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 ["C","D"]
Explanation
A. Blood urea nitrogen (BUN) 25 mg/dl (10 to 20 mg/dL): Elevated BUN can indicate dehydration or kidney issues, but it is not directly related to metabolic alkalosis.
B. Serum potassium level 4.8 mg/dL (3.5 to 5 mg/dL): This potassium level is within the normal range and does not indicate a cause of metabolic alkalosis. Metabolic alkalosis is more commonly associated with hypokalemia rather than normal potassium levels.
C. History of vomiting: Vomiting can lead to metabolic alkalosis due to the loss of stomach acid (hydrochloric acid), which reduces the body's acidity and raises the pH.
D. Overuse of antacids: Excessive use of antacids can contribute to metabolic alkalosis because antacids neutralize stomach acid, leading to an increase in blood pH.
E. Polycythemia: Polycythemia, an increased concentration of red blood cells, is not typically associated with metabolic alkalosis. It is related to other conditions such as chronic hypoxia or bone marrow disorders.
Correct Answer is D
Explanation
A. Respiratory alkalosis: This condition is characterized by a high pH and low PaCO2. In this case, the pH is low and PaCO2 is high, indicating that respiratory alkalosis is not present.
B. Metabolic acidosis: Metabolic acidosis is indicated by a low pH and a low bicarbonate level. Here, the pH is low but the bicarbonate level is normal, so metabolic acidosis is not the primary diagnosis.
C. Metabolic alkalosis: This condition involves a high pH and elevated bicarbonate. The pH in this case is low, so metabolic alkalosis is not present.
D. Respiratory acidosis: Respiratory acidosis is indicated by a low pH and high PaCO2. The client's pH is 7.22 (acidic) and PaCO2 is 68 mm Hg (elevated), which is consistent with respiratory acidosis. The bicarbonate level is normal, indicating that there is no significant metabolic compensation yet.
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