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When teaching the patient with allergic rhinitis about management of the condition, the nurse explains that

a. over-the-counter (OTC) antihistamines cause sedation, so prescription antihistamines are usually ordered.
b. corticosteroid nasal sprays will reduce inflammation, but systemic effects limit their use.
c. use of oral antihistamines for a few weeks before the allergy season may prevent reactions.
d. identification and avoidance of environmental triggers are the best way to avoid symptoms.

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Final answer:

To manage allergic rhinitis, over-the-counter antihistamines may cause sedation, but are effective for short-term treatment. Corticosteroid nasal sprays are useful in reducing inflammation with minimal systemic effects, and anticipating the allergy season with early antihistamine use can prevent symptoms. The most effective strategy is identifying and avoiding environmental triggers to avoid allergic reactions.

Step-by-step explanation:

Managing Allergic Rhinitis

When managing allergic rhinitis, it is important to understand that different treatments cater to the varied symptoms and severity of the condition. For instance, over-the-counter antihistamines are widely used for their affordability and ease of access. They work by opposing the action of histamine receptors and can relieve nasal congestion, sneezing, or hives. Their generic formulations make them cost-effective, and they are typically recommended for short-term treatment of mild symptoms. Yet, they can cause drowsiness as a side effect.

When considering the use of corticosteroid nasal sprays, these are quite effective at reducing inflammation in the nasal passages. While potent, they are generally considered safe for long-term use due to minimal systemic absorption. As a result, concerns about systemic effects limiting their use are not typically well-founded.

Proactively taking oral antihistamines before allergy season may indeed be beneficial. Starting antihistamine therapy a few weeks before the expected onset of allergy symptoms can help prevent allergic reactions, reducing the severity of symptoms when the season begins.

Ultimately, the most effective method of managing allergic rhinitis remains the identification and avoidance of environmental triggers. When patients are able to steer clear from the allergens that cause their symptoms, they can significantly reduce the occurrence of allergic reactions without the need for medication.

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