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 C
Explanation
A. Respiratory alkalosis: Respiratory alkalosis is more commonly associated with hyperventilation and is not directly linked to the physiological effects of a tension pneumothorax, where the primary concern is intrathoracic pressure changes.
B. Increased venous return: In tension pneumothorax, intrathoracic pressure increases significantly, compressing the great vessels and the heart, leading to decreased venous return, not an increase.
C. Decreased cardiac output: Tension pneumothorax causes a rise in intrathoracic pressure, which compresses the heart and great vessels, leading to decreased venous return and, consequently, reduced cardiac output. This is a critical finding and requires immediate intervention.
D. Dilated ventricles: Ventricular dilation is generally associated with chronic heart conditions, not acute issues like tension pneumothorax, where decreased filling pressures are more of a concern than dilation.
Correct Answer is B
Explanation
A. Repeating the same question over and over: This behavior might indicate confusion or lack of understanding but is not a typical anticipated outcome of education. Effective education should lead to better understanding rather than repeated questions.
B. Awareness of COPD manifestations: An anticipated outcome of education for a client with COPD is increased awareness of their condition and its manifestations. This knowledge helps the client manage their symptoms and recognize exacerbations early.
C. Anxiety and restlessness: While some anxiety might be present, effective education aims to reduce anxiety by providing information and strategies for managing COPD. The goal is to increase confidence and knowledge, which can help mitigate anxiety.
D. Motivation and engagement of the client: While motivation and engagement are positive outcomes, they are not the primary focus of initial educational interventions. The primary goal is to ensure that the client is aware of their condition and understands how to manage it effectively.
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