A Drug Rehabilitation nurse is conducting the health history. When would be the most natural time to ask the client about alcohol use?

After discussing reactions to allergens.

After asking about cigarette smoking.

After reviewing current medications.

After asking about previous surgeries.

Answer and Explanation

The Correct Answer is B

Choice A reason:
Discussing reactions to allergens typically focuses on environmental or food triggers that may cause allergic reactions. While it's important to understand a client's allergies, this topic is not closely related to alcohol use, which has different implications for health and lifestyle choices.
Choice B reason:
Asking about alcohol use naturally follows the discussion about cigarette smoking because both involve substance use and have potential health risks. It allows the nurse to transition smoothly from one lifestyle factor to another, which can impact the client's overall health. This approach also helps in creating a comprehensive picture of the client's habits that may contribute to or affect their current health status.
Choice C reason:
Reviewing current medications is an essential part of the health history, as it can reveal potential interactions with alcohol. However, it might be more appropriate to ask about alcohol use after discussing other lifestyle habits such as smoking, as they are more directly related. Once the client's substance use habits are established, the nurse can then discuss how these might interact with prescribed medications.
Choice D reason:
Asking about previous surgeries is important for understanding a client's medical history, but it is not directly related to the client's current lifestyle habits like alcohol use. Therefore, it would be more natural to ask about alcohol use in the context of other substance use discussions rather than after surgical history.

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Correct Answer is B

Explanation

Choice A Reason:
Rhinitis medicamentosa, also known as rebound congestion, is a condition of nasal congestion without other cold or allergy symptoms, typically caused by the overuse of nasal decongestant sprays. It does not usually present with chronic headaches or tenderness over the sinuses, which are more indicative of sinusitis.

Choice B Reason:
Acute bacterial sinusitis is likely the correct diagnosis in this scenario. It often follows a viral upper respiratory infection and presents with symptoms such as thick, discolored nasal mucus, decreased sense of smell, and facial pain or tenderness over the affected sinuses. The chronic headache and noted tenderness upon palpation over the sinuses in the client are consistent with this condition.

Choice C Reason:
Epistaxis, or nosebleed, is bleeding from the nose that can be caused by various factors, including trauma, medication, or environmental conditions. While it can be a symptom of other nasal conditions, it is not typically associated with chronic headaches or sinus tenderness following an upper respiratory infection.

Choice D Reason:
Allergic rhinitis is an allergic reaction to allergens such as pollen, dust, or pet dander, causing symptoms like sneezing, runny nose, itchy eyes, and sometimes headaches. However, the chronic headache and sinus tenderness described by the client after an infection are more suggestive of sinusitis rather than allergic rhinitis.

A. Tracheal B. Vesicular C. Bronchovesicular D. Bronchial

Correct Answer is B

Explanation

Choice A Reason:
Tracheal sounds are harsh, high-pitched breath sounds typically heard over the trachea in the neck. They are not expected to be heard over the peripheral lung fields of a young adult during a routine lung auscultation.

Choice B Reason:
Vesicular breath sounds are the normal sounds heard over most of the lung fields. They are characterized by a soft, low-pitched, rustling sound during inhalation and are softer during exhalation. These sounds are created by air moving through the smaller airways such as the bronchioles and alveoli.

Choice C Reason:
Bronchovesicular sounds are heard over the major bronchi and are characterized by a moderate pitch and intensity. They are typically heard between the first and second intercostal spaces at the sternal border anteriorly and between the scapulae posteriorly, not over most of the lung fields.

Choice D Reason:
Bronchial breath sounds are high-pitched and louder than vesicular sounds, with a hollow quality, and are normally heard over the manubrium. If heard over the peripheral lung fields, they may indicate lung consolidation or other abnormalities.

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A Drug Rehabilitation nurse is conducting the health history. When would be the most natural time to ask the client about alcohol use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client reports experiencing chronic headaches after a recent upper respiratory tract infection. On physical examination, the nurse notes tenderness when palpating over the sinuses. Which condition is likely?

Correct Answer is B

Explanation

The nurse is preparing to auscultate the lung sounds of a young adult. Which sound will the nurse expect to hear over most of the client's lungs?

Correct Answer is B

Explanation

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