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NSG 6005 FINAL EXAM REVIEW / NSG6005 FINAL EXAM REVIEW: GRADED A | 100% CORRECT |SOUTH UNIVERSITY
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NSG 6005 FINAL EXAM REVIEW / NSG6005 FINAL EXAM REVIEW: GRADED A | 100% CORRECT |SOUTH UNIVERSITY
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NSG 6005 FINAL EXAM REVIEW[100% CORRECT]
Patients with allergic rhinitis may benefit from a prescription of:
1. Fluticasone (Flonase)
2. Cetirizine (Zyrtec)
3. OTC cromolyn nasal spray (Nasalcrom)
4. Any of the above
. Decongestants such as pseudoephedrine (Sudafed):
1. Are Schedule III drugs in all states
2. Should not be prescribed or recommended for children under 4 years
of age
3. Are effective in treating the congestion children experience with the
common cold
4. May cause drowsiness in patients of all ages
,What drug therapy could a provider select to administer to a client seeking
treatment for rhinosinusitis?
chloride channel activators
nitrofurantoin
antimotility agents
amoxicillin
Allergic Rhinitis – corticosteroids are used to e manage seasonal or perennial
allergies; used intranasal 1-2 times daily; Decongestants are used for allergic
rhinitis
Second-generation antihistamines such as loratadine (Claritin) are prescribed
for seasonal allergies because they:
A. Are more effective than first-generation antihistamines
B. Are less sedating than first-generation antihistamines
C. Are prescription products and, therefore, are covered by insurance
D. Can be taken with CNS sedatives, such as alcohol
B. Are less sedating than first-generation antihistamines
Patients with allergic rhinitis may benefit from a prescription of:
Fluticasone (Flonase)
, Cetirizine (Zyrtec)
OTC cromolyn nasal spray (Nasalcrom)
All of the above
Nonpharmacological therapy includes increasing fluid intake, using nonmedicated
cough drops, nasal saline spray/drops to decrease viscosity of nasal secretions, and
rest.
Anorexia is often associated with the common cold and fluids may need to be
forced to maintain hydration.
Infants who are congested cannot breathe and feed at the same time causing fluid
intake to be inadequate. Nasal suctioning may be required to clear secretions.
Oral decongestants are used for the temporary relief of nasal congestion from the
common cold, sinus infections, and allergic rhinitis. They may be used to promote
nasal or sinus drainage and are also indicated in the relief of eustachian tube
congestion.
Pseudoephedrine for those over 4 y/o
Viral URI (the common cold) are self-limiting and require no treatment, the goal is
relieving irritating symptoms, specifically nasal congestion.
ANTIBIOTICS HAVE NO PLACE IN THE TREATMENT OF VIRAL URIs.
They can cause antimicrobial resistances to secondary bacterial infections.
, Antihistamines have not been shown to change the course of the common cold.
But many OTC medications contain antihistamines, most likely for their “drying
out” effect.
Decongestants are the mainstay treatment for the common cold (systemic or
topical).
Tylenol/Ibuprofen/ASA can be given for fever and malaise.
Topical decongestants are safe for 3 consecutive days of use.
Topical decongestants adverse effects – transient stinging, burning, sneezing,
dryness, local irritation, rebound congestion with prolonged use.
Topical decongestants can symptomatically relieve nasal congestion and relieve ear
blockage and pressure pain.
Topical decongestant adverse reactions – insomnia, dizziness, weakness, tremor, or
irregular heartbeat.
Topical decongestant meds – Afrin, phenylephrine, oxylmetazoline, Neo-
Synephrine
Theophylline – a bronchodilator that can affect the blood pressure
Monitor decongestant use in cardiac patients as they can increase hypertension
from the added vasoconstriction.
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