breathing.

D. This means there is probably more pathology present: Coughing up phlegm after taking guaifenesin does not necessarily indicate the presence of additional pathology. Guaifenesin is intended to help clear mucus from the airways and is commonly used in the treatment of respiratory conditions associated with excess mucus production, such as cough due to cold or bronchitis.