Page 1623 - Saunders Comprehensive Review For NCLEX-RN

10. Hearing disturbances
11. Photosensitivity
12. Nervousness and irritability
13. Confusion
14. Nightmares
C. Interventions
1. Monitor for signs of urinary dysfunction.
2. Administer with food or milk.
3. Avoid subcutaneous injection, and administer by
intramuscular injection in a large muscle if the
intramuscular route is prescribed.

D. Client education

1. To avoid hazardous activities, alcohol, and other CNS
depressants
2. If the medication is being taken for motion sickness,
take it 30 minutes before the event and then before
meals and at bedtime during the event as prescribed.
3. To suck on hard candy or ice chips for dry mouth
IX. Nasal Decongestants (Box 51-3)
A. Description
1. Nervousness
2. Restlessness, insomnia
3. Hypertension
4. Hyperglycemia
B. Side and adverse effects
1. Include adrenergic, anticholinergic, and corticosteroid
medications
2. Shrink nasal mucosal membranes and reduce fluid
secretion
3. Used for allergic rhinitis, hay fever, and acute coryza
(profuse nasal discharge)

4. Contraindicated or used with extreme caution

in clients with hypertension, cardiac disease,
hyperthyroidism, or diabetes mellitus
C. Interventions

1. Monitor for cardiac dysrhythmias.

2. Monitor blood glucose levels.

D. Client education

Nasal decongestants can cause tolerance and rebound nasal congestion

(vasodilation) caused by irritation of the nasal mucosa. Therefore, the client needs to be

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