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 A

Explanation

A. DPIs require the patient to inhale quickly and deeply to effectively deliver the medication, requiring coordination of breath and inhaler activation.
B. ODPIs (often referring to pressurized metered-dose inhalers) use propellant gases, not DPIs.
C. DPIs may not be suitable for young children and infants who may have difficulty generating enough inspiratory flow to use them effectively.
D. ODPIs (if referring to other types) are not exclusively used for long-term control; their use depends on the specific medication formulation.

A. Constipation B. Skin rash C. Non productive cough D. Drowsiness E. Dry mouth

Correct Answer is ["A","D","E"]

Explanation

A. Constipation is also a possible side effect due to the anticholinergic properties of the medication.
B. Skin rash is not a common adverse reaction to diphenhydramine.
C. Non-productive cough is not typically associated with diphenhydramine use.
D. Drowsiness is a common side effect of diphenhydramine and should be monitored, especially regarding its impact on daily activities.
E. Dry mouth is a common side effect of diphenhydramine due to its anticholinergic properties, and clients should be advised to maintain adequate hydration.

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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

Which of the following is a characteristic of dry powder inhalers (DPIs)?

Correct Answer is A

Explanation

A nurse is reviewing discharge teaching with a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions? (Select all that apply)

Correct Answer is ["A","D","E"]

Explanation

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