Exhibits
Which of the following is the most appropriate initial management for this patient?
Perform needle decompression of the pleural space followed by chest tube insertion.
Prescribe bronchodilators and schedule a pulmonary function test.
Administer oral antibiotics and arrange follow-up in a week.
Initiate high-flow oxygen therapy and monitor the patient.
The Correct Answer is C
A. Nasal saline irrigation alone: While nasal saline irrigation can help to clear out mucus and congestion, it is often not sufficient to treat bacterial sinusitis.
B. Oral decongestants alone: Decongestants may provide temporary relief of symptoms but are not effective against bacterial infections.
C. Oral antibiotics: Antibiotics are the most appropriate treatment for acute bacterial sinusitis, as they can target the underlying infection.
D. Intranasal corticosteroids alone: Corticosteroids can be helpful for managing allergic rhinitis but are not effective against bacterial infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The "Choice of Analgesia and Sedation" component of the ABCDEF assessment tool focuses on selecting appropriate pain relief and sedation strategies for the patient but does not directly relate to the weaning process.
B. "Assess, Prevent, and Manage Pain" involves ensuring the patient is comfortable and free from pain, which is important but not specifically related to weaning from the ventilator.
C. "Delirium: Assess, Prevent, and Manage" addresses the cognitive status of the patient, particularly the prevention and management of delirium, which is a critical aspect of care but not directly related to ventilator weaning.
D. "Breathing: Spontaneous Awakening Trials (SAT) and Spontaneous Breathing Trials (SBT)" directly involves the weaning process, as it includes assessing the patient's ability to breathe independently by reducing or removing sedation (SAT) and evaluating their capacity for spontaneous breathing (SBT).
Correct Answer is D
Explanation
A. Oral antibiotics: Antibiotics are not indicated for allergic rhinitis, as it is an allergic condition rather than an infection.
B. Oral decongestants: While decongestants can provide temporary relief from nasal congestion, they can also cause rebound congestion if used for prolonged periods.
C. Nasal saline irrigation: Nasal saline irrigation can help to clear out mucus and allergens but is not a primary treatment for allergic rhinitis.
D. Intranasal corticosteroids: Intranasal corticosteroids are the most effective treatment for allergic rhinitis, as they reduce inflammation in the nasal passages and help to alleviate symptoms.
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