Exhibits
Which of the following is the most appropriate treatment strategy for this patient, who is likely experiencing allergic rhinitis?
Oral antibiotics
Oral decongestants
Nasal saline irrigation
Intranasal corticosteroids
The Correct Answer is D
A. Oral antibiotics: Antibiotics are not indicated for allergic rhinitis, as it is an allergic condition rather than an infection.
B. Oral decongestants: While decongestants can provide temporary relief from nasal congestion, they can also cause rebound congestion if used for prolonged periods.
C. Nasal saline irrigation: Nasal saline irrigation can help to clear out mucus and allergens but is not a primary treatment for allergic rhinitis.
D. Intranasal corticosteroids: Intranasal corticosteroids are the most effective treatment for allergic rhinitis, as they reduce inflammation in the nasal passages and help to alleviate symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Respiratory acidosis is caused by hypoventilation, leading to an increase in carbon dioxide levels in the blood. This condition is characterized by confusion, drowsiness, and headache, but it does not typically present with vomiting, tingling, or slow respirations as described in this scenario.
B. Metabolic alkalosis occurs due to a loss of hydrogen ions or an excess of bicarbonate, commonly caused by prolonged vomiting. The symptoms described, including persistent vomiting, tingling, and slow, shallow respirations, are consistent with metabolic alkalosis.
C. Metabolic acidosis results from the accumulation of acid or loss of bicarbonate, often presenting with rapid, deep breathing (Kussmaul respirations). The client’s slow respirations and other symptoms do not align with metabolic acidosis, making this option less likely.
D. Respiratory alkalosis is caused by hyperventilation, which leads to a decrease in carbon dioxide levels. It is usually associated with rapid breathing and does not match the slow respirations and other symptoms seen in this client.
Correct Answer is D
Explanation
A. Hypothermia: Pneumonia typically presents with fever rather than hypothermia. Fever is a common response to infection and inflammation.
B. Bradycardia: Pneumonia usually causes tachycardia rather than bradycardia. Tachycardia is a compensatory response to improve oxygen delivery to tissues.
C. Pulse deficit: A pulse deficit is not a common finding in pneumonia. It is more associated with conditions like atrial fibrillation.
D. Tachypnea: Tachypnea, or rapid breathing, is a common sign of pneumonia. It reflects the body’s attempt to improve oxygenation and compensate for impaired gas exchange.
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