Which assessment data would provide the nurse with the best evidence of allergic rhinitis?
1. Copious thick, green nasal drainage and postnasal drip
2. Productive cough, sneezing, and low-grade fever
3. Coughing, sneezing, and watery eyes
4. Severe frontal headache and pressure along both sides of the nose
Correct Answer: 3
Rationale 1: Green nasal drainage suggests a sinus infection.
Rationale 2: Fever is a sign of infection. Productive cough also suggests infection.
Rationale 3: Coughing, sneezing, and watery eyes are classic signs of allergic rhinitis.
Rationale 4: Frontal headache and pressure along both sides of the nose suggest the sinuses are very congested and possibly infected.
Global Rationale: Sometimes called hay fever, the symptoms of allergic rhinitis resemble those of the common cold and include tearing, burning, red, swollen, or itching eyes; sneezing; nasal itching or congestion; postnasal drip; cough; and scratchy throat. In addition to the acute symptoms, complications of allergic rhinitis may include loss of taste or smell, sinusitis, hoarseness, and plugged ears. Some people may not obtain restful sleep and awaken very fatigued. Green nasal drainage and fever are signs of infection, as is a productive cough. Frontal headache and pressure along both sides of the nose suggest the sinuses are very congested and possibly infected.
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