The nurse conducts an internal examination of a patient's nose. The examination reveals bilateral pale and edematous nasal mucus with clear, watery discharge. Which of the following do these findings most likely indicate?
a. an allergic response
b. nasal inhalation of cocaine or overuse of nasal spray
c. bacterial sinusitis
d. normal mucus with the presence of cerebrospinal fluid
A
A pale nasal mucosa that is edematous with clear, watery discharge usually indicates the presence of allergies or hay fever. A nasal septum with a hole, fissure, or perforation and nasal mucosa that is inflamed and friable may indicate nasal insufflation of cocaine or amphetamines, or overuse of nasal spray. Common findings of bacterial sinusitis are nasal mucosa that are red and swollen with purulent nasal drainage. Findings indicative of the presence of cerebrospinal fluid are clear, watery nasal discharge with normal appearing mucosa.
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