A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?
Assist the client to a side-lying position.
Hold the dropper 2 cm (1 in) above the naris.
Tell the client to blow her nose gently before the instillation.
Instruct the client to stay in the same position for 2 min.
The Correct Answer is C
Rationale-blowing the nose clears any mucus plugs allowing for optimal absorption
A. Lying on the side post application may lead to spillage of the applied drop
B. Holding the dropper too far leads to spillage with too little medication getting to the desired area
D. Tilting the head too long may lead to unnecessary irritation
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
A. morphine can cause respiratory depression
B. Not relevant to morphine administration
C. Important assessment but not priority
D. not directly related to morphine administration
Correct Answer is D
Explanation
Disulfiram blocks the metabolism of alcohol leading to unpleasant effects such as flushing, apprehension, headache, nausea and vomiting
A. Alcohol containing substances will cause the unpleasant effect when consumed
B. Disulfiram prevent metabolism of alcohol and hence has no similar effects to alcohol
C. When taken with warfarin, it increases the risk of bleeding
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