Question

a nurse is caring for client in an outpatient clinic.
exhibit 1 exhibit 2
nurses notes
1100:
the client presents to the clinic with reports of runny nose, sneezing, itchy eyes, congestion, and sinus pressure. reports having difficulty breathing through nose, coughing while lying down, and fatigue. manifestations started during the spring while outside gardening. denies fever and chills.
physical assessment: bilateral swelling and erythema of the nasal turbinates. clear drainage post oropharynx. retracted tympanic membranes bilaterally. lungs clear to auscultation bilaterally.
1115:
provider prescriptions received. visit summary reviewed with client to discuss the newly prescribed medication.
for each body system below, click to specify the adverse effect that the nurse should include in client instructions about the newly prescribed medication. each body system may support more than 1 potential adverse effect.
(each category must have at least 1 response option selected)
body system adverse effect
neurological headaches
drowsiness
seizures
suicidal thoughts
respiratory respiratory depression
nose bleeds
bronchospasm
rebound congestion
gastrointestinal liver damage
sore throat
peptic ulcer disease

Explanation:

The client has allergic rhinitis (spring - related, gardening - associated symptoms). Common medications for this may have certain adverse effects.

• Neurological: Antihistamines or decongestants can cause drowsiness (common sedating effect) and headaches (vascular or tension - like from medication effects). Seizures and suicidal thoughts are not typical for allergic rhinitis medications. So select Headaches, Drowsiness.
• Respiratory: Rebound congestion can occur with decongestant use (overuse or prolonged use), and bronchospasm can be a rare allergic reaction to the medication. Respiratory depression is more associated with opioids, not typical allergy meds. Nose bleeds are less common as a direct adverse effect of allergy medications. So select Bronchospasm, Rebound congestion.
• Gastrointestinal: Dry mouth is a common anticholinergic effect of antihistamines (which are used for allergies). Sore throat is more of a symptom of the allergy or infection, not a medication adverse effect here. Liver damage and peptic ulcer disease are not typical for allergy medications. So select Dry mouth (assuming it's an option, as the last option seems to be cut off but likely Dry mouth).

Answer:

• Neurological: $\square$ Headaches (selected), $\square$ Drowsiness (selected), $\square$ Seizures (not selected), $\square$ Suicidal thoughts (not selected)
• Respiratory: $\square$ Respiratory depression (not selected), $\square$ Nose bleeds (not selected), $\square$ Bronchospasm (selected), $\square$ Rebound congestion (selected)
• Gastrointestinal: $\square$ Liver damage (not selected), $\square$ Sore throat (not selected), $\square$ Peptic ulcer disease (not selected), $\square$ Dry mouth (selected, assuming the last option is Dry mouth)