Author Question: A nurse in a family practice clinic is preparing discharge instructions for a client reporting ... (Read 111 times)

big1devin · **on:** Jun 25, 2018

A nurse in a family practice clinic is preparing discharge instructions for a client reporting facial pain that is worse when bending over, tenderness across the cheeks, and postnasal discharge. What instruction will be most helpful?

a. Ice packs may help with the facial pain.
b. Limit fluids to dry out your sinuses.
c. Try warm, moist heat packs on your face.
d. We will schedule you for a computed tomography scan this week.

Question 2

A nurse working in a geriatric clinic sees clients with cold symptoms and rhinitis. Which drug would be appropriate to teach these clients to take for their symptoms?

a. Chlorpheniramine (Chlor-Trimeton)
b. Diphenhydramine (Benadryl)
c. Fexofenadine (Allegra)
d. Hydroxyzine (Vistaril)

kristenb95 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

A nurse in a family practice clinic is preparing discharge instructions for a client reporting facial pain that is worse when bending over, tenderness across the cheeks, and postnasal discharge. What instruction will be most helpful?
a.
Ice packs may help with the facial pain.
b.
Limit fluids to dry out your sinuses.
c.
Try warm, moist heat packs on your face.
d.
We will schedule you for a computed tomography scan this week.

ANS: C
This client has rhinosinusitis. Comfort measures for this condition include breathing in warm steam, hot packs, nasal saline irrigations, sleeping with the head elevated, increased fluids, and avoiding cigarette smoke. The client does not need a CT scan.

Answer to Question 2

ANS: C
First-generation antihistamines are not appropriate for use in the older population. These drugs include chlorpheniramine, diphenhydramine, and hydroxyzine. Fexofenadine is a second-generation antihistamine.