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 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.

A. Diarrhea B. Vomiting C. Salicylate intoxication D. Hyperventilation

Correct Answer is A

Explanation

A. Diarrhea: Diarrhea leads to the loss of bicarbonate, an important buffer in the blood, which can contribute to the development of metabolic acidosis as the body loses bicarbonate faster than it can replace it.

B. Vomiting: Vomiting typically leads to metabolic alkalosis due to the loss of stomach acid, which reduces the amount of hydrogen ions in the body.

C. Salicylate intoxication: This condition primarily causes a mixed acid-base disturbance, including metabolic acidosis and respiratory alkalosis, due to its effects on both the metabolic and respiratory systems.

D. Hyperventilation: This condition causes respiratory alkalosis due to excessive loss of carbon dioxide, not metabolic acidosis.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Which of the following is the most appropriate treatment strategy for this patient, who is likely experiencing allergic rhinitis?

Correct Answer is D

Explanation

A nurse is reviewing the medical record of a client who has metabolic acidosis. The nurse should realize that which of the following findings contributes to the development of metabolic acidosis?

Correct Answer is A

Explanation

A nurse is reinforcing discharge education to a client who has hypokalemia. Which of the following suggestions should be included in the teaching plan?

A nurse is caring for several clients on a medical-surgical unit. Which of the following clients have an elevated risk for hypocalcemia?

A nurse is assisting with preparations for administering intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L. Which of the following actions should the nurse plan to include? (Select all that apply.)

A nurse is caring for a client who has metabolic alkalosis. Which of the following assessment findings is a possible cause for this condition? (Select all that apply.)

A nurse is caring for a client who has a positive Trousseau's sign and bone pain. Which of the following electrolyte imbalances should the nurse suspect to find with this client?

A nurse is reinforcing teaching to a graduating nurse about fluid volume deficit. Which of the following concepts about water balance should the nurse explain to the graduating nurse?

A nurse is assisting with weaning a client from the ventilator. Which of the following parts of the ABCDEF assessment tool does the weaning process represent?

Exhibits

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