Chapter 31--Upper Airway Dysfunction: Nursing Management

Chapter 31–Upper Airway Dysfunction: Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A child is diagnosed with severe allergic rhinitis. Which of the following manifestations would the nurse most likely assess in this client?

ANS:  4

Frequent wiping of the nose with the palm of the hand is one symptom seen in the client diagnosed with severe allergic rhinitis. Edematous neck glands, reduced hearing, and pruritis are not manifestations of severe allergic rhinitis.

PTS:   1                    DIF:    Analyze

REF:   Allergic Rhinitis: Assessment with Clinical Manifestations

2. A client tells the nurse that she experiences a stuffy nose, nasal pain, and postnasal drip every time she works in her company’s office. Which of the following types of allergic rhinitis is this client most likely experiencing?

ANS:  3

Occupational allergic rhinitis occurs from airborne substances in the workplace. Seasonal allergic rhinitis occurs during a specific time of the year. Perennial allergic rhinitis occurs in response to exposure to environmental allergens that can occur throughout the year.  Infectious rhinitis is a nonallergic type of rhinitis.

PTS:   1                    DIF:    Analyze         REF:   Table 31-1 Types of Allergic Rhinitis

3. A client asks the nurse if there is an antihistamine that does not cause drowsiness. Which of the following medications would this client most likely prefer to treat allergic rhinitis?

ANS:  4

Fexofenadine (Allegra) is a second-generation antihistamine, and second-generation antihistamines exhibit less sedation than first-generation medications such as diphenhydramine, chlorpheniramine maleate, and clemastine.

PTS:   1                    DIF:    Apply

REF:   Table 31-3 Medications Used in Treatment of Rhinitis

4. A client diagnosed with hypertension is experiencing allergic rhinitis. The nurse realizes that the medication that would not be indicated for this client would be:

ANS:  3

Pseudoephedrine can be contraindicated for the patient with hypertension. Loratadine, montelukast, and zafirlukast should be used cautiously for patients with hepatic impairment.

PTS:   1                    DIF:    Analyze

REF:   Table 31-3 Medications Used in Treatment of Rhinitis

5. A 16-year-old client is being prescribed a medication to treat acute sinusitis. The nurse realizes that this client should not be prescribed:

ANS:  3

Quinolones such as ciprofloxacin (Cipro) and levofloxacin (Levaquin) are contraindicated in children younger than 17 years of age.

PTS:   1                    DIF:    Analyze         REF:   Acute Sinusitis: Pharmacology