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Exhibits

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

A.

Oral antibiotics

B.

Oral decongestants

C.

Nasal saline irrigation

D.

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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Related Questions

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

Explanation

A. Dyspnea: Shortness of breath is a common and significant symptom of COPD, resulting from the narrowing of airways and difficulty in expelling air.

B. Chronic cough: A persistent cough, often productive, is a hallmark of COPD. It is typically a response to chronic irritation and inflammation of the airways.

C. Wheezing: Wheezing is a common symptom of COPD due to the constriction of airways and turbulent airflow through narrowed airways.

D. Sputum production: Increased sputum production is common in COPD, especially in chronic bronchitis type of COPD, where inflammation leads to excess mucus production.

E. Chest tightness: While chest tightness can occur in COPD, it is less commonly emphasized compared to the other symptoms listed. The primary symptoms are generally more focused on dyspnea, cough, wheezing, and sputum production.

Correct Answer is D

Explanation

A. Respiratory alkalosis: This condition is characterized by a high pH and low PaCO2. In this case, the pH is low and PaCO2 is high, indicating that respiratory alkalosis is not present.

B. Metabolic acidosis: Metabolic acidosis is indicated by a low pH and a low bicarbonate level. Here, the pH is low but the bicarbonate level is normal, so metabolic acidosis is not the primary diagnosis.

C. Metabolic alkalosis: This condition involves a high pH and elevated bicarbonate. The pH in this case is low, so metabolic alkalosis is not present.

D. Respiratory acidosis: Respiratory acidosis is indicated by a low pH and high PaCO2. The client's pH is 7.22 (acidic) and PaCO2 is 68 mm Hg (elevated), which is consistent with respiratory acidosis. The bicarbonate level is normal, indicating that there is no significant metabolic compensation yet.

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