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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Chilling the medication is not necessary for otic drops and could cause discomfort to the client.
B. Holding the dropper against the ear canal is not recommended as it may cause injury to the ear canal.
C. The external auditory canal should be straightened by pulling the ear upward and backward for an adult, which facilitates the drops to flow down into the ear canal.
D. Gentle pressure applied to the tragus of the ear can help in distributing the medication evenly within the ear canal.
Correct Answer is C
Explanation
A. Prednisone typically does not cause fever as a side effect.
B. Ringing in the ears (tinnitus) is not commonly associated with prednisone use.
C. Prednisone can increase appetite and may cause weight gain, so feeling hungrier is an expected side effect that the client should anticipate.
D. Prednisone tends to increase blood sugar levels, so a decrease in blood sugar would not be expected.
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