A patient tells the nurse he has a "cold" every spring that lasts for 8 to 10 weeks. The nurse suspects that the patient is experiencing which condition?
1. Acute viral rhinitis
2. Allergic rhinitis
3. Vasomotor rhinitis
4. Atrophic rhinitis
2
Rationale 1: Acute viral rhinitis is the common cold and should resolve within 7 to 10 days.
Rationale 2: Allergic rhinitis, or hay fever, results from a sensitivity reaction to allergens such as plant pollens. It tends to occur seasonally and lasts longer than a common cold.
Rationale 3: Causes of vasomotor rhinitis include cold air, strong odors, stress, and inhaled irritants. Symptoms resolve more quickly than several weeks.
Rationale 4: Atrophic rhinitis is characterized by changes in the mucous membrane of the nasal cavities. Symptoms resolve more quickly than several weeks.
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A patient has a severed spinal nerve as a result of trauma. Which statement is true in this situation?
a. Because there are 31 pairs of spinal nerves, no effect results if only one nerve is severed. b. The dermatome served by this nerve will no longer experience any sensation. c. The adjacent spinal nerves will continue to carry sensations for the dermatome served by the severed nerve. d. A severed spinal nerve will only affect motor function of the patient because spinal nerves have no sensory component.
The nurse observes that a child in the ICU who has been admitted following an auto accident is visibly stressed and crying. The child has a broken arm, which has been splinted, and is receiving analgesics. No other injuries have been found
When the nurse performs a pain assessment test with the child, the child refuses to cooperate. The patient's mother is hysterical and is frantically pacing next to the bed. What is the most likely cause of the child's distress? A) Fear of further medical interventions B) The mother's communicated anxiety C) Pain from the broken arm D) Shock
The nurse completes an initial newborn examination. The nurse's findings include the following: heart rate, 136 beats/minute; respiratory rate, 64 breaths/minute; temperature, 98.2 °F (36.8 °C). The nurse also documents a heart murmur, absence of bowel sounds, symmetry of ears and eyes, no grunting or nasal flaring, and full range of movement of all extremities. Which finding requires immediate consultation with the health-care provider?
A. Absent bowel sounds B. Heart murmur C. Respiratory rate D. Temperature
A client who has sustained extensive burns will require what type of isolation precautions?
a. barrier c. standard b. reverse d. transmission-based