Which question by the nurse is likely to elicit the most information regarding a client's use of medications to treat a chronic cough?

What medications have you taken for your cough?

Have you been prescribed any medications for your cough?

Have you tried any generic brands of cough syrup?

What medications are you currently taking?

Answer and Explanation

The Correct Answer is A

A.   Asking the client directly about the medications they have taken for their cough provides specific
information about the treatments they’ve used, including over-the-counter or prescription options.
B.   Asking if they have been prescribed medications for the cough might miss important details about over-the-counter medications or self-treatment.
C.   Asking about generic brands of cough syrup is too specific and may miss other relevant medications the client is using to manage their chronic cough.
D.   Asking about current medications is important for general health information, but it does not directly address treatment specific to the cough.

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Correct Answer is B

Explanation

A. Bronchitis may cause wheezing, but it typically presents with a productive cough and can be associated with fever, which this client does not have. The absence of a productive cough and the degree of difficulty breathing suggest another condition.
B. Asthma is the most likely diagnosis. The client’s wheezing, decreased tactile fremitus, prolonged expirations, and history of exercise-induced symptoms are consistent with an asthma exacerbation. Asthma often presents with wheezing and difficulty breathing, especially during or after physical exertion.
C. Pneumonia typically presents with fever, chills, productive cough, and localized lung findings, which are not present in this client. The lack of fever and the presence of wheezing make pneumonia unlikely.
D. Pneumothorax may cause dyspnea and decreased breath sounds, but the wheezing, prolonged expirations, and history of exertion suggest asthma as the primary concern. A pneumothorax would typically present with more abrupt onset and significant breath sounds asymmetry, which is not seen in this case.

A. Anal mucosa prolapse and loose sphincter tone. B. Dried dark red blood on swollen external hemorrhoids. C. Serosanguineous and purulent exudate from anus. D. Tears of the anal mucosa with old blood around anus.

Correct Answer is B

Explanation

A. Anal mucosa prolapse may be a concern but would not explain the appearance of the dark red blood and external hemorrhoidal mass.
B. Dried, dark red blood on swollen external hemorrhoids suggests hemorrhoidal bleeding, which is common and associated with the appearance of a purple, shiny tissue mass.
C. Serosanguineous or purulent exudate suggests infection or other concerns but does not fit the description of the observed finding in this case.
D. Tears in the anal mucosa with old blood may occur, but they are not as likely to present as a shiny, purple mass with dark red blood on the surface.

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Which question by the nurse is likely to elicit the most information regarding a client's use of medications to treat a chronic cough?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is B

Explanation

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