A nurse has been administering mucolytic-like Hypertonic Nasal drops to an infant she has been caring for. How can she chart the effectiveness of this medication in her narrative note?
The infant tolerated the instillation of the nose drops without any shortness of breath or fever.
Saline nose drops inserted Infant cried a small amount
The infant tolerated the insertion of saline nose drops well
Saline nose drops were inserted into both nares.
Large random breath respirations 26/minute.
Correct Answer : A,C,D
"The infant's nasal congestion appeared to improve following the administration of hypertonic nasal drops. The infant tolerated the insertion of saline nose drops well, with no signs of distress or adverse reactions. The nasal passages appeared clearer after the instillation, and the infant's breathing appeared less congested. There was no significant increase in respiratory rate or other signs of respiratory distress observed. The intervention seemed to have a positive effect on the infant's nasal congestion."
This statement indicates that the mucolytic medication (hypertonic nasal drops) was administered and had a positive effect on the infant's nasal congestion. It also mentions that the infant tolerated the procedure well without any adverse reactions, such as shortness of breath or fever. The absence of distress or adverse symptoms and the observed improvement in nasal congestion indicate the effectiveness of the medication in the nurse's narrative note. The additional information about the saline nose drops and respiratory rate may not directly address the effectiveness of the mucolytic medication and can be documented separately if necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Inhaled fluticasone (Flovent) is a corticosteroid medication that is commonly used in the treatment of asthma. It works by reducing inflammation in the airway, which is a key component of asthma. By decreasing inflammation, it helps to prevent and control asthma symptoms, such as wheezing, coughing, and shortness of breath.
The other options mentioned are incorrect:
B. Relieves symptoms of an acute asthma attack: Inhaled fluticasone is not intended for immediate relief during an acute asthma attack. It is a long-term control medication used to manage and prevent asthma symptoms.
C. Causes immediate bronchodilation: Fluticasone does not cause immediate bronchodilation, which refers to the widening of the airways to improve breathing. Bronchodilation is typically achieved with short-acting beta-agonist medications, such as albuterol.
D. Reduces blood pressure and heart rate: Fluticasone is not known to have a direct effect on blood pressure or heart rate. Its primary action is to reduce inflammation in the airway for the management of asthma.
Correct Answer is ["10"]
Explanation
To determine the mL of diphenhydramine elixir to administer per dose, we need to calculate the dose based on the prescribed amount and the concentration of the elixir.
Given:
Prescribed dose: 25 mg Concentration of elixir: 12.5 mg/5 mL
We can set up a proportion to find the equivalent mL for the prescribed dose: 25 mg / x mL = 12.5 mg / 5 mL
Cross-multiplying and solving for x, we get:
25 mg * 5 mL = 12.5 mg * x mL 125 mg = 12.5 mg * x mL
125 mg / 12.5 mg = x mL 10 mL = x mL
Therefore, the nurse should administer 10 mL of diphenhydramine elixir per dose.
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