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 B
Explanation
A. Evaluating muscle strength and hand grips helps assess motor function and strength but does not directly identify causes of paresthesia, such as sensory or circulatory issues.
B. Observing the skin for erythema, edema, and warmth is important for identifying potential underlying causes of paresthesia, such as inflammation, infection, or poor circulation, which could be contributing to the burning sensation.
C. Reviewing serum electrolytes can be useful in assessing overall metabolic status but is less directly related to identifying the cause of localized paresthesia compared to assessing skin condition or other specific sensory symptoms.
D. Checking distal phalanges capillary refill assesses peripheral circulation but does not directly address the burning sensation or potential underlying causes like inflammation or nerve compression.
Correct Answer is B
Explanation
A. Crepitus is an abnormal finding that indicates the presence of air in the subcutaneous tissues or other issues like joint or lung abnormalities. It is not a normal finding upon palpation.
B. Non-tenderness is a normal finding and indicates that the thoracic region is free from pain or discomfort, which is expected in a healthy client.
C. Tenderness upon palpation is not normal and may suggest underlying issues such as inflammation, injury, or infection.
D. A thrill, which is a palpable vibration felt over a specific area, is not a normal finding in the thoracic region and may indicate turbulent blood flow or underlying pathology.
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