Fluticasone (Flonase) a nasal glucocorticoid has been prescribed for a client with allergic rhinitis. The nurse teaches the client which is the most common side effect of continuous use.
Dry nasal mucosa and nosebleeds
Rhinorrhea
Dizziness
Hallucinations
The Correct Answer is A
Nasal glucocorticoids are commonly used to treat allergic rhinitis and work by reducing inflammation in the nasal passages. However, one of the potential side effects of using these medications is the drying of the nasal mucosa, which can lead to discomfort and occasional nosebleeds. It is important for clients to be aware of this side effect and to take appropriate measures to mitigate it, such as using a humidifier, staying hydrated, and gently applying a saline nasal spray if needed.
Rhinorrhea refers to a runny nose and is not a common side effect of fluticasone or other nasal glucocorticoids. Dizziness and hallucinations are also not typical side effects associated with the use of fluticasone. However, it is important to note that individual responses to medications can vary, and if a client experiences any unusual or concerning side effects while taking fluticasone, they should consult their healthcare provider for further evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Montelukast is a leukotriene receptor antagonist commonly used to manage asthma and allergic rhinitis. Its primary therapeutic effect is to improve respiratory symptoms by reducing inflammation and constriction of the airways. Therefore, an increased ease of breathing would be an expected outcome indicating that the medication is working effectively.
The other options are incorrect because:
A. The client's seizure threshold is reduced: Montelukast does not have any effect on the seizure threshold. This outcome is unrelated to the medication and may be indicative of a different condition or treatment.
B. The client experiences less muscle pain: Montelukast is not indicated for reducing muscle pain. This outcome is unrelated to the medication and may be indicative of a different condition or treatment.
D. The client's platelet count is increased: Montelukast does not have an effect on platelet count. This outcome is unrelated to the medication and may be indicative of a different condition or treatment.
Correct Answer is D
Explanation
Diphenhydramine is an antihistamine medication that can cause sedation as a side effect. Taking most of the daily dose at bedtime can help minimize daytime sedation. By taking the medication closer to bedtime, the sedative effects are more likely to occur during sleep, reducing the impact of sedation during waking hours.
The other options mentioned are not effective strategies to minimize daytime sedation caused by diphenhydramine:
A. "Distribute the doses evenly throughout the day": This approach may lead to a consistent level of sedation throughout the day and may not effectively minimize daytime sedation.
B. "Gradually decrease the dose once tolerance to the effect is reached": Gradually decreasing the dose of diphenhydramine is not a recommended strategy for minimizing daytime sedation. It is important to follow the prescribed dose and consult with a healthcare provider before making any changes to the medication regimen.
C. "Take the medication with meals": Taking diphenhydramine with meals may help reduce the risk of stomach upset but does not directly address the issue of daytime sedation.
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