A college student presents to the health clinical with signs and symptoms of viral rhinitis (common cold). The patient states, "I've felt terrible all week; what can I do to feel better?" Which of the following is the best response the nurse can give?
a) "You should rest, increase your fluids, and take Ibuprofen."
b) "Antibiotics will be prescribed, which will make you feel better."
c) "Have you tried a topic nasal decongestant; they work well."
d) "Your symptoms should go away soon, just try to get some rest."
Answer: a) "You should rest, increase your fluids, and take Ibuprofen."
Explanation:
Management of viral rhinitis consists of symptomatic therapy that includes adequate fluid intake, rest, prevention of chilling, and use of expectorants as needed. Warm saltwater gargles soothe the sore throat, and nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin or ibuprofen, relieve aches and pains. Antibiotics are not prescribed because they do not affect the virus causing the patient's signs and symptoms. Topical nasal decongestants should be used with caution. The symptoms of viral rhinitis may last from 1 to 2 weeks. pg.540
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