A Patient Admitted to the Hospital Has Been Using Phenylephrine

question 8

Multiple Choice

A patient admitted to the hospital has been using phenylephrine nasal spray [Neo-Synephrine], 2 sprays every 4 hours, for a week. The patient complains that the medication is not working, because the nasal congestion has increased. What will the nurse do?

• A) Request an order for an oral decongestant to replace the intranasal phenylephrine.
• B) Request an order for an intranasal glucocorticoid to be used while the phenylephrine is withdrawn.
• C) Tell the patient to increase the dose of phenylephrine to 4 sprays every 4 hours.
• D) Tell the patient to stop using the phenylephrine and begin using an intranasal antihistamine.

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