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What action should the practical nurse (PN) instruct the client to perform prior to the instillation of nasal drops?

A.

Use a tissue to clear the nose.

B.

Inhale deeply through the nose.

C.

Hold the breath temporarily.

D.

Exhale deeply through the nose.

Answer and Explanation

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

Exhaling deeply through the nose prior to the instillation of nasal drops could potentially clear
the nasal passages, but it is not as effective or recommended as using a tissue to clear the
nose15.


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Related Questions

Correct Answer is D

Explanation

The correct answer is D. Antidepressant medication can take 2 to 4 weeks to become effective. Choice A rationale While it’s important to review the medication regimen if a patient is not responding to treatment, it’s also crucial to understand that antidepressants like amitriptyline don’t typically show their full effects immediately. It’s common for these medications to take several weeks before their full therapeutic effect becomes apparent. Choice B rationale A dosage increase may be considered if the patient shows no improvement after a sufficient period, typically several weeks. However, since the patient has only been on the medication for five days, it’s too early to consider a dosage increase. Choice C rationale Therapy can indeed be beneficial in treating depression and can enhance the effect of medication. However, the statement that the medication isn’t working after five days is likely due to the fact that antidepressants usually take longer to start showing effects. Choice D rationale This is the correct answer. Antidepressants like amitriptyline often take 2 to 4 weeks to start showing their full effects. It’s important for patients to know this so they don’t get discouraged and stop taking the medication too soon.

Correct Answer is B

Explanation

Choice A rationale

While it is generally recommended to take prednisone with meals to reduce stomach upset, this is not the most important instruction regarding the dosing schedule.

Choice B rationale

Prednisone is a corticosteroid that is often prescribed in a tapering schedule, meaning the dosage is gradually reduced over time. This is to allow the body to adjust and to minimize potential side effects, such as adrenal insufficiency, which can occur if prednisone is stopped suddenly.

Choice C rationale

While monitoring of blood glucose levels is important for patients taking prednisone, especially those with diabetes, as prednisone can increase blood sugar levels, it is not the most important instruction regarding the dosing schedule.

Choice D rationale

Monitoring of oral temperature daily is not typically required for patients taking prednisone.

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