Certified Transport Registered Nurse Certification Practice Exam

Which treatment may be beneficial for those experiencing sinus pressure during a flight?

1. Neo-synephrine

2. Aspirin

3. Antihistamines

4. Inhaled steroids

The correct answer is: Neo-synephrine

Neo-synephrine, which contains phenylephrine as its active ingredient, acts as a nasal decongestant. It is particularly effective for alleviating sinus pressure because it works by constricting the blood vessels in the nasal passages. This reduction in blood flow decreases swelling and congestion, allowing for improved airflow and relief from the pressure that is commonly felt during flights due to changes in altitude and barometric pressure. In-flight conditions can exacerbate sinus issues, especially for individuals with pre-existing sinus congestion or allergies. By using a decongestant like Neo-synephrine prior to or during a flight, patients can reduce their sinus pressure and improve their overall comfort while traveling. Other options may have specific uses, but they do not directly target the relief of sinus pressure in the same effective manner that Neo-synephrine does. Aspirin, while it may help with general pain relief, does not address the congestion. Antihistamines can help with allergic reactions but might cause drowsiness and potentially increase mucus production. Inhaled steroids are primarily used for chronic inflammatory conditions but are not acute treatments for sinus pressure relief during a flight.