During a school physical examination, the nurse reviews the ...

[ETearle]

During a school physical examination, the nurse reviews the patient's current medical history. With a positive medical history of asthma, eczema, and allergic rhinitis, the nurse expects which physical finding on nasal examination?
 
  a. Polyp
  b. Yellow discharge
  c. Pale nasal mucosa
  d. Puffiness of nasal mucosa

Question 2

A nurse caring for a patient with COPD knows that which oxygen delivery device is most appropriate?
 
  a. Nasal cannula
  b. Simple face mask
  c. Partial non-rebreather mask
  d. Non-rebreather mask

[srodz]

Answer to Question 1

C
Pale nasal mucosa with clear mucoid discharge indicates allergic rhinitis. Polyps are tumorlike growths. Yellow discharge would be seen with infection. Habitual use of intranasal cocaine and opioids causes puffiness and increased vascularity of the nasal mucosa.

Answer to Question 2

A
Nasal cannulas deliver oxygen from 1 to 6 L/min. A patient with COPD should never receive more than 3 L/min because this decreases the drive to breathe, resulting in hypoventilation. All other devices are intended for flow rates greater than 6 L/min.