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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Sputum culture: A sputum culture is the definitive diagnostic test for tuberculosis (TB). It involves collecting a sample of the patient’s sputum and testing it for the presence of Mycobacterium tuberculosis, the bacterium that causes TB. This test confirms active TB infection and is critical in guiding treatment.

B. Chest x-ray: A chest x-ray can show abnormalities in the lungs that may suggest TB, such as infiltrates or cavities, but it cannot confirm the diagnosis. It is often used as a supporting diagnostic tool alongside other tests.

C. Tuberculin skin test: The tuberculin skin test (TST) is used to identify latent TB infection, not active TB. A positive result indicates that a person has been exposed to TB bacteria, but it does not confirm active disease.

D. Bronchoscopy: Bronchoscopy allows for direct visualization of the airways and collection of samples, but it is not the standard diagnostic test for confirming TB. Sputum culture remains the gold standard for diagnosis.

A. Hepatitis B B. Cockroaches C. Radon D. Mold

Correct Answer is D

Explanation

A. Hepatitis B is a viral infection that affects the liver, not an environmental factor associated with asthma or allergies. Avoiding Hepatitis B would be unrelated to managing asthma or allergies.
B. Cockroaches can trigger asthma symptoms, particularly through their droppings and shed body parts, which are common allergens. However, while significant, mold is often a more pervasive and impactful trigger, especially in damp environments.
C. Radon is a radioactive gas that can increase the risk of lung cancer over time but is not directly linked to asthma or allergies. It is an environmental concern but not specifically for managing asthma or allergies.
D. Mold is a well-known allergen that can exacerbate asthma symptoms. Mold spores, which are often found in damp environments, can cause significant respiratory issues and should be avoided by individuals with asthma and allergies.

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Exhibits Which of the following is the most appropriate initial management for this patient?

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Naxlex Comprehensive Predictor Exams

The nurse is gathering data on a client with a diagnosis of tuberculosis. The nurse should review the results of which diagnostic test to confirm this diagnosis?

Correct Answer is A

Explanation

A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?

Correct Answer is D

Explanation

A nurse is collecting data on a client who has pneumonia. Which of the following findings should the nurse expect?

A nurse is collecting data from a client who has a respiratory disorder and displays manifestations of hypoxia. Which of the following findings should the nurse expect?

Exhibits Which of the following is the most appropriate initial management for this patient?

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A nurse is providing a client who has COPD with education regarding adapting their behavior. Which of the following describes an anticipated outcome following education of the client?

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?

A nurse is collecting data for a client who has acute respiratory distress syndrome (ARDS). Which of the following findings should the nurse expect?

Exhibits

Which of the following is the most appropriate initial management for this patient?