The patient is ordered a nasal spray. Which intervention should the nurse instruct the patient to do prior to administration of the nasal spray?

Ask the patient to use the bathroom

Instruct the patient to look up at the ceiling

Ask the patient to take a deep breath

Ask the patient to blow his/her nose to clear the nasal passages

Answer and Explanation

The Correct Answer is D

A. Asking the patient to use the bathroom is unrelated to the administration of nasal spray and is not necessary.
B. Instructing the patient to look up at the ceiling is not required for nasal spray administration and does not facilitate the process.
C. Asking the patient to take a deep breath is not directly related to the administration of nasal spray and does not affect its effectiveness.
D. Asking the patient to blow his/her nose to clear the nasal passages is important before administering nasal spray. Clearing nasal passages helps ensure that the medication can reach the nasal mucosa effectively, improving absorption and efficacy of the spray.

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Correct Answer is D

Explanation

A. Euphoria, drowsiness, and dizziness are not common side effects of fluticasone.
B. Nasal congestion may occur with fluticasone use, but bleeding gums and black tarry stools are not typical side effects.
C. Fever, weight gain, and tachycardia are not commonly associated with fluticasone use.
D. Sore throat, headache, burning in the nose, and nosebleeds are potential side effects of intranasal fluticasone and should be monitored and reported if they occur.

A. "I will have to increase my vitamin K because it is a common deficiency with this drug" B. "I will need to be careful shaving and should switch to an electric razor" C. "When I go for any procedures using iodine contrast I will need to let me doctor know I'm on this drug D. "I need to check my pulse for a full minute before taking"

Correct Answer is C

Explanation

A. Metformin does not affect vitamin K levels, so there is no need to increase vitamin K intake with this drug.
B. Shaving precautions are not related to metformin therapy.
C. Metformin can interact with iodine contrast used in imaging procedures, potentially increasing the risk of lactic acidosis, so it's important for the client to inform healthcare providers about their metformin use before such procedures.
D. Checking the pulse for a full minute before taking medication is not necessary for metformin administration.

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The patient is ordered a nasal spray. Which intervention should the nurse instruct the patient to do prior to administration of the nasal spray?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is prescribed fluticasone, what complications or side effects should the nurse alert the client to?

Correct Answer is D

Explanation

A nurse is caring for a client taking metformin. He is going over teaching. Which of the following statements by the client shows that they have an understanding of the drug?

Correct Answer is C

Explanation

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