Decongestants should be used with caution in patients with which diagnoses?
Select All that Apply.)
Diabetes
Hypertension
Hyperthyroidism
Heart disease
Allergic rhinitis
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Metered-dose inhaler (MDI): MDIs deliver a specific dose of medication in aerosol form. They consist of a pressurized canister containing medication and a mouthpiece or mask for inhalation. Patients must coordinate inhalation with actuation to ensure proper medication delivery to the lungs.
B. Nebulizer: Nebulizers convert liquid medication into a fine mist that can be inhaled directly into the lungs. They are commonly used for patients who have difficulty using MDIs or require higher doses of medication. Nebulizers are often used in acute care settings or at home for patients with chronic respiratory conditions.
C. Hypodermic syringe: Hypodermic syringes are used for administering injections subcutaneously, intramuscularly, or intravenously. They are not used for inhalation medication administration.
D. Feeding tube syringe: Feeding tube syringes are used for administering liquid medications or enteral feeds through feeding tubes directly into the gastrointestinal tract. They are not used for inhalation medication administration.
E. Dry powder inhaler (DPI): DPIs deliver medication in powdered form, which is activated by the patient's inhalation. Unlike MDIs, DPIs do not require coordination between actuation and inhalation. Instead, patients inhale forcefully to disperse the medication into their lungs.
Correct Answer is D
Explanation
A) "The amount of blood pumped by the heart through the circulatory system in 1 minute."
This statement describes cardiac output, which is the volume of blood pumped by the heart per minute, and is not directly related to digestion.
B) "Smooth muscle movement of the GI tract by way of contractions."
This statement describes peristalsis, which is the rhythmic contraction of smooth muscles in the gastrointestinal tract that propels food and waste materials through the digestive system. While peristalsis is an important aspect of digestion, it does not encompass the entire process.
C) "Neutralization by use of bicarbonate from pancreatic and biliary secretions."
This statement refers to the neutralization of acidic chyme from the stomach by bicarbonate ions released from pancreatic and biliary secretions in the duodenum. While this process is a part of digestion, it specifically addresses the regulation of pH rather than the breakdown of food molecules into absorbable forms.
D) "It is the process when food is broken down into molecules that can be absorbed."
This statement accurately describes digestion, which is the process by which complex food molecules are broken down into simpler forms (such as carbohydrates into sugars, proteins into amino acids, and fats into fatty acids and glycerol) that can be absorbed and utilized by the body. Digestion occurs in various stages along the gastrointestinal (GI) tract and involves the action of enzymes, acids, and mechanical processes to facilitate the breakdown of food into absorbable nutrients.
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