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
Related Questions
Correct Answer is A
Explanation
An agonist means it binds to mimic the action of the endogenous neurotransmitter. Adrenergic receptors act to stimulate the sympathetic nervous system leading to the fight/flight response. Increase in heart rate leads to increased cardiac output.
B. reduced anxiety are features of adrenergic blockade
C and D Volume depletion, decreased urine output are features of cardiogenic shock itself
Correct Answer is A
Explanation
Rationale- A spacer connects the MDI and the mouth containing any medication exhaled eliminating the need for the coordination
B. Notifying the provider does not solve the client’s need
C. Inhalers are delivered directly into the airway and are not taken orally
D. A peak flow meter is used to measure peak flow but not for drug delivery

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