The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the nurse include in the teaching plan?

Correct Answer: B

Rationale: In this NCLEX Oxygenation practice question, the correct answer is B) Identifying and avoiding environmental triggers are the best way to prevent symptoms of allergic rhinitis. This answer is correct because allergic rhinitis is primarily triggered by environmental allergens such as pollen, dust mites, pet dander, etc. By identifying and avoiding these triggers, the patient can significantly reduce the frequency and severity of their symptoms. Option A is incorrect because while oral antihistamines can help manage symptoms, using them preventively for 2 weeks before the allergy season may not be the most effective approach for all patients. Option C is incorrect because while hand washing is important for preventing the spread of infections, it is not a primary strategy for managing allergic rhinitis, which is an immune response to allergens rather than a contagious condition. Option D is incorrect because while corticosteroid nasal sprays can reduce inflammation in the nasal passages, the systemic effects associated with their use may limit their long-term use due to potential side effects. In an educational context, teaching patients about environmental triggers and how to avoid them is crucial in managing allergic rhinitis effectively. It empowers patients to take control of their condition and reduce their reliance on medications, leading to better overall outcomes and quality of life.

Correct Answer: B

Rationale: In this NCLEX Oxygenation practice question, the correct answer is option B) "I should sleep on my back to keep my airway open." This statement indicates a need for further teaching because in obstructive sleep apnea, sleeping on the back can actually worsen the condition by causing the tongue and soft tissues of the throat to collapse, further obstructing the airway. Option A) "I will use my CPAP machine every night" is correct as consistent use of a CPAP machine is a standard treatment for obstructive sleep apnea to maintain open airways during sleep. Option C) "I will avoid alcohol before bedtime" is also correct as alcohol can relax the muscles in the throat, leading to increased airway obstruction in individuals with sleep apnea. Option D) "Losing weight may help reduce my symptoms" is also a valid statement as excess weight can contribute to the severity of obstructive sleep apnea, and weight loss can help improve symptoms. Educationally, this question highlights the importance of patient education in managing obstructive sleep apnea. It emphasizes the significance of proper sleep positions, consistent CPAP machine use, lifestyle modifications like avoiding alcohol, and the potential benefits of weight loss in alleviating symptoms. Understanding these concepts is crucial for nurses to provide comprehensive care and education to patients with obstructive sleep apnea.

Correct Answer: B

Rationale: **Educational Rationale:** The correct answer is B) Oxygen saturation dropping to 85% because a significant drop in oxygen saturation level indicates a critical issue with oxygenation. Oxygen saturation below 90% is considered hypoxic and requires immediate intervention to prevent tissue damage and potential organ failure. Option A) Mild headache and dry nasal passages are common side effects of oxygen therapy and do not require immediate intervention unless they worsen significantly. Option C) Respiratory rate of 20 breaths per minute is within the normal range and does not indicate an urgent issue with oxygenation. Option D) Slight confusion after beginning oxygen therapy may be a side effect of oxygen therapy or an underlying condition but does not constitute an immediate threat to the patient's well-being. In an educational context, it is crucial for healthcare professionals to recognize signs of inadequate oxygenation promptly to provide timely interventions. Monitoring oxygen saturation levels is a key component of oxygen therapy management, and any significant decrease in saturation levels should trigger immediate assessment and intervention to ensure patient safety and optimal outcomes.

Correct Answer: C

Rationale: In this scenario, option C) "Use non-hormonal contraception during treatment" is the correct answer. When a patient is prescribed rifampin for tuberculosis, it is crucial to use non-hormonal contraception because rifampin can decrease the effectiveness of hormonal contraceptives, leading to potential contraceptive failure and unintended pregnancy. Option A) "Avoid consuming dairy products with the medication" is incorrect because rifampin does not interact with dairy products in a way that affects its efficacy or the patient's health. Option B) "Report orange discoloration of bodily fluids" is incorrect because rifampin is known to cause harmless orange discoloration of bodily fluids, including urine, sweat, and tears, which is a common side effect and does not require reporting unless it is excessive or accompanied by other concerning symptoms. Option D) "Limit physical activity to prevent fatigue" is incorrect as it is not directly related to the administration of rifampin. In fact, maintaining a healthy level of physical activity is important for overall well-being and can help combat fatigue associated with tuberculosis treatment. Educationally, this question emphasizes the importance of understanding medication interactions and side effects in tuberculosis treatment. It highlights the need for comprehensive patient education to ensure treatment effectiveness and patient safety. By selecting the correct answer, nurses can demonstrate their knowledge of medication management and patient safety protocols in the context of tuberculosis care.

Correct Answer: C

Rationale: Rifampin is a medication commonly used to treat tuberculosis and other bacterial infections. Option C, "I will take this medication with my morning coffee," indicates a need for further teaching because rifampin can interact with caffeine, reducing its absorption and effectiveness. Patients should be advised to take rifampin on an empty stomach, usually 1 hour before or 2 hours after meals, to ensure optimal absorption. Option A, "I will avoid alcohol while taking this medication," is correct because rifampin can cause liver toxicity, and alcohol can exacerbate this risk. Option B, "I should expect orange discoloration of my urine," is also correct as rifampin can cause harmless discoloration of bodily fluids. Option D, "I need to use non-hormonal contraception while on this medication," is correct because rifampin can decrease the effectiveness of hormonal contraceptives, necessitating the use of alternative birth control methods to prevent pregnancy. In an educational context, it is crucial for nurses to teach patients about medication administration, potential side effects, and necessary precautions to ensure treatment effectiveness and patient safety. Clarifying misunderstandings and providing accurate information can enhance patient outcomes and adherence to therapy.