The emergency department triage nurse is assessing a child who has a history of a cough and nasal congestion for the last three days
When assessing patency of the nares, the nurse notes that the child is unable to breathe through the right nostril. Which interpretation of the assessment data by the nurse is the most appropriate?
1. Produced by severe nasal inflammation or obstruction.
2. Normal for a child.
3. A result of chronic allergies.
4. A result of sinusitis.
Correct Answer: 1
If the client cannot breathe through each naris, severe inflammation or an obstruction may be present. This is not a normal finding in an adult or a child. If nasal mucosa is pale and boggy or swollen, the client may have chronic allergies. Due to the client's history, this is an acute problem and not associated with chronic allergies. The client with sinusitis will have tenderness over sinus cavities.
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