A client has been diagnosed with allergic rhinitis. Which symptoms would the nurse expect to observe?

(Select All that Apply.)

Wheezing

Sneezing

Watery eyes

Nasal congestion

Urticaria

Answer and Explanation

Correct Answer : B,C,D,E

A. Wheezing: Wheezing is not a typical symptom of allergic rhinitis. It is more commonly associated with asthma or other lower respiratory conditions.

B. Sneezing: Sneezing is a common symptom of allergic rhinitis. It is often triggered by exposure to allergens such as pollen, dust mites, or pet dander.

C. Watery eyes: Watery eyes, also known as allergic conjunctivitis, frequently accompany allergic rhinitis. This symptom occurs due to inflammation of the conjunctiva in response to allergen exposure.

D. Nasal congestion: Nasal congestion, or a stuffy nose, is a hallmark symptom of allergic rhinitis. It occurs as a result of inflammation and swelling of the nasal mucosa in response to allergens.

E. Urticaria: Urticaria, commonly referred to as hives, may occur in some individuals with allergic rhinitis. However, it is more commonly associated with other types of allergic reactions, such as food allergies or drug allergies.

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Correct Answer is C

Explanation

A. Decreased cardiac output: Inotropic medications are intended to improve cardiac function and increase cardiac output, so monitoring for signs of decreased cardiac output would be contrary to the expected therapeutic effect of these medications.

B. Increased afterload: Inotropic medications primarily affect the contractility of the heart muscle and do not typically have a direct effect on afterload (the force against which the heart must pump blood). While changes in afterload can occur as a secondary consequence of altered cardiac function, monitoring for signs of increased afterload would not be the primary focus after administering an inotropic medication.

C. Increased cardiac output.
Inotropic medications are drugs that affect the contractility of the heart muscle. They are often used in the management of shock to improve cardiac function and increase cardiac output. Therefore, after administering an inotropic medication, the nurse would monitor the patient for signs of increased cardiac output, such as improved peripheral perfusion, increased blood pressure, and resolution of signs and symptoms of shock.

D. Slowing of the heart rate: Inotropic medications can affect heart rate indirectly by altering cardiac output, but their primary effect is on contractility rather than heart rate. Monitoring for signs of bradycardia (slowing of the heart rate) may be appropriate in certain clinical situations, but it is not the primary consideration after administering an inotropic medication for shock.

A. A client who has a kidney stone B. A client who is pregnant C. A client who has a urinary tract infection D. A client who has osteoarthritis

Correct Answer is B

Explanation

A) A client who has a kidney stone:
Misoprostol is not contraindicated in clients who have kidney stones. Kidney stones are not a known contraindication for the use of misoprostol.

B) A client who is pregnant.
Misoprostol is a medication commonly used to prevent gastric ulcers in individuals who are taking nonsteroidal anti-inflammatory drugs (NSAIDs) for conditions such as osteoarthritis. However, it is contraindicated in pregnant women due to its potential to cause uterine contractions, leading to miscarriage or preterm labor. Misoprostol is classified as a pregnancy category X medication, meaning that there is clear evidence of fetal risk based on human or animal studies, and its use is contraindicated during pregnancy.

C) A client who has a urinary tract infection:
Misoprostol is not contraindicated in clients who have urinary tract infections. Urinary tract infections are not a known contraindication for the use of misoprostol.

D) A client who has osteoarthritis:
Misoprostol is commonly used in clients with conditions such as osteoarthritis to prevent NSAID-induced gastric ulcers. Osteoarthritis is not a contraindication for the use of misoprostol when indicated for gastric ulcer prevention in individuals taking NSAIDs.

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A client has been diagnosed with allergic rhinitis. Which symptoms would the nurse expect to observe? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After administering an inotropic medication to a patient in shock, the nurse monitors the patient for signs of:

Correct Answer is C

Explanation

A nurse is assisting with the care of four clients who have peptic ulcer disease. The nurse should identify that misoprostol (Cytotec) is contraindicated for which of the following clients?

Correct Answer is B

Explanation

A nurse is caring for a client who has been taking oxymetazoline (Afrin) nasal spray for the past 10 days for allergic rhinitis. The nurse should monitor client for which of the following manifestations as an adverse effect of this medication?

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A client has been diagnosed with allergic rhinitis. Which symptoms would the nurse expect to observe?

(Select All that Apply.)