What action should the practical nurse (PN) instruct the client to perform prior to the instillation of nasal drops?
Use a tissue to clear the nose.
Inhale deeply through the nose.
Hold the breath temporarily.
Exhale deeply through the nose.
The Correct Answer is A
Choice A rationale
Clearing the nose with a tissue prior to the instillation of nasal drops can help to remove
mucus and other obstructions, allowing the medication to reach the nasal passages more
effectively15.
Choice B rationale
Deep inhalation through the nose is not typically recommended prior to the instillation of
nasal drops. It could potentially draw the medication deeper into the nasal passages or into the
throat, rather than allowing it to remain in the intended area15.
Choice C rationale
Holding the breath temporarily is not typically necessary or recommended prior to the
instillation of nasal drops15.
Choice D rationale
the nasal passages, but it is not as effective or recommended as using a tissue to clear the
nose15.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While taking medication with meals can sometimes help prevent nausea, this is not specifically related to the use of the expectorant guaifenesin. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.
Choice B rationale
Staying upright for 30 minutes after taking medication can sometimes help prevent indigestion, but this is not specifically related to the use of the expectorant guaifenesin. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.
Choice C rationale
Increasing fluid intake can help loosen mucus or phlegm in the lungs, which is the primary purpose of an expectorant like guaifenesin. Therefore, this statement shows that the client has understood the instructions related to the use of the expectorant.
Choice D rationale
While it’s important to avoid combining certain medications due to potential interactions, there’s no specific interaction between guaifenesin and levothyroxine that would cause injury. Therefore, this statement does not show that the client has understood the instructions related to the use of the expectorant.
Correct Answer is A
Explanation
Choice A rationale
If a patient’s pain level remains high despite receiving regular doses of fentanyl, it may indicate
that the current dose is insufficient. The PN should report this to the healthcare provider, who
may decide to increase the dose.
Choice B rationale
While it’s important to continue monitoring the patient and assessing the pain level, this alone
may not be sufficient if the patient’s pain remains uncontrolled.
Choice C rationale
Non-pharmacological methods of pain control can be beneficial, but they are typically used in
conjunction with medication, not as a replacement for it when the pain level is high.
Choice D rationale
Informing the patient about the potential addictiveness of the medication is important, but it’s
not the most appropriate action to take in response to uncontrolled pain.
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