Which of the following patients who presented to a walk-in medical clinic is most likely to be diagnosed wtih a rhinosinusitis rather than a common cold?

A woman presenting with malaise, lethargy, and copious nasal secretions

A man with a dry, stuffy nasopharynx, a sore throat, and temperature of 98.9°F

A man complaining of general fatigue, a headache, and facial pain with a temperature of 100.9°F

A woman complaining of generalized aches and who has a hoarse voice and reddened, painful upper airways

Answer and Explanation

The Correct Answer is C

A. A woman presenting with malaise, lethargy, and copious nasal secretions: These symptoms are more indicative of a common cold or viral upper respiratory infection. While nasal secretions can occur in rhinosinusitis, the absence of facial pain or pressure suggests a cold rather than sinus involvement.

B. A man with a dry, stuffy nasopharynx, a sore throat, and temperature of 98.9°F: This presentation is typical of a common cold or upper respiratory infection. The symptoms of a dry, stuffy nasopharynx and sore throat are not specifically indicative of rhinosinusitis, which usually involves more pronounced nasal and facial symptoms.

C. A man complaining of general fatigue, a headache, and facial pain with a temperature of 100.9°F: This combination of symptoms strongly suggests rhinosinusitis. The presence of facial pain, headache, and fever indicates inflammation and infection of the sinuses, which is characteristic of rhinosinusitis rather than a common cold.

D. A woman complaining of generalized aches and who has a hoarse voice and reddened, painful upper airways: These symptoms align more closely with a viral upper respiratory infection or laryngitis. The absence of specific sinus-related symptoms such as facial pain or nasal obstruction makes rhinosinusitis less likely in this case.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Obtaining a STAT electrocardiogram: While obtaining an electrocardiogram (ECG) can be important in evaluating a patient's cardiac status, it is not the highest priority in the context of suspected AAA rupture. Immediate management focuses on stabilizing the patient and addressing potential hemorrhagic shock.

B. Inserting an indwelling urinary catheter: Inserting a urinary catheter may be necessary for monitoring urine output, but it is not the immediate priority when managing a suspected AAA rupture. The focus should be on life-threatening conditions first.

C. Increasing cardiac contractility: Increasing cardiac contractility may be relevant in some clinical situations, but it does not directly address the urgent need to maintain hemodynamic stability and prevent shock in a patient with suspected AAA rupture.

D. Maintaining blood pressure: Maintaining blood pressure is the highest priority intervention in this scenario. Patients with a suspected AAA rupture are at high risk for hypovolemic shock due to internal bleeding. Ensuring adequate blood pressure is critical to perfusing vital organs and stabilizing the patient before surgical intervention.

A. A 79 year old lifetime smoker who is complaining of shortness of breath and pain on deep inspiration B. An 88 year old female who experiences acute shortness of breath and airway constriction when exposed to tobacco smoke C. An 81 year old smoker who has increased exercise intolerance, a fever and increased white blood cells D. An 81 year old male who has a productive cough and recurrent respiratory infections

Correct Answer is A

Explanation

A. A 79-year-old lifetime smoker who is complaining of shortness of breath and pain on deep inspiration: Chronic obstructive pulmonary disease (COPD) is most commonly seen in individuals with a significant smoking history. Progressive shortness of breath is a hallmark symptom of COPD, resulting from chronic airway inflammation and airflow limitation. While pain on deep inspiration is not a classic COPD symptom, it could indicate pleuritic involvement or hyperinflation-related chest discomfort.

B. An 88-year-old female who experiences acute shortness of breath and airway constriction when exposed to tobacco smoke: Acute shortness of breath and airway constriction in response to tobacco smoke suggests an asthma-like reaction rather than COPD. COPD symptoms tend to be persistent and progressive rather than episodic.

C. An 81-year-old smoker who has increased exercise intolerance, a fever, and increased white blood cells: Fever and increased white blood cells indicate an acute infection rather than chronic lung disease. While COPD exacerbations can cause worsening symptoms, an isolated fever and elevated white blood cells suggest pneumonia or another infectious process rather than COPD alone.

D. An 81-year-old male who has a productive cough and recurrent respiratory infections: A productive cough and recurrent respiratory infections are common in chronic bronchitis, a component of COPD. However, this presentation alone is not specific to COPD, as other conditions, such as bronchiectasis, can also cause these symptoms.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which of the following patients who presented to a walk-in medical clinic is most likely to be diagnosed wtih a rhinosinusitis rather than a common cold?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of these interventions should be the highest priority when caring for a patient with suspected abdominal aortic aneurysm (AAA) rupture?

Correct Answer is D

Explanation

Which long-term resident is most likely to be exhibiting the signs and symptoms of chronic obstructive pulmonary disease (COPD)?

Correct Answer is A

Explanation

Which clinical manifestations would you assess for in a painter with pulmonary hypertension? (Select All that Apply.)

A healthcare professional is educating a patient on asthma. The professional tells the patient that the most successful treatment for chronic asthma begins with which action?

A pneumonia that occurs 48 hours or more after admission to the hospital is considered:

Which type of pulmonary disease requires more force to expire a volume of air?

A fellow student asks you to explain how tuberculosis (TB) can remain dormant in some people. What explanation will you give?

A healthcare professional is educating a patient about asthma. The professional states that good control is necessary due to which pathophysiologic process?

Which of the following patients who presented to a walk-in medical clinic is most likely to be diagnosed wtih a rhinosinusitis rather than a common cold?

Mr. Jones tells you that he really has a lot of pain when he walks, and it is very painful but as soon as he stops walking, the pain resides. Mr. Jones does have a history of peripheral artery disease. What is going on with Mr. Jones?