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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Smoking tobacco: Tobacco smoking is the most common risk factor for emphysema. Smoking leads to chronic inflammation and damage to the alveoli, which are key characteristics of emphysema.

B. Asthma: Although asthma can contribute to chronic respiratory issues, it is not the most common risk factor for emphysema. Emphysema is primarily linked to smoking rather than asthma.

C. Between 20 to 30 years of age: Emphysema is more commonly associated with older age, typically developing over many years of exposure to risk factors such as smoking. It is not primarily linked to being in the 20 to 30 age range.

D. Pollution: While air pollution can contribute to respiratory diseases, smoking is the most significant risk factor for emphysema. Pollution alone is less commonly the primary cause.

A. Absence of breath sounds B. Coarse crackles C. Inspiratory stridor D. Expiratory wheeze

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.

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Exhibits Which of the following is the most appropriate treatment for this patient. given the likely diagnosis of acute sinusitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is the most common risk factor for emphysema?

Correct Answer is A

Explanation

A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax?

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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A nurse is reinforcing teaching to a graduating nurse about fluid volume deficit. Which of the following concepts about water balance should the nurse explain to the graduating nurse?

Exhibits

Which of the following is the most appropriate treatment for this patient. given the likely diagnosis of acute sinusitis?