A nurse is caring for a client who has been taking oxymetazoline (Afrin) nasal spray for the past 10 days for allergic rhinitis. The nurse should monitor the client for which of the following manifestations as an adverse effect of this medication?
Sedation
Constipation
Productive cough
Nasal congestion
The Correct Answer is D
A) Sedation:
Sedation is not an adverse effect commonly associated with oxymetazoline nasal spray. Oxymetazoline works by constricting blood vessels in the nasal passages to relieve congestion and does not typically cause sedation.
B) Constipation:
Constipation is not an adverse effect associated with oxymetazoline nasal spray. Constipation is more commonly associated with medications that affect the gastrointestinal system, such as opioid analgesics or certain anticholinergic medications.
C) Productive cough:
Productive cough is not an adverse effect commonly associated with oxymetazoline nasal spray. Productive cough refers to a cough that produces mucus or phlegm and is more often associated with respiratory infections or chronic respiratory conditions.
D) Nasal congestion.
Oxymetazoline (Afrin) is a nasal decongestant spray commonly used for the temporary relief of nasal congestion associated with allergic rhinitis or the common cold. However, if oxymetazoline nasal spray is used for more than 3 to 5 consecutive days, it can lead to rebound congestion, also known as rhinitis medicamentosa. Rebound congestion occurs when the nasal mucosa becomes dependent on the medication for vasoconstriction, and upon discontinuation, nasal congestion worsens. Therefore, prolonged use of oxymetazoline nasal spray can result in a worsening of nasal congestion as an adverse effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Chronic diarrhea:
Overuse of laxatives is more likely to lead to chronic constipation rather than chronic diarrhea. Laxatives are typically used to treat constipation by promoting bowel movements, but overuse can disrupt normal bowel function and result in long-term constipation.
B) Chronic constipation.
Overuse of laxatives can lead to dependence on laxatives for bowel movements and can cause the smooth muscle in the colon to become less responsive to normal stimuli, resulting in decreased muscle tone. This can eventually lead to chronic constipation, where the colon becomes less effective at moving stool through the digestive tract, resulting in infrequent or difficult bowel movements.
C) Frequent vomiting:
Overuse of laxatives does not typically lead to frequent vomiting. Vomiting is more commonly associated with conditions affecting the upper gastrointestinal tract, such as gastroenteritis, gastritis, or other gastrointestinal disorders.
D) Chronic nausea:
Overuse of laxatives may cause gastrointestinal discomfort or upset stomach, but it is not typically associated with chronic nausea. Chronic nausea may be caused by various factors such as gastrointestinal disorders, medications, or other underlying medical conditions unrelated to laxative use.
Correct Answer is A
Explanation
A) A stuffed animal.
Stuffed animals are often considered one of the most appropriate gifts for hospitalized children. They provide comfort, companionship, and a sense of security during a stressful and unfamiliar time. Stuffed animals can serve as cuddly companions for the child, offering emotional support and helping to alleviate anxiety and loneliness while in the hospital.
B) A plant:
While plants can brighten up a hospital room and add a touch of nature, they may not be the most suitable gift for a hospitalized child. Plants require care and maintenance, which may not be feasible or practical in a hospital setting. Additionally, some hospitals have restrictions on bringing plants into patient rooms due to concerns about allergies or infection control.
C) Flowers:
Flowers are a common gift to brighten someone's day, but they may not be the best choice for a hospitalized child. Some hospitals have policies restricting flowers in patient rooms due to concerns about pollen allergies and infection control. Additionally, flowers have a limited lifespan and require regular maintenance, which may not be practical in a hospital environment.
D) A book:
While reading can be a great way to pass the time and provide entertainment for a hospitalized child, it may not be the most appropriate gift in all cases. The child's age, interests, and current health status should be considered when selecting a book. Additionally, some children may not be in the mood for reading if they are feeling unwell or fatigued. A stuffed animal offers more immediate comfort and companionship.
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