A client is being evaluated for environmental allergies.

While examining the client’s nasal passage, which finding suggests to the nurse that the client is experiencing allergic rhinitis?

Intranasal edema and swelling of turbinates.

Purulent secretions from eyes and nares.

Snoring and bilateral, pale gray nodules.

Eye tearing and thick yellow nasal drainage.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Intranasal edema and swelling of turbinates are classic signs of allergic rhinitis. Allergic rhinitis is an inflammatory response to allergens, leading to swelling and congestion in the nasal passages. The turbinates, which are structures inside the nose that help filter and humidify the air, become swollen due to the inflammatory response, causing symptoms such as nasal congestion, runny nose, and sneezing.
Choice B rationale
Purulent secretions from the eyes and nares are more indicative of an infection, such as bacterial sinusitis or conjunctivitis, rather than allergic rhinitis. Allergic rhinitis typically involves clear, watery secretions rather than purulent (pus-like) discharge.
Choice C rationale
Snoring and bilateral, pale gray nodules are suggestive of nasal polyps, which can occur in chronic rhinosinusitis but are not specific to allergic rhinitis. Nasal polyps are non-cancerous growths that can obstruct nasal passages and cause breathing difficulties.
Choice D rationale
Eye tearing and thick yellow nasal drainage are more characteristic of an infection, such as bacterial sinusitis or conjunctivitis. Allergic rhinitis usually causes clear, watery secretions and may involve eye symptoms like itching and tearing, but not thick yellow drainage.

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Correct Answer is D

Explanation

Choice A rationale
Esophagitis refers to inflammation of the esophagus, often due to reflux of gastric contents into the esophagus. Symptoms may include heartburn, difficulty swallowing, and chest pain, but the pain is typically not related to hunger and food intake as described in the scenario.
Choice B rationale
Chronic pancreatitis typically presents with persistent, dull abdominal pain that may radiate to the back, often aggravated by eating rather than relieved by it. The pain associated with chronic pancreatitis is not typically described as gnawing or relieved by eating.
Choice C rationale
Gastroesophageal reflux disease (GERD) involves the reflux of gastric contents into the esophagus, leading to symptoms such as heartburn, regurgitation, and chest pain. While GERD can cause epigastric discomfort, the described pattern of pain worsening with hunger and improving after eating is more indicative of peptic ulcer disease (PUD)5.
Choice D rationale
Peptic ulcer disease (PUD) is the correct answer. The symptoms described, including gnawing epigastric pain that worsens when hungry and improves after eating, are classic manifestations of peptic ulcer disease (PUD). Peptic ulcers are erosions in the mucosal lining of the stomach or duodenum, often caused by Helicobacter pylori infection or nonsteroidal anti-inflammatory drugs (NSAIDs)5.

A. Paresthesia. B. Marginal decline in sensory function. C. Rebound reaction to the needle points. D. Normal sensory finding.

Correct Answer is D

Explanation

Choice A rationale
Paresthesia refers to abnormal sensations such as tingling or numbness, which is not indicated by the client’s ability to sense two points at specific distances.
Choice B rationale
A marginal decline in sensory function would be indicated by a significant increase in the distance required to sense two points, which is not the case here.
Choice C rationale
A rebound reaction to the needle points is not a recognized interpretation of the two-point discrimination test.
Choice D rationale
The client’s ability to sense two points at a distance of 3 mm on the fingertips and 10 mm on the palms is within the normal range for two-point discrimination.

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A client is being evaluated for environmental allergies. While examining the client’s nasal passage, which finding suggests to the nurse that the client is experiencing allergic rhinitis?

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Correct Answer is D

Explanation

Correct Answer is D

Explanation

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A client is being evaluated for environmental allergies.

While examining the client’s nasal passage, which finding suggests to the nurse that the client is experiencing allergic rhinitis?