Question

After discussing management of upper respiratory infections (URI) with a patient who has acute viral rhinitis, the nurse determines that additional teaching is needed when the patient says

a. "I can take acetaminophen (Tylenol) to treat discomfort."
b. "I will drink lots of juices and other fluids to stay hydrated."
c. "I can use my nasal decongestant spray until the congestion is all gone."
d. "I will watch for changes in nasal secretions or the sputum that I cough up."

Answer 1

The patient needs additional teaching when they suggest using nasal decongestant spray indefinitely, as prolonged use can cause rebound congestion. Acetaminophen, hydration, and monitoring symptoms are appropriate measures for managing acute viral rhinitis.

Step-by-step explanation:

The subject of this health education question is the management of upper respiratory infections (URIs), particularly acute viral rhinitis, commonly known as the common cold. When the patient says, "I can use my nasal decongestant spray until the congestion is all gone," it indicates the need for additional teaching. Nasal decongestant sprays should not be used for extended periods as they can lead to rebound congestion if used for more than a few days, a condition known as rhinitis medicamentosa. The common cold typically resolves in 1-2 weeks, and symptoms like a runny nose, congestion, sore throat, and cough are due to the immune response to the virus.

It is appropriate to take acetaminophen (Tylenol) to treat discomfort, stay hydrated by drinking plenty of fluids, and to monitor for changes in nasal secretions or coughed-up sputum as these may indicate a bacterial infection that requires further medical attention.