Exhibits
Which of the following is the most appropriate treatment for this patient. given the likely diagnosis of acute sinusitis?
Nasal saline irrigation alone
Oral decongestants alone
Oral antibiotics
Intranasal corticosteroids alone
The Correct Answer is C
In cases of acute bacterial sinusitis that last longer than 10 days, worsen after initial improvement, or present with severe symptoms (such as fever and significant facial pain), oral antibiotics are generally indicated. First-line options typically include amoxicillin-clavulanate.
Other options listed, such as nasal saline irrigation, oral decongestants, or intranasal corticosteroids, may help alleviate symptoms but would not address the bacterial infection, making antibiotics the most appropriate primary treatment in this case.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Absence of breath sounds over the affected area is a hallmark sign of a pneumothorax. This occurs because air in the pleural space prevents lung expansion, leading to a lack of air movement and, consequently, no breath sounds. Monitoring for this symptom is critical in identifying a pneumothorax.
B. Coarse crackles are typically associated with fluid in the lungs, such as in cases of pulmonary edema or pneumonia. These sounds are not indicative of a pneumothorax, where air rather than fluid accumulates in the pleural space.
C. Inspiratory stridor is a high-pitched sound often associated with upper airway obstruction, such as in cases of croup or foreign body aspiration. It is not a common manifestation of a pneumothorax, which involves the pleural space rather than the upper airway.
D. Expiratory wheeze is typically associated with conditions that involve narrowing of the airways, such as asthma or chronic obstructive pulmonary disease (COPD). It is not a characteristic finding in pneumothorax, where the issue is lung collapse rather than airway constriction.
Correct Answer is D
Explanation
A. Photophobia: Antihistamines are not typically associated with photophobia. Common side effects include dry mouth and drowsiness, but not increased sensitivity to light.
B. Increased blood pressure: Antihistamines do not commonly cause increased blood pressure. They are more likely to lead to side effects like dry mouth, drowsiness, and blurred vision rather than affecting blood pressure significantly.
C. Diarrhea: Diarrhea is not a usual side effect of antihistamines. These medications are more likely to cause constipation rather than diarrhea.
D. Dry mouth: Dry mouth is a common adverse effect of many antihistamines. This occurs due to their anticholinergic effects, which decrease saliva production and lead to dry mouth.
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