Final Exam: NR569 / NR 569 (Latest
Update) Differential
Diagnosis in Acute Care Practicum |
Questions with Verified Answers |
100% Correct | Grade A -
Chamberlain
Question:
Allergic rhinitis symptoms
Answer:
rash
itching
runny nose
sneezing
abdominal pain
red eyes
lacrimation
headache
vomiting
diarrhea
,Question:
allergic rhinitis triggers
Answer:
food
pollen of plants
genetics particles of animal skin
insects
household chemicals
medications
stress
dust
Question:
History for someone who has allergic rhinitis
Answer:
*Sneezing, rhinorrhea, itchy eyes, nose and palate
*Postnasal drip, cough, and fatigue
*Symptoms can be intermittent to persistent, as well as mild to severe
*Typically occurs seasonally with hay fever, and pollen allergies
*Also occurs with some indoor allergens such as animal dander, mold, dust
mites, and cockroaches
*Seasonal/episodic history is reproducible year to year
,Question:
Physical exam for someone with allergic rhinitis
Answer:
-Nasal mucosa with pallor, pale bluish hue, and turbinate edema
-Clear rhinorrhea, may see postnasal drip in posterior pharynx
-Cobblestone appearance (hyperplastic lymphoid tissue from drainage)
-Tympanic membranes may be retracted, secondary to eustachian tube
dysfunction
Question:
Conditions associated with allergic rhinitis
Answer:
-Allergic conjunctivitis
-Asthma
-Atopic Dermatitis (eczema)
-Sinusitis
Question:
etiology of rhinitis
Answer:
Inflammation to the nose and sinuses with rhinitis and sinusitis occurring
together
, Question:
Diagnosing allergic rhinitis
Answer:
-Diagnosis is made clinically, through history and physical exam
-Diagnostic tests are not typically useful
Question:
treatment for allergic rhinitis
Answer:
-Allergen avoidance
-Referral for allergy skin testing if the diagnosis is unclear or if symptoms are
poorly controlled
-Flonase (glucocorticoids nasal spray)
-Cromolyn (mast cell stabilizer nasal spray)
-Antihistamine nasal spray
-Loratidine, fexofenadine, cetirizine (2nd generation oral antihistamine)
Question:
Sinusitis symptoms
Answer:
nasal mucous, plugged nose, headache, facial pain, fever
