A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with purulent nasal drainage, facial tenderness, and a cough that increases during sleep

The nurse recognizes these symptoms are characteristic of which respiratory condition? a. Allergic rhinitis
b. Bronchitis
c. Asthma
d. Sinusitis


D
Sinusitis is characterized by signs and symptoms of a cold that do not improve after 14 days, a low-grade fever, nasal congestion and purulent nasal discharge, headache, tenderness, a feeling of fullness over the affected sinuses, halitosis, and a cough that increases when the child is lying down. The classic symptoms of allergic rhinitis are watery rhinorrhea, itchy nose, eyes, ears, and palate, and sneezing. Symptoms occur as long as the child is exposed to the allergen. Bronchitis is characterized by a gradual onset of rhinitis and a cough that is initially nonproductive but may change to a loose cough. The manifestations of asthma may vary, with wheezing being a classic sign. The symptoms presented in the question do not suggest asthma.

Nursing

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A child in the ICU has been diagnosed with Bartter syndrome, a rare genetic defect in the thick ascending limb of the loop of Henle that impairs the function of this structure

Which characteristic should the nurse expect in this patient, based on the function of the thick ascending limb of the loop of Henle? A) Excessive loss of sodium in urine B) Overly diluted urine C) Impaired reabsorption of water D) Decreased concentration of chloride ions in urine

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When a drug cannot be metabolized by the body and accumulates in the blood, the result is known as:

a. a toxic effect c. drug tolerance b. an idiosyncratic reaction d. drug allergy

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The nurse practitioner working in an overnight sleep lab is assessing and diagnosing patients with sleep apnea. During this diagnostic procedure, the nurse notes that a patient's blood pressure is 162/97

The nurse explains this connection to the patient based on which of the following pathophysiological principles? A) During apneic periods, the patient experiences hypoxemia that stimulates chemoreceptors to induce vasoconstriction. B) When the patient starts to snore, his epiglottis is closed over the trachea. C) When the airway is obstructed, specialized cells located in the back of the throat send signals to the kidney to increase pulse rate. D) When airways are obstructed, the body will retain extracellular fluid so that this fluid can be shifted to intravascular space to increase volume.

Nursing

A 72-year-old patient is being treated for an infected right great toe. In reviewing this patient's history, you have discovered the patient has decreased renal function. Should this patient be started on aminoglycosides?

1. Yes, because this antibiotic can be taken with many other drugs. 2. No, because this antibiotic is not broad-spectrum. 3. Yes, because there is less sensitivity with this drug. 4. No, because a specific tissue reaction has been identified.

Nursing