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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Repeating the same question over and over: This behavior might indicate confusion or lack of understanding but is not a typical anticipated outcome of education. Effective education should lead to better understanding rather than repeated questions.

B. Awareness of COPD manifestations: An anticipated outcome of education for a client with COPD is increased awareness of their condition and its manifestations. This knowledge helps the client manage their symptoms and recognize exacerbations early.

C. Anxiety and restlessness: While some anxiety might be present, effective education aims to reduce anxiety by providing information and strategies for managing COPD. The goal is to increase confidence and knowledge, which can help mitigate anxiety.

D. Motivation and engagement of the client: While motivation and engagement are positive outcomes, they are not the primary focus of initial educational interventions. The primary goal is to ensure that the client is aware of their condition and understands how to manage it effectively.

A. Sputum culture B. Chest x-ray C. Tuberculin skin test D. Bronchoscopy

Correct Answer is A

Explanation

A. Sputum culture: A sputum culture is the definitive diagnostic test for tuberculosis (TB). It involves collecting a sample of the patient’s sputum and testing it for the presence of Mycobacterium tuberculosis, the bacterium that causes TB. This test confirms active TB infection and is critical in guiding treatment.

B. Chest x-ray: A chest x-ray can show abnormalities in the lungs that may suggest TB, such as infiltrates or cavities, but it cannot confirm the diagnosis. It is often used as a supporting diagnostic tool alongside other tests.

C. Tuberculin skin test: The tuberculin skin test (TST) is used to identify latent TB infection, not active TB. A positive result indicates that a person has been exposed to TB bacteria, but it does not confirm active disease.

D. Bronchoscopy: Bronchoscopy allows for direct visualization of the airways and collection of samples, but it is not the standard diagnostic test for confirming TB. Sputum culture remains the gold standard for diagnosis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing a client who has COPD with education regarding adapting their behavior. Which of the following describes an anticipated outcome following education of the client?

Correct Answer is B

Explanation

The nurse is gathering data on a client with a diagnosis of tuberculosis. The nurse should review the results of which diagnostic test to confirm this diagnosis?

Correct Answer is A

Explanation

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?

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