Susan, a 42-year-old woman, has a history of recurrent ear infections since childhood.She now presents with chronic ear pain, tenderness behind her left ear, and a low-grade fever. Her past medical history includes multiple episodes of otitis media during childhood. Based on her symptoms and history, what condition should you suspect in Susan?
Tonsillitis
Allergic Rhinitis
Eustachian Tube Dysfunction
Labyrinthitis
Labyrinthitis
The Correct Answer is C
A. Tonsillitis presents with sore throat, difficulty swallowing, and inflamed tonsils, but it is not typically associated with ear pain, tenderness behind the ear, or a history of recurrent ear infections.
B. Allergic rhinitis typically presents with nasal congestion, sneezing, and itchy, watery eyes, but it does not cause chronic ear pain or tenderness behind the ear.
C. Chronic ear pain, tenderness behind the ear, and a history of recurrent ear infections suggest dysfunction of the Eustachian tube, which can lead to fluid accumulation and pressure changes in the middle ear.
D. Labyrinthitis presents with vertigo, nausea, and hearing loss, which are not mentioned in Susan's symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Administering the flu vaccine immediately may not be safe due to Paul's recent immunoglobulin therapy and underlying health conditions.
B. While controlling diabetes is important for overall health, it may not directly impact the decision to postpone the flu vaccine.
C. Postponing the flu vaccine for another 2 weeks allows time for the effects of immunoglobulin therapy to diminish and reduces the risk of potential adverse interactions.
D. Consulting the physician for an alternative to flu vaccination may be necessary if Paul cannot receive the vaccine due to contraindications or allergies, but postponing is the initial appropriate action.
Correct Answer is B
Explanation
A. While coughing may be a symptom of certain conditions, it's not directly related to the presence of white lesions in the throat.
B. Chemotherapy can suppress the immune system and predispose patients to oral candidiasis (thrush). It's important to inquire about other medications that may contribute to this condition or interact with chemotherapy.
C. Oral herpes typically presents as cold sores or fever blisters and may not be directly related to the white lesions observed.
D. While oral hygiene is important, the presence of white lesions in James's throat is more likely related to his medical condition and treatment than to dental hygiene habits.
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