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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hypothermia: Pneumonia typically presents with fever rather than hypothermia. Fever is a common response to infection and inflammation.
B. Bradycardia: Pneumonia usually causes tachycardia rather than bradycardia. Tachycardia is a compensatory response to improve oxygen delivery to tissues.
C. Pulse deficit: A pulse deficit is not a common finding in pneumonia. It is more associated with conditions like atrial fibrillation.
D. Tachypnea: Tachypnea, or rapid breathing, is a common sign of pneumonia. It reflects the body’s attempt to improve oxygenation and compensate for impaired gas exchange.
Correct Answer is A
Explanation
A. Hyperventilation: Respiratory alkalosis is typically caused by hyperventilation, which leads to excessive loss of carbon dioxide and an increase in blood pH. This is a primary finding in respiratory alkalosis.
B. Abdominal pain: While abdominal pain can occur in various conditions, it is not a specific or common finding associated with respiratory alkalosis.
C. Dry skin: Dry skin is not a direct manifestation of respiratory alkalosis. It is not typically associated with the changes in acid-base balance seen in respiratory alkalosis.
D. Diarrhea: Diarrhea is not commonly associated with respiratory alkalosis. Instead, gastrointestinal symptoms like diarrhea are more commonly related to metabolic acidosis or other conditions.
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