A patient complains of worsening nasal congestion despite the use of oxymetazoline (Afrin) nasal spray every 2 to 4 hours for the past 5 days. The nurse's response is based on the knowledge that

Oxymetazoline should be administered in an hourly regimen for severe congestion.

Oxymetazoline is not an effective nasal decongestant

Sustained use of nasal decongestants over several days may result in rebound congestion

The patient is probably displaying an idiosyncratic reaction to oxymetazoline

Answer and Explanation

The Correct Answer is C

Rebound congestion, also known as rhinitis medicamentosa, is a common adverse effect associated with the prolonged use of nasal decongestants. It occurs when the blood vessels in the nasal passages become dependent on the medication for constriction and lose their ability to regulate naturally. As a result, when the medication wears off, the nasal congestion worsens, leading to a cycle of continued use and worsening symptoms.

In this scenario, the patient's complaint of worsening nasal congestion despite using oxymetazoline every 2 to 4 hours for the past 5 days suggests the possibility of rebound congestion. The nurse should explain to the patient that prolonged or frequent use of nasal decongestants can lead to this effect and recommend gradually tapering off the medication use or discontinuing it altogether. The nurse may also suggest alternative non-medication strategies for managing nasal congestion, such as saline nasal sprays or steam inhalation.

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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.

A. I will be sure to take the albuterol inhaler before taking the beclomethasone inhaler. B. I will use both medications immediately after exercising. C. "If my breathing begins to feel tight will use the beclomethasone inhaler immediately” D. I will administer the medications 10 minutes apart

Correct Answer is A

Explanation

A. Albuterol is a bronchodilator that provides quick relief by relaxing the muscles around the airways, making it essential to use before a corticosteroid like beclomethasone, which reduces inflammation. Using albuterol first allows for better delivery of the beclomethasone to the airways.

B. I will use both medications immediately after exercising. Albuterol may be used as a rescue inhaler before exercise to prevent exercise-induced bronchospasm, but beclomethasone is a maintenance medication and should not be used immediately after exercising unless prescribed.

C. "If my breathing begins to feel tight, I will use the beclomethasone inhaler immediately.” Beclomethasone is a long-term control medication, not a rescue inhaler. If breathing feels tight or there is an asthma attack, the client should use the albuterol inhaler for immediate relief.

D. I will administer the medications 10 minutes apart.While there is no strict rule about the timing between inhaler uses, the albuterol should be used first to open the airways, and while waiting a few minutes is acceptable, the emphasis should be on using albuterol before beclomethasone rather than a specific time frame.

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A patient complains of worsening nasal congestion despite the use of oxymetazoline (Afrin) nasal spray every 2 to 4 hours for the past 5 days. The nurse's response is based on the knowledge that

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the medication record of a patient with asthma and notes the patient is taking inhaled fluticasone (Flovent). The nurse know that inhaled fluticasone (Flovent) is helpful in the treatment of asthma in what way?

Correct Answer is A

Explanation

A nurse is providing discharge teaching to a client who has asthma and new prescriptions for beclomethasone and albuterol, both by inhaler. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A 26-year-old female is brought to the emergency department while having an asthma attack. She is given a nebulizer treatment with the medication albuterol. The nurse's immediate assessment priority would be to

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A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the client to use to abort an acute asthma attack?

A nurse is evaluating teaching a client who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

A patient complains of worsening nasal congestion despite the use of oxymetazoline (Afrin) nasal spray every 2 to 4 hours for the past 5 days. The nurse's response is based on the knowledge that

Which type of medication is the first-line treatment for nasal congestion?

A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?

A pregnant patient asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the patient?