Difficulty: Medium
Average Score: 89%
Simulated
A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?
Correct answer
C
Rationale
The correct answer is C: Tell the client to blow her nose gently before the instillation. This step is important to ensure that any excess mucus or debris is cleared from the nasal passage, allowing the decongestant drops to be more effectively absorbed. Assisting the client to a side-lying position (A) is not necessary for nasal drops. Holding the dropper 2 cm above the naris (B) may lead to inaccurate dosing. Instructing the client to stay in the same position for 2 min (D) is not required as the medication will be absorbed quickly.