lOMoARcPSD|64026470
antihistamines.
Surgery may be required if sinusitis becomes a chronic condition (greater than 3 months).
Sinus infections can also be caused by bacterial pathogens, but less common (10% of cases).
Usually occur due to unresolved viral infections.
The bacteria comes from the nose and throat. Antibiotics may be need to the infection.
Most common bacterial pathogen is Step Pneumoniae and Hemophilus Influenzae
Oral antibiotics used to treat bacterial sinus infections: Amoxicillin, Doxycycline,
Levofloxacin. Azithromycin “Z-pack” is overprescribed and not general not recommended
due to antibiotic resistance.
Sinusitis can also be caused by allergic “allergic sinusitis” and fungal infections although rare.
Questions:
1.
Q: A nurse is providing care to a client who reports facial pain, including dental pain in the
upper teeth. Which of the following additional symptoms would lead the nurse to suspect
sinusitis as the source of the pain?
A:The client has nasal congestion that does not significantly improve with over-the-counter
decongestants or antihistamines.
Explanation: The client has nasal congestion that does not significantly improve with over-the-
counter decongestants or antihistamines: Persistent nasal congestion despite the use of
decongestants or antihistamines is a common symptom of sinusitis, indicating that the source of
the problem may be inflammation or infection in the sinuses.
2.
Q: A nurse is caring for a client diagnosed with acute rhinosinusitis.
Which of the following instructions should the nurse provide to the client? Select all that apply.
A.
Apply warm compresses.
B.
Complete prescribed antibiotics.
C.
Avoid smoking.
D.
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Avoid swimming.
E.
Periorbital edema is a normal finding.
Answer and Explanation
Correct Answer : A,B,C,D
Choice A rationale: Applying warm compresses can help relieve the pain and pressure associated
with acute rhinosinusitis by reducing inflammation and promoting sinus drainage.
Choice B rationale: Completing prescribed antibiotics is crucial in treating acute bacterial
rhinosinusitis. Antibiotics help eliminate the bacterial infection causing the inflammation and
symptoms.
Choice C rationale: Smoking can irritate the nasal passages and exacerbate the symptoms of
rhinosinusitis. Avoiding smoking can help reduce inflammation and promote healing.
Choice D rationale: Swimming, especially in chlorinated pools, can irritate the nasal passages and
sinuses, potentially worsening the symptoms of rhinosinusitis. It’s recommended to avoid swimming
until the condition has resolved.
Choice E rationale: Periorbital edema is not a normal finding and could indicate a complication of
rhinosinusitis, such as a spread of the infection. If a client notices this symptom, they should seek
medical attention.
3. Q: A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for
cefuroxime. Which of the following client information is the priority for the nurse to report to the
provider?
A.The client has a history of a severe penicillin allergy.
B.The client takes an aspirin daily.
C.The client reports a history of nausea with cefuroxime.
D. The client has a BUN level of 18 mg/dL
Answer and Explanation
The Correct Answer is A
A. The client has a history of a severe penicillin allergy:
Correct Answer: This is the priority information for the nurse to report to the provider.
Explanation: Cefuroxime is a cephalosporin antibiotic. Individuals with a history of severe penicillin
allergy may also have an increased risk of cross-reactivity with cephalosporin antibiotics. This
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antihistamines.
Surgery may be required if sinusitis becomes a chronic condition (greater than 3 months).
Sinus infections can also be caused by bacterial pathogens, but less common (10% of cases).
Usually occur due to unresolved viral infections.
The bacteria comes from the nose and throat. Antibiotics may be need to the infection.
Most common bacterial pathogen is Step Pneumoniae and Hemophilus Influenzae
Oral antibiotics used to treat bacterial sinus infections: Amoxicillin, Doxycycline,
Levofloxacin. Azithromycin “Z-pack” is overprescribed and not general not recommended
due to antibiotic resistance.
Sinusitis can also be caused by allergic “allergic sinusitis” and fungal infections although rare.
Questions:
1.
Q: A nurse is providing care to a client who reports facial pain, including dental pain in the
upper teeth. Which of the following additional symptoms would lead the nurse to suspect
sinusitis as the source of the pain?
A:The client has nasal congestion that does not significantly improve with over-the-counter
decongestants or antihistamines.
Explanation: The client has nasal congestion that does not significantly improve with over-the-
counter decongestants or antihistamines: Persistent nasal congestion despite the use of
decongestants or antihistamines is a common symptom of sinusitis, indicating that the source of
the problem may be inflammation or infection in the sinuses.
2.
Q: A nurse is caring for a client diagnosed with acute rhinosinusitis.
Which of the following instructions should the nurse provide to the client? Select all that apply.
A.
Apply warm compresses.
B.
Complete prescribed antibiotics.
C.
Avoid smoking.
D.
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, lOMoARcPSD|64026470
Avoid swimming.
E.
Periorbital edema is a normal finding.
Answer and Explanation
Correct Answer : A,B,C,D
Choice A rationale: Applying warm compresses can help relieve the pain and pressure associated
with acute rhinosinusitis by reducing inflammation and promoting sinus drainage.
Choice B rationale: Completing prescribed antibiotics is crucial in treating acute bacterial
rhinosinusitis. Antibiotics help eliminate the bacterial infection causing the inflammation and
symptoms.
Choice C rationale: Smoking can irritate the nasal passages and exacerbate the symptoms of
rhinosinusitis. Avoiding smoking can help reduce inflammation and promote healing.
Choice D rationale: Swimming, especially in chlorinated pools, can irritate the nasal passages and
sinuses, potentially worsening the symptoms of rhinosinusitis. It’s recommended to avoid swimming
until the condition has resolved.
Choice E rationale: Periorbital edema is not a normal finding and could indicate a complication of
rhinosinusitis, such as a spread of the infection. If a client notices this symptom, they should seek
medical attention.
3. Q: A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for
cefuroxime. Which of the following client information is the priority for the nurse to report to the
provider?
A.The client has a history of a severe penicillin allergy.
B.The client takes an aspirin daily.
C.The client reports a history of nausea with cefuroxime.
D. The client has a BUN level of 18 mg/dL
Answer and Explanation
The Correct Answer is A
A. The client has a history of a severe penicillin allergy:
Correct Answer: This is the priority information for the nurse to report to the provider.
Explanation: Cefuroxime is a cephalosporin antibiotic. Individuals with a history of severe penicillin
allergy may also have an increased risk of cross-reactivity with cephalosporin antibiotics. This
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