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.
Eye tearing and thick yellow nasal drainage.
Snoring and bilateral, pale gray nodules.
Purulent secretions from eyes and nares.
The Correct Answer is A
A. Intranasal edema and swelling of the turbinates are common findings in allergic rhinitis, reflecting inflammation and congestion caused by allergens.
B. Eye tearing is a symptom associated with allergic rhinitis, but thick yellow nasal drainage is more indicative of an infection, such as bacterial sinusitis.
C. Snoring and bilateral, pale gray nodules could indicate nasal polyps, which can occur with chronic allergies but are not definitive of allergic rhinitis alone.
D. Purulent secretions from the eyes and nares suggest an infection rather than an allergic reaction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Blood urea nitrogen (BUN) levels may be elevated in cases of gastrointestinal bleeding due to the breakdown of blood in the intestines, but it is not the primary test to monitor for blood loss.
B. Glucose levels are important to monitor for clients with diabetes or metabolic disorders, but they are not directly related to melena, which is a sign of gastrointestinal bleeding.
C. Hematocrit is a critical lab test to monitor in response to melena, as it measures the proportion of red blood cells in the blood. A decrease in hematocrit indicates blood loss, which is a common consequence of gastrointestinal bleeding.
D. White blood cell count (WBC) is used to monitor infection or inflammation, but it is not directly related to the immediate concern of blood loss associated with melena.
Correct Answer is B
Explanation
A. Pulse volume is not the same as the presence of a bruit, which is an abnormal sound heard over an artery.
B. A bruit is an abnormal, blowing, or swishing sound heard over an artery, indicating turbulent blood flow, often due to atherosclerosis or narrowing of the artery. Documenting the presence of a bruit on the left and its absence on the right is the correct approach.
C. A strong pulse does not necessarily correlate with the presence of a bruit, and the absence of sound on the right does not confirm occlusion.
D. Occlusion of the artery cannot be confirmed solely based on the absence of a bruit; further diagnostic testing would be required.
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