Instructions for decongestant nose drops should include what recommendation?
Avoiding use for more than 3 days.
Administering drops until nasal congestion subsides.
Keeping drops to use again for nasal congestion.
Administering drops after feedings and at bedtime.
The Correct Answer is A
The correct answer is choice A: Avoiding use for more than 3 days.
Choice A rationale:
Recommending avoiding the use of decongestant nose drops for more than 3 days is crucial due to the risk of rebound congestion. Decongestant nose drops work by constricting blood vessels in the nasal passages to alleviate congestion. Prolonged use can lead to a phenomenon known as rebound congestion, where the nasal passages become more congested once the medication wears off, causing the person to use the drops more frequently. This can result in a cycle of worsening congestion and overuse of the medication, which can be counterproductive and harmful. Limiting the use of decongestant nose drops to 3 days helps prevent this rebound effect and encourages the use of alternative treatments if congestion persists.
Choice B rationale:
Administering drops until nasal congestion subsides is not the recommended approach. Prolonged use of decongestant nose drops can lead to rebound congestion, as mentioned earlier. Using the drops until congestion subsides might extend their use beyond the safe period and increase the risk of adverse effects.
Choice C rationale:
Keeping drops to use again for nasal congestion is not advised. While it's important to follow the medication's storage instructions, relying on decongestant nose drops for recurring nasal congestion can lead to overuse and rebound congestion. This choice does not address the potential risks associated with prolonged use.
Choice D rationale:
Administering drops after feedings and at bedtime is not a standard recommendation for decongestant nose drops. The timing of administration is not a primary concern in the context of decongestant use. Instead, the focus should be on the duration of use and the potential for rebound congestion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C: Epispadias.
Choice A rationale:
Chordee is not the correct term to identify when the meatal opening is located on the dorsal surface of the penis. Chordee refers to the downward curvature or bending of the penis, often associated with hypospadias or other congenital conditions.
Choice B rationale:
Hypospadias is not the correct term for this condition. Hypospadias refers to a congenital condition where the opening of the urethra is located on the underside of the penis rather than at the tip. It is not related to the meatal opening being on the dorsal surface.
Choice C rationale:
Epispadias. This is the correct choice. Epispadias is a congenital malformation where the meatal opening is located on the dorsal (upper) surface of the penis. It is a rare condition and requires surgical intervention for correction.
Choice D rationale:
Phimosis is not the correct term for this condition. Phimosis refers to the tightness of the foreskin that prevents it from being pulled back over the tip of the penis. It does not relate to the positioning of the meatal opening.
Correct Answer is D
Explanation
The correct answer is choice D. "Currant jelly" stools.
Choice A rationale:
Loose, foul-smelling stools are not characteristic of intussusception. Intussusception is a condition in which a part of the intestine invaginates into another part, causing obstruction. This obstruction often leads to "currant jelly" stools, which are composed of mucus, blood, and sloughed intestinal tissue. Loose stools might be associated with other gastrointestinal issues but are not a hallmark of intussusception.
Choice B rationale:
Ribbon-like stools are characteristic of intussusception. When a section of the intestine telescopes into another section, it can cause the stool to be squeezed into a ribbon-like shape as it passes through the narrowed portion. This description aligns with the pathophysiology of intussusception.
Choice C rationale:
Hard stools positive for guaiac indicate the presence of blood in the stool, but this finding is not specific to intussusception. Guaiac testing detects occult blood, which could be present in various gastrointestinal conditions, including bleeding ulcers or diverticulitis, and not exclusively in intussusception.
Choice D rationale:
"Currant jelly" stools are characteristic of intussusception. As mentioned earlier, these stools are the result of the obstruction and subsequent damage to the intestinal lining, leading to the presence of blood, mucus, and sloughed tissue. This description is a classic sign of intussusception and should raise suspicion for this condition.
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