Page 1987 - Saunders Comprehensive Review For NCLEX-RN

2. Assess for allergies.
3. Assess for pain.
4. Monitor for signs of secondary infection.
5. Instruct the client to report dizziness, fatigue, fever, or
sore throat, which may indicate a superimposed
infection.
6. Instruct the client to complete the entire course of the
medication.
7. Instruct the client to keep ear canals dry.
XV. Antihistamines and Decongestants (Box 57-8)
A. Description
1. These medications produce vasoconstriction.
2. These medications stimulate the receptors of the
respiratory mucosa.
3. These medications reduce respiratory tissue
hyperemia and edema to open obstructed eustachian
tubes.
4. These medications are used for acute otitis media.
B. Side and adverse effects
1. Drowsiness
2. Blurred vision
3. Dry mucous membranes
C. Interventions

1. Inform the client that drowsiness, blurred

vision, and a dry mouth may occur.
2. Instruct the client to increase fluid intake unless
contraindicated and to suck on hard candy to
alleviate the dry mouth.
3. Instruct the client to avoid hazardous activities if
drowsiness occurs.
4. Instruct the client with hypertension to consult the
PHCP prior to the use of these medications.
XVI. Ceruminolytic Medication
A. Carbamide peroxide
B. Description
1. Emulsifies and loosens cerumen deposits
2. Used to loosen and remove impacted wax from the ear
canal
C. Side and adverse effects
1. Irritation
2. Redness or swelling of the ear canal

D. Interventions

1. Instruct the client not to use drops more often than
prescribed.
2. Moisten a cotton plug with medication and insert the

1987