Which of the following is an adverse reaction to topical nasal steroid?
Rebound effect.
Local ulceration.
Increased nasal drainage.
Suppression of healing.
The Correct Answer is B
Choice A rationale
The rebound effect is typically associated with decongestants rather than topical nasal steroids. It occurs when nasal congestion worsens after stopping decongestant use.
Choice B rationale
Local ulceration is a potential adverse reaction to topical nasal steroids due to the localized irritation and thinning of the nasal mucosa with prolonged use.
Choice C rationale
Increased nasal drainage is not a common adverse reaction to topical nasal steroids. These medications typically reduce inflammation and decrease nasal drainage.
Choice D rationale
Suppression of healing is not an adverse reaction associated with topical nasal steroids. These drugs are more likely to reduce inflammation and promote healing of the nasal mucosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Constipation can be a side effect of Parkinson's disease and dopaminergic medications, but it is not a primary safety concern compared to the risk of injury.
Choice B rationale
Risk for injuries related to cardiovascular effects and peripheral vascular disease is a concern, but the risk of orthostatic hypotension presents a more immediate danger for falls.
Choice C rationale
Parkinson's disease and its treatments can cause orthostatic hypotension, significantly increasing the risk of falls and injury. This risk needs to be carefully managed in the patient's care plan.
Choice D rationale
Diarrhea is not commonly associated with Parkinson's disease or its treatments. Constipation is more prevalent due to both the disease and dopaminergic medication effects.
Correct Answer is B
Explanation
Choice A rationale
Giving ipecac with a glass of milk is not recommended. Milk can delay the emetic effect of ipecac and potentially interfere with its ability to induce vomiting. It is essential to follow proper guidelines for ipecac administration to ensure its effectiveness and safety.
Choice B rationale
Consulting a poison control center before administering ipecac is crucial. Poison control experts can provide specific recommendations based on the type and amount of substance ingested. Not all poisoning cases require ipecac, and its inappropriate use can cause more harm than good.
Choice C rationale
Ipecac fluid extract is significantly more potent than ipecac syrup and is not recommended for home use. The syrup form is standardized for safe administration in inducing vomiting, whereas the fluid extract can cause severe toxicity if used incorrectly.
Choice D rationale
The emetic effect of ipecac is not immediate. It typically takes about 20 to 30 minutes for vomiting to occur after administration. Providing patients and caregivers with accurate information about the onset of action is essential to avoid unnecessary anxiety.
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