A nurse is providing care to a client who reports facial pain, including dental pain in the upper teeth. Which of the following additional symptoms would lead the nurse to suspect sinusitis as the source of the pain?
The client is producing large amounts of clear, watery nasal discharge and experiencing postnasal drip.
The client has a history of both tension and vascular headaches and takes prescription migraine medication as needed.
The client has nasal congestion that does not significantly improve with over-the-counter decongestants or antihistamines.
The client regularly uses saline-based nasal washes and a humidifier to clean and moisturize their sinuses.
The Correct Answer is C
A. The client is producing large amounts of clear, watery nasal discharge and experiencing postnasal drip: Clear, watery nasal discharge is more indicative of allergic rhinitis rather than sinusitis, which typically presents with thicker, purulent discharge.
B. The client has a history of both tension and vascular headaches and takes prescription migraine medication as needed: While headaches can accompany sinusitis, this option does not directly address symptoms specific to sinusitis, such as nasal congestion or facial pressure.
C. The client has nasal congestion that does not significantly improve with over-the-counter decongestants or antihistamines: Persistent nasal congestion despite the use of decongestants or antihistamines is a common symptom of sinusitis, indicating that the source of the problem may be inflammation or infection in the sinuses.
D. The client regularly uses saline-based nasal washes and a humidifier to clean and moisturize their sinuses: Regular use of these measures suggests the client is taking preventive care of their sinuses but does not necessarily indicate sinusitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
A. Repeat blood serum potassium: While it’s important to monitor potassium levels, the immediate priority when preparing to administer potassium is ensuring safe administration practices, not rechecking levels before initiating therapy.
B. Educate client regarding high-potassium food sources: Client education is important for long-term management but is not a priority when preparing for intravenous potassium replacement in an acute setting.
C. Cardiac monitoring during infusion: Potassium affects cardiac conduction, and rapid correction can lead to arrhythmias. Continuous cardiac monitoring is necessary to detect any life-threatening arrhythmias during the infusion.
D. Ensure that the client's urine output is at least 1 mL/kg/hour: Adequate urine output ensures that the kidneys are functioning and capable of excreting excess potassium, reducing the risk of hyperkalemia.
E. Ensure potassium infusion is prepared with 5% dextrose solution: Potassium should not be mixed with dextrose, as it can increase insulin release, causing potassium to shift into cells and worsen hypokalemia.
Correct Answer is C
Explanation
A. The intracellular space contains most of the body's water: While it is true that the intracellular space holds the majority of the body's water, this statement does not specifically relate to the concept of fluid volume deficit or how the body responds to it.
B. A fluid volume deficit inhibits baroreceptors: In fact, fluid volume deficit activates baroreceptors due to reduced blood pressure, leading to compensatory mechanisms like increased heart rate and vasoconstriction to maintain blood pressure.
C. When the body loses water, the intravascular space experiences the water loss: This statement accurately describes the process during fluid volume deficit. The intravascular space loses water, leading to decreased blood volume, which can result in symptoms like hypotension and reduced tissue perfusion.
D. A negative fluid balance occurs when the body takes in more water than the body needs: This statement is incorrect; a negative fluid balance occurs when the body loses more water than it takes in, leading to dehydration or fluid volume deficit.
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