Exhibits

Which of the following is the most appropriate treatment for this patient. given the likely diagnosis of acute sinusitis?

Nasal saline irrigation alone

Oral decongestants alone

Oral antibiotics

Intranasal corticosteroids alone

Answer and Explanation

The Correct Answer is C

In cases of acute bacterial sinusitis that last longer than 10 days, worsen after initial improvement, or present with severe symptoms (such as fever and significant facial pain), oral antibiotics are generally indicated. First-line options typically include amoxicillin-clavulanate.

Other options listed, such as nasal saline irrigation, oral decongestants, or intranasal corticosteroids, may help alleviate symptoms but would not address the bacterial infection, making antibiotics the most appropriate primary treatment in this case.

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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.

A. Respiratory alkalosis B. Increased venous return C. Decreased cardiac output D. Dilated ventricles

Correct Answer is C

Explanation

A. Respiratory alkalosis: Respiratory alkalosis is generally associated with hyperventilation and is not directly caused by tension pneumothorax. In tension pneumothorax, the primary issues are related to pressure changes within the thoracic cavity, not respiratory alkalosis.

B. Increased venous return: In tension pneumothorax, venous return is actually decreased due to the increased intrathoracic pressure compressing the great vessels, which impedes blood flow back to the heart.

C. Decreased cardiac output: Tension pneumothorax causes a significant increase in intrathoracic pressure, leading to compression of the heart and great vessels, which results in decreased venous return and ultimately decreased cardiac output. This is a critical and life-threatening consequence of tension pneumothorax.

D. Dilated ventricles: Dilated ventricles are more commonly seen in chronic heart conditions such as heart failure, rather than in acute tension pneumothorax. Tension pneumothorax typically results in reduced ventricular filling rather than dilation.

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Exhibits Which of the following is the most appropriate treatment for this patient. given the likely diagnosis of acute sinusitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.)

Correct Answer is ["C","D"]

Explanation

A nurse is collecting data for a client who has tension pneumothorax. Which of the following findings should the nurse expect following tracheal deviation?

Correct Answer is C

Explanation

The nurse is reinforcing discharge instructions to the client with pulmonary sarcoidosis. The nurse knows that the client understands the information if the client verbalizes which early sign of exacerbation?

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 charge nurse is reinforcing teaching with a newly licensed nurse about fluid shifts. The newly licensed nurse asks why sodium levels are high during dehydration. Which of the following responses should the charge nurse provide?

A nurse is caring for a client who has hypokalemia. Which of the following findings should the nurse associate with hypokalemia?

Which of the following is the most common risk factor for emphysema?

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 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?

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

Exhibits

Which of the following is the most appropriate treatment for this patient. given the likely diagnosis of acute sinusitis?