When prescribing a steroid nasal spray, instruct the patient to angle the applicator toward the ipsilateral ear once inserted into the nose. This will prevent the medication from being sprayed onto the highly vascular nasal septum and prevent the annoying side effect of a bloody nose that occasionally accompanies the use of these medications. — Melissa Donais, RN, FNP-BC, Andover, Mass. (158-15)

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