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. 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.
Correct Answer is C
Explanation
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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