When assessing a client with sinusitis, which technique should the nurse use to identify manifestations of this disorder?

Correct Answer: D

Rationale: Sinusitis is an inflammation of the sinus cavities, which can cause tenderness and pain around the eyes (orbital areas). Palpation of the orbital areas can help identify tenderness and swelling associated with sinusitis. Auscultation of the trachea and percussion of the frontal sinuses are not relevant assessment techniques for sinusitis. Inspection of the nasal mucosa may reveal signs of inflammation, but palpation of the orbital areas is a more direct method to assess for tenderness and swelling in this specific condition.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Avocados. Phenelzine is a monoamine oxidase inhibitor (MAOI), a type of antidepressant medication. MAOIs interact with tyramine, a compound found in certain foods, leading to a potentially dangerous increase in blood pressure known as a hypertensive crisis. Avocados, along with other foods like aged cheeses, cured meats, and certain fish, contain high levels of tyramine, making them unsafe to consume while taking MAOIs like phenelzine. Regarding the incorrect options: A) Whole grain bread: Whole grain bread does not contain high levels of tyramine, so it is safe to eat while taking phenelzine. C) Smoked salmon: Like avocados, smoked salmon is high in tyramine, making it unsafe to consume with MAOIs. D) Pepperoni pizza: Pepperoni is a processed meat that is high in tyramine, so consuming it while on phenelzine can lead to a hypertensive crisis. Educationally, understanding drug-food interactions is crucial for nurses to ensure patient safety. Teaching patients about dietary restrictions while taking specific medications like MAOIs helps prevent adverse reactions and promotes optimal therapeutic outcomes. Nurses play a vital role in educating patients about medication management, including important considerations like dietary restrictions, to enhance patient compliance and well-being.

Correct Answer: D

Rationale: In a right-hemispheric stroke, the expected findings include left-sided hemiplegia (Choice B), loss of depth perception (Choice C), and impulse control difficulty (Choice A). Aphasia (Choice D) is typically associated with left-hemispheric strokes. Therefore, aphasia is not an expected finding in a client who has experienced a right-hemispheric stroke.

Correct Answer: B

Rationale: In a client with left homonymous hemianopsia, there is a loss of vision on the right side of both eyes. Placing the bedside table on the right side of the bed ensures that essential items are within the client's field of vision, minimizing the risk of injury or accidents. Teaching the client to scan to the right and orienting them using the clock method may be helpful strategies, but placing the bedside table on the right side of the bed is a more direct and immediate intervention to enhance the client's safety and independence.

Correct Answer: D

Rationale: When caring for a client with dysphagia, it is crucial to ensure safe feeding practices. Assigning an assistive personnel to feed the client slowly may not be appropriate as it can increase the risk of aspiration. Thickened liquids, having suction equipment available, and placing food on the unaffected side of the mouth are all appropriate measures to support a client with dysphagia in safe eating and drinking.