The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the nurse include in the teaching plan?

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Question 1 of 5

The nurse plans to teach a patient how to manage allergic rhinitis. Which information should the nurse include in the teaching plan?

Correct Answer: B

Rationale: Step 1: Identifying and avoiding environmental triggers directly addresses the root cause of allergic rhinitis by minimizing exposure to allergens. Step 2: By avoiding triggers, the patient can prevent or reduce symptoms without relying solely on medications. Step 3: This approach is holistic and empowers the patient to take control of their condition. Summary: Choice A focuses on treatment rather than prevention. Choice C addresses hygiene but not the cause of allergic rhinitis. Choice D highlights limitations of corticosteroids but doesn't emphasize prevention. Choice B is correct as it targets prevention through trigger avoidance.

Question 2 of 5

While assessing a client who is 12 hours postoperative after a thoracotomy for lung cancer, a nurse notices that the chest tube is dislodged. Which action by the nurse is best?

Correct Answer: B

Rationale: The correct action is to cover the insertion site with sterile gauze. This helps prevent air from entering the pleural space and causing a pneumothorax. Reinserting the tube should only be done by a healthcare provider to prevent complications. Assessing for drainage is not the priority since the tube is dislodged. Contacting the primary healthcare provider can cause a delay in managing the situation promptly.

Question 3 of 5

The nurse discusses management of upper respiratory infections (URIs) with a patient who has acute sinusitis. Which statement by the patient indicates that additional teaching is needed?

Correct Answer: B

Rationale: The correct answer is B because using nasal decongestant spray for an extended period can lead to rebound congestion and worsening of symptoms. Choice A is correct as hydration helps thin mucus. Choice C is correct as acetaminophen can help alleviate sinus discomfort. Choice D is correct as changes in nasal secretions or sputum can indicate worsening infection.

Question 4 of 5

A patient whose cancer has been staged at T4 N2 M2 has been assigned for care. What is the best interpretation of this staging information in planning care for this patient?

Correct Answer: C

Rationale: The correct answer is C because the staging T4 N2 M2 indicates an advanced stage of cancer where the primary tumor is large (T4), multiple lymph nodes are involved (N2), and distant metastases are present (M2). This means the cancer has spread extensively beyond its original site, requiring comprehensive treatment. Gentle touch and therapeutic listening can be beneficial in providing comfort and support for the patient dealing with such advanced disease. Choice A is incorrect because the presence of lymph node involvement and distant metastases indicate a poor prognosis, not necessarily good news. Choice B is incorrect as it suggests the primary tumor has responded well to treatment, which is inconsistent with the staging information provided. Choice D is incorrect as it oversimplifies the situation by focusing only on the primary tumor, disregarding the importance of addressing the metastases for effective care planning.

Question 5 of 5

The nurse is doing volunteer work in a homeless shelter. The nurse should monitor the individuals for which initial signs and symptoms of tuberculosis? Select the one that does not apply.

Correct Answer: A

Rationale: The correct answer is A: Chest Pain. Chest pain is not typically an initial sign or symptom of tuberculosis. The most common initial signs and symptoms include fatigue, morning cough, and lethargy. Monitoring for these symptoms is crucial in detecting tuberculosis early for prompt treatment. Chest pain may occur in later stages or due to complications but is not a primary indicator. Thus, the nurse should focus on observing for fatigue, morning cough, and lethargy as initial signs of tuberculosis in individuals at the homeless shelter.

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