A Patient Admitted to the Hospital Has Been Using Phenylephrine

A patient admitted to the hospital has been using phenylephrine nasal spray [Neo-Synephrine], 2 sprays every 4 hours, for a week. The patient complains that the medication is not working, because the nasal congestion has increased. What will the nurse do?

A) Request an order for an oral decongestant to replace the intranasal phenylephrine.
B) Request an order for an intranasal glucocorticoid to be used while the phenylephrine is withdrawn.
C) Tell the patient to increase the dose of phenylephrine to 4 sprays every 4 hours.
D) Tell the patient to stop using the phenylephrine and begin using an intranasal antihistamine.

Correct Answer:

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