Decongestants should be used with caution in patients with which diagnoses?

Select All that Apply.)

Diabetes

Hypertension

Hyperthyroidism

Heart disease

Allergic rhinitis

Answer and Explanation

Correct Answer : B,D

A. Diabetes: Diabetes is not typically a contraindication for decongestant use. However, patients with diabetes should be cautious with decongestants that contain sugar or other ingredients that may affect blood glucose levels.

B. Hypertension: Decongestants can cause vasoconstriction, which may lead to an increase in blood pressure. Patients with hypertension should use decongestants cautiously and under the guidance of a healthcare provider to avoid exacerbating their condition.
C. Hyperthyroidism: While decongestants can stimulate the sympathetic nervous system and may exacerbate symptoms of hyperthyroidism such as tachycardia and palpitations, hyperthyroidism is not typically considered a contraindication for decongestant use. However, patients with hyperthyroidism should use decongestants cautiously and consult with their healthcare provider.

D. Heart disease: Decongestants can increase heart rate and blood pressure, potentially exacerbating symptoms in patients with underlying heart conditions such as coronary artery disease, heart failure, or arrhythmias. Patients with heart disease should use decongestants cautiously and consult with their healthcare provider before use.

E. Allergic rhinitis: Allergic rhinitis is not typically a contraindication for decongestant use. In fact, decongestants are often used to relieve nasal congestion associated with allergic rhinitis. However, patients with allergic rhinitis should use decongestants cautiously and follow the recommended dosage instructions.

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Correct Answer is ["A","B","E"]

Explanation

A. The inside surface of the lungs is small, and the dose is concentrated in that area: Inhalation medications are delivered directly to the lungs, where they are rapidly absorbed due to the small surface area and the close proximity of the medication to the lung tissue.

B. There is a large surface area inside the lungs: The lungs have a large surface area for gas exchange, allowing for efficient absorption of inhaled medications into the bloodstream.

C. Inhaled medications are given at very high doses: Inhaled medications are typically given at therapeutic doses appropriate for the patient's condition. While they may be given in higher doses compared to oral medications in some cases, the dosage is carefully adjusted based on factors such as the patient's age, weight, and severity of the condition.

D. Inhaled medications are given with food: Inhaled medications are typically administered separately from meals. Food can interfere with the absorption of inhaled medications and may affect their effectiveness.
E. There is a rich blood supply to the lungs: The lungs have a rich network of blood vessels, known as pulmonary capillaries, which allows for rapid absorption of inhaled medications into the bloodstream.

Correct Answer is ["5"]

Explanation

To determine how many hours it will take for the IV pump to infuse the 1000 mL bag of 0.9% sodium chloride at a rate of 200 mL/hr, we can use the following formula:

Time (hr) = Volume (mL)/Rate (mL/hr)

Given:

Volume = 1000 mL

Rate = 200 mL/hr

Substitute the given values into the formula:

Time (hr)=1000 mL/200 mL/hr

Time (hr)=5hours

Rounding to the nearest whole number, the IV pump will infuse over 5 hours.

Therefore, the nurse should expect the IV pump to infuse over 5 hours.

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Decongestants should be used with caution in patients with which diagnoses? Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse explains to the client why inhalation medications work rapidly. What should the nurse include in the teaching? (Select All that Apply.)

Correct Answer is ["A","B","E"]

Explanation

Correct Answer is ["5"]

Explanation

Decongestants should be used with caution in patients with which diagnoses? (Select All that Apply.)

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Decongestants should be used with caution in patients with which diagnoses?

Select All that Apply.)