A nurse is providing care to a client who reports facial pain, including dental pain in the upper teeth. Which of the following additional symptoms would lead the nurse to suspect sinusitis as the source of the pain?
The client is producing large amounts of clear, watery nasal discharge and experiencing postnasal drip.
The client has a history of both tension and vascular headaches and takes prescription migraine medication as needed.
The client has nasal congestion that does not significantly improve with over-the-counter decongestants or antihistamines.
The client regularly uses saline-based nasal washes and a humidifier to clean and moisturize their sinuses.
The Correct Answer is C
A. The client is producing large amounts of clear, watery nasal discharge and experiencing postnasal drip: Clear, watery nasal discharge is more indicative of allergic rhinitis rather than sinusitis, which typically presents with thicker, purulent discharge.
B. The client has a history of both tension and vascular headaches and takes prescription migraine medication as needed: While headaches can accompany sinusitis, this option does not directly address symptoms specific to sinusitis, such as nasal congestion or facial pressure.
C. The client has nasal congestion that does not significantly improve with over-the-counter decongestants or antihistamines: Persistent nasal congestion despite the use of decongestants or antihistamines is a common symptom of sinusitis, indicating that the source of the problem may be inflammation or infection in the sinuses.
D. The client regularly uses saline-based nasal washes and a humidifier to clean and moisturize their sinuses: Regular use of these measures suggests the client is taking preventive care of their sinuses but does not necessarily indicate sinusitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Bradypnea, or abnormally slow breathing, is not typically associated with hypoxia. Hypoxia usually triggers an increase in respiratory rate (tachypnea) as the body attempts to take in more oxygen to meet its needs.
B. Cyanosis, a bluish discoloration of the skin and mucous membranes, is a key sign of hypoxia. It occurs when there is insufficient oxygen in the blood, leading to a darker color of deoxygenated hemoglobin. Cyanosis is most commonly observed in the lips, fingertips, and toes.
C. Pallor, or paleness of the skin, can occur in various conditions but is not specific to hypoxia. It is more commonly associated with anemia or shock rather than low oxygen levels in the blood.
D. Bradycardia, or a slower-than-normal heart rate, is not typically a manifestation of hypoxia. Instead, hypoxia often causes tachycardia as the body attempts to increase oxygen delivery to tissues by pumping blood more quickly.
Correct Answer is D
Explanation
A. Hyperventilation: Hyperventilation is more commonly associated with respiratory alkalosis or anxiety rather than hypokalemia. Hypokalemia does not typically cause hyperventilation.
B. Bradypnea: Bradypnea (slow breathing) is not a common finding in hypokalemia. Hypokalemia can affect muscle function, including respiratory muscles, but bradypnea is not a characteristic sign.
C. Syncope: While syncope (fainting) can occur due to various conditions, it is not a specific or common finding directly associated with hypokalemia. Hypokalemia mainly affects the heart and muscles.
D. U waves on electrocardiogram: U waves are a classic electrocardiogram (ECG) finding associated with hypokalemia. These waves appear after the T wave and are indicative of the electrolyte imbalance affecting cardiac repolarization.
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