The nurse in the clinic is caring for a patient who has seasonal ...

[lbcchick]

The nurse in the clinic is caring for a patient who has seasonal rhinitis and the patient wants to know what causes this to occur. What is the nurse's best response?
 
  A) You are experiencing symptoms because bacteria have entered the nose and caused an infection.
  B) Your upper airways are experiencing an inflammatory response to an inhaled antigen that is causing you to have sneezing and watery eyes.
  C) Your sympathetic nervous system is responding to an acute amount of stress in your life causing you to have nasal congestion.
  D) Your runny nose and sneezing have occurred because a portion of your lung has collapsed.

Question 2

A stepped care management approach to treating hypertension includes weight loss, smoking cessation, decreased use of alcohol, reducing salt in the diet, and increased physical exercise.
 
  In which step of a stepped-care management approach will the nurse teach about these changes in lifestyle? A) Step 1 only
  B) Steps 1 and 2
  C) Steps 1, 2, and 3
  D) Steps 1, 2, 3, and 4

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Answer to Question 1

B
Feedback:
Seasonal rhinitis usually occurs when the upper airways become inflamed because of the body's response to an inhaled antigen. The lungs do not collapse and the sympathetic system's response to stress usually opens the airways and does not cause inflammation. Bacteria entering the nose do not cause inflammation of the rest of the upper airways.

Answer to Question 2

D
Feedback:
Lifestyle changes are encouraged in all four steps and should be advocated for the maintenance of good health. These changes are stressed in steps 1 and 2 in the hope that drug therapy will not be necessary. However, these changes should occur in steps 3 and 4 as well.

[lbcchick]

TYSM

[xiaomengxian]

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