A nurse is teaching a client with recurrent rhinosinusitis and instructs the client to take the following medication at the first sign of symptoms:
a) oxymetazoline (Afrin) nasal spray
b) acetaminophen (Tylenol)
c) guaifenesin (Mucinex)
d) naproxen (Aleve)
Answer: c) guaifenesin (Mucinex)
Explanation:
The client should take a decongestant (eg, guaifenesin) at the first sign of recurrence of rhinosinusitis to promote drainage of the sinus cavities and prevent bacterial infection. Medications that the client may take later in the illness for pain relief include acetaminophen and nonsteroidal antinflammatory drugs, such as naproxen. Over-the-counter nasal sprays (eg, Afrin) may cause rebound congestion. pg.541
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