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Chapter 73: Rhinitis Buttaro: Primary Care: A Collaborative Practice, 6th Edition
from TEST BANK; Buttaro: Primary Care Interprofessional Collaborative Practice 6TH EDITION. All Chapters
by StudyGuide
Multiple Choice
1. A patient has recurrent sneezing, alterations in taste and smell, watery, itchy eyes, and thin, clear nasal secretions. The provider notes puffiness around the eyes. The patient’s vital signs are normal. What is the most likely diagnosis for this patient?
a. Acute sinusitis b. Allergic rhinitis c. Chronic sinusitis d. Viral rhinitis
ANS: B a. Antihistamine spray b. Intranasal cromolyn c. Intranasal steroids d. Oral antihistamines
Patients with symptoms described above typically have allergic rhinitis. Sinusitis causes facial pain, fever, and purulent discharge. Viral rhinitis will also cause purulent discharge and other symptoms of URI.
2. A patient has seasonal rhinitis symptoms and allergy testing reveals sensitivity to various trees and grasses. What is the first-line treatment for this patient?
ANS: C
Intranasal steroids are the mainstay of treatment and are the most effective medication for preventing symptoms. Antihistamine sprays are helpful but are not first-line treatments. Intranasal cromolyn can be effective but must be used four times daily. Oral antihistamines are used in conjunction with intranasal steroids but are less effective than the steroids.
NURSINGTB.COM a. Consultation for immunotherapy b. Daily intranasal steroids c. Oral antihistamines each morning d. Oral decongestants as needed
3. A patient is concerned about frequent nasal stuffiness and congestion that begins shortly after getting out of bed in the morning. The patient denies itching and sneezing. A physical examination reveals erythematous nasal mucosa with scant watery discharge. What treatment will the provider recommend for this patient?
ANS: B
This patient has symptoms of vasomotor or idiopathic rhinitis. Intranasal steroids are an effective treatment. Immunotherapy is not effective. This type of rhinitis typically does not respond to antihistamines. Oral decongestants are effective, but are best used around the clock, not just prn.
