Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A client has been diagnosed with allergic rhinitis. Which symptoms would the nurse expect to observe?
(Select All that Apply.)
A. Wheezing
Wheezing: Wheezing is not a typical symptom of allergic rhinitis. It is more commonly associated with asthma or other lower respiratory conditions.
B. Sneezing
Sneezing: Sneezing is a common symptom of allergic rhinitis. It is often triggered by exposure to allergens such as pollen, dust mites, or pet dander.
C. Watery eyes
Watery eyes: Watery eyes, also known as allergic conjunctivitis, frequently accompany allergic rhinitis. This symptom occurs due to inflammation of the conjunctiva in response to allergen exposure.
D. Nasal congestion
Nasal congestion: Nasal congestion, or a stuffy nose, is a hallmark symptom of allergic rhinitis. It occurs as a result of inflammation and swelling of the nasal mucosa in response to allergens.
E. Urticaria
Urticaria: Urticaria, commonly referred to as hives, may occur in some individuals with allergic rhinitis. However, it is more commonly associated with other types of allergic reactions, such as food allergies or drug allergies.
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Full Explanation
A. Wheezing: Wheezing is not a typical symptom of allergic rhinitis. It is more commonly associated with asthma or other lower respiratory conditions.
B. Sneezing: Sneezing is a common symptom of allergic rhinitis. It is often triggered by exposure to allergens such as pollen, dust mites, or pet dander.
C. Watery eyes: Watery eyes, also known as allergic conjunctivitis, frequently accompany allergic rhinitis. This symptom occurs due to inflammation of the conjunctiva in response to allergen exposure.
D. Nasal congestion: Nasal congestion, or a stuffy nose, is a hallmark symptom of allergic rhinitis. It occurs as a result of inflammation and swelling of the nasal mucosa in response to allergens.
E. Urticaria: Urticaria, commonly referred to as hives, may occur in some individuals with allergic rhinitis. However, it is more commonly associated with other types of allergic reactions, such as food allergies or drug allergies.
Similar Questions
The nurse explains to the client why inhalation medications work rapidly. What should the nurse include in the teaching? (Select All that Apply.)
A. The inside surface of the lungs is small, and the dose is concentrated in that area.
The inside surface of the lungs is small, and the dose is concentrated in that area: Inhalation medications are delivered directly to the lungs, where they are rapidly absorbed due to the small surface area and the close proximity of the medication to the lung tissue.
B. There is a large surface area inside the lungs.
There is a large surface area inside the lungs: The lungs have a large surface area for gas exchange, allowing for efficient absorption of inhaled medications into the bloodstream.
C. Inhaled medications are given at very high doses.
Inhaled medications are given at very high doses: Inhaled medications are typically given at therapeutic doses appropriate for the patient's condition. While they may be given in higher doses compared to oral medications in some cases, the dosage is carefully adjusted based on factors such as the patient's age, weight, and severity of the condition.
D. Inhaled medications are given with food.
Inhaled medications are given with food: Inhaled medications are typically administered separately from meals. Food can interfere with the absorption of inhaled medications and may affect their effectiveness.
E. There is a rich blood supply to the lungs.
There is a rich blood supply to the lungs: The lungs have a rich network of blood vessels, known as pulmonary capillaries, which allows for rapid absorption of inhaled medications into the bloodstream.
Full Explanation
A. The inside surface of the lungs is small, and the dose is concentrated in that area: Inhalation medications are delivered directly to the lungs, where they are rapidly absorbed due to the small surface area and the close proximity of the medication to the lung tissue.
B. There is a large surface area inside the lungs: The lungs have a large surface area for gas exchange, allowing for efficient absorption of inhaled medications into the bloodstream.
C. Inhaled medications are given at very high doses: Inhaled medications are typically given at therapeutic doses appropriate for the patient's condition. While they may be given in higher doses compared to oral medications in some cases, the dosage is carefully adjusted based on factors such as the patient's age, weight, and severity of the condition.
D. Inhaled medications are given with food: Inhaled medications are typically administered separately from meals. Food can interfere with the absorption of inhaled medications and may affect their effectiveness.
E. There is a rich blood supply to the lungs: The lungs have a rich network of blood vessels, known as pulmonary capillaries, which allows for rapid absorption of inhaled medications into the bloodstream.
What are the risk factors associated with peptic ulcer disease?
(Select All that Apply.)
A. Family history
Family history: Having a family history of peptic ulcers increases the risk of developing the condition, suggesting a genetic predisposition.
B. Blood type A
Blood type A: There is no direct association between blood type A and peptic ulcer disease.
C. Acetaminophen (Tylenol) intake for pain
Acetaminophen (Tylenol) intake for pain: Acetaminophen is generally considered safe for pain relief and is not a significant risk factor for peptic ulcer disease. However, nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, and naproxen are known to increase the risk of peptic ulcers.
D. Smoking tobacco
Smoking tobacco: Smoking tobacco is a significant risk factor for peptic ulcer disease. Tobacco use increases stomach acid production, weakens the protective lining of the stomach and duodenum, and impairs the healing of ulcers.
E. Drinking caffeine
Drinking caffeine: While caffeine consumption alone may not directly cause peptic ulcers, excessive intake of caffeinated beverages such as coffee, tea, and soda can aggravate existing ulcers by stimulating stomach acid production and increasing gastric acidity.
Full Explanation
A. Family history: Having a family history of peptic ulcers increases the risk of developing the condition, suggesting a genetic predisposition.
B. Blood type A: There is no direct association between blood type A and peptic ulcer disease.
C. Acetaminophen (Tylenol) intake for pain: Acetaminophen is generally considered safe for pain relief and is not a significant risk factor for peptic ulcer disease. However, nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, and naproxen are known to increase the risk of peptic ulcers.
D. Smoking tobacco: Smoking tobacco is a significant risk factor for peptic ulcer disease. Tobacco use increases stomach acid production, weakens the protective lining of the stomach and duodenum, and impairs the healing of ulcers.
E. Drinking caffeine: While caffeine consumption alone may not directly cause peptic ulcers, excessive intake of caffeinated beverages such as coffee, tea, and soda can aggravate existing ulcers by stimulating stomach acid production and increasing gastric acidity.
A nurse is preparing to administer 1.000 mL of lactated Ringer's IV over 6 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it appl use a trailing zero.)
Full Explanation
To calculate the IV infusion rate in drops per minute (gtt/min), you can use the following formula:
IV infusion rate (gtt/min) =(Total volume (mL)×Drop factor (gtt/mL)) / Total time (min)
Given:
Total volume = 1000 mL
Drop factor = 10 gtt/mL
Total time = 6 hours = 6 hours × 60 minutes/hour = 360 minutes
Substitute the given values into the formula:
IV infusion rate (gtt/min) = (1000mL×10gtt/mL)/360 min
IV infusion rate (gtt/min) = 10,000/360
\(IV infusion rate (gtt/min)≈27.78gtt/min\)
Rounding to the nearest whole number, the IV infusion rate is approximately 28 gtt/min