Outcome Criteria

V Secretions remain clear. NOC: Risk Control


Assess for rubbing of nose, nasal discharge and its characteristics (clear, amount, purulent), dark areas around eye, nose itching and pushing hand up and back of nose, frequent sneezing, red and itchy eyes and drainage or watering (specify when).

Inspect nasal passages and throat with penlight for redness, swelling, and presence of mucus and/or exudate; check skin around nares for redness, irritation (when).

Assess for knowledge and use of preventive measures needed to avoid spread of microorganisms.

Assess for frequency of upper respiratory infections among family members; attendance at school, daycare, nursery school.

Assess use of over-the-counter medications and type used.

Provide vaporizer or humidifier if nasal and oral mucous membranes are


Provides information about physical and behavioral effects of allergic rhinitis; chronic nasal obstruction causes edema and discoloration of the eyes and mouth breathing, wrinkling of face is caused by attempt to avoid rubbing or scratching of nose.

Reveals inflammation and risk of infection spread.

Provides basis for information needed for health maintenance.

Persistent reinfection usually the result of repeated exposures to microorganisms.

Combination products are not particularly useful; symptomatic treatment more effective in controlling upper respiratory responses; overuse of some medications may cause undesirable side effects (drowsiness) or rebound effects (return of symptoms).

Maintains moist mucous membranes to prevent breaks and soreness.


Administer antihistamines and immunotherapy if ordered alone or in combination with decongestants (specify).

Teach handwashing technique after exposure to nasopharyngeal secretions (sneezing, blowing nose).

Instruct in disposal of tissues used for cough or nose wiping.

Inform to avoid contact with infected people or family members, although transmission commonly occurs in families, schools, nursery schools, recreational gatherings.

Instruct parents in administration of medications via oral and inhalation routes (specify).

Instruct to administer all of the antibiotic prescribed for infection (if present).

Teach about desensitization injection schedule.

Teach parents measures to control environment (air conditioning; removal of dust, pets, smoke).

Inform to notify physician if the temperature increases, ear hurts, throat is sore or nose has purulent drainage.

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