Chapter 26 Osborn, Medical-Surgical Nursing, 2e

Question 1 Type: MCSA 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 Correct Answer: 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. Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 26-2 Question 2 Type: MCSA A patient says, “My nose is always congested, and it just seems to get worse with the nasal spray I’ve been using.” The nurse realizes that this patient is describing which situation? 1. Incorrect administration of the nasal spray 2. An acute sinus infection that needs to be treated with antibiotics 3. Side effect of the nasal spray 4. Rebound nasal congestion Correct Answer: 4 Rationale 1: There is no indication that the patient is not administering the nasal spray correctly. Rationale 2: No other signs indicate that the patient has a bacterial sinus infection. Rationale 3: The worsening nasal congestion is not considered a side effect of nasal spray. Rationale 4: Chronic use of nasal sprays may lead to rhinitis medicamentosa, a rebound phenomenon of druginduced nasal irritation and inflammation.Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Pharmacological and Parenteral Therapies Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 26-2