Exhibits

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

Oral antibiotics

Oral decongestants

Nasal saline irrigation

Intranasal corticosteroids

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is D

Explanation

A. Fever: Although fever can occur with various respiratory conditions, it is not the most specific early sign of an exacerbation in pulmonary sarcoidosis.

B. Weight loss: Weight loss is a more general symptom and not specifically indicative of an exacerbation of sarcoidosis.

C. Fatigue: Fatigue is a common symptom of sarcoidosis but is not necessarily an early sign of an exacerbation.

D. Shortness of breath: Shortness of breath is a significant early indicator of exacerbation in pulmonary sarcoidosis. It reflects worsening inflammation and granuloma formation affecting lung function.

A. Nasal saline irrigation alone B. Oral decongestants alone C. Oral antibiotics D. Intranasal corticosteroids alone

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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

Correct Answer is C

Explanation

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Exhibits

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