A client is being evaluated for environmental allergies.

While examining the client’s nasal passage, which finding suggests to the nurse that the client is experiencing allergic rhinitis?

Intranasal edema and swelling of turbinates.

Purulent secretions from eyes and nares.

Snoring and bilateral, pale gray nodules.

Eye tearing and thick yellow nasal drainage.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Intranasal edema and swelling of turbinates are classic signs of allergic rhinitis. Allergic rhinitis is an inflammatory response to allergens, leading to swelling and congestion in the nasal passages. The turbinates, which are structures inside the nose that help filter and humidify the air, become swollen due to the inflammatory response, causing symptoms such as nasal congestion, runny nose, and sneezing.
Choice B rationale
Purulent secretions from the eyes and nares are more indicative of an infection, such as bacterial sinusitis or conjunctivitis, rather than allergic rhinitis. Allergic rhinitis typically involves clear, watery secretions rather than purulent (pus-like) discharge.
Choice C rationale
Snoring and bilateral, pale gray nodules are suggestive of nasal polyps, which can occur in chronic rhinosinusitis but are not specific to allergic rhinitis. Nasal polyps are non-cancerous growths that can obstruct nasal passages and cause breathing difficulties.
Choice D rationale
Eye tearing and thick yellow nasal drainage are more characteristic of an infection, such as bacterial sinusitis or conjunctivitis. Allergic rhinitis usually causes clear, watery secretions and may involve eye symptoms like itching and tearing, but not thick yellow drainage.

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Correct Answer is B

Explanation

Choice A rationale
Detailed questions about a symptom may be useful but can limit the client’s ability to provide a comprehensive description of the sputum.
Choice B rationale
Open-ended questioning allows the client to describe the sputum in their own words, providing more detailed and accurate information.
Choice C rationale
Closed-ended questions may limit the client’s responses and fail to capture important details about the sputum.
Choice D rationale
Leading questions can bias the client’s responses and may not provide accurate information about the sputum.

A. Benign variation. B. Cardiac enlargement. C. Cardiac atrophy. D. Expected finding.

Correct Answer is B

Explanation

Choice A rationale
A benign variation would not typically present with a pattern of dullness extending from the 5th left intercostal space to the 2nd left intercostal space at the sternal border. This pattern suggests an abnormality rather than a benign variation.
Choice B rationale
Cardiac enlargement is indicated by an area of dullness extending from the 5th left intercostal space to the 2nd left intercostal space at the sternal border. This finding suggests an enlarged heart, which can be due to conditions such as cardiomegaly or left ventricular hypertrophy.
Choice C rationale
Cardiac atrophy refers to a decrease in the size or mass of the heart muscle, resulting in a smaller than normal heart. The described findings indicate dullness extending upward, suggesting an enlargement rather than atrophy of the heart.
Choice D rationale
An expected finding would not typically present with the described pattern of dullness. The normal area of cardiac dullness is more limited and does not extend as described.

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A client is being evaluated for environmental allergies. While examining the client’s nasal passage, which finding suggests to the nurse that the client is experiencing allergic rhinitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While completing a health assessment for a client being admitted with bilateral pneumonia, the nurse asks the client to describe the sputum. Which communication technique should the nurse use to obtain this information?

Correct Answer is B

Explanation

While percussing the borders of the heart, the nurse picks up an area of dullness beginning at the 5th left intercostal space and moving upward to the 2nd left intercostal space at the sternal border. What do these findings indicate?

Correct Answer is B

Explanation

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A client is being evaluated for environmental allergies.

While examining the client’s nasal passage, which finding suggests to the nurse that the client is experiencing allergic rhinitis?