Asked by Neisha Sibley on Jul 28, 2024

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When examining the nares of a 45-year-old patient who is experiencing rhinorrhea, itching of the nose and eyes, and sneezing, the nurse notices the following: pale turbinates, swelling of the turbinates, and clear rhinorrhea. Which of these conditions is most likely the cause?

A) Nasal polyps
B) Acute rhinitis
C) Acute sinusitis
D) Allergic rhinitis

Allergic Rhinitis

An allergic reaction causing inflammation of the nasal passages, characterized by sneezing, itching, and a runny nose.

Rhinorrhea

The medical term for a runny nose, a condition where excess nasal mucus is produced, often as a symptom of cold or allergies.

Turbinates

Long, narrow shelves of bone covered by soft tissue within the nasal cavity, helping to warm, moisturize, and filter the air breathed in through the nose.

  • Identify signs and symptoms of common respiratory and oral health conditions.
  • Extend appropriate nursing assistance and insights for issues regarding oral and respiratory health.
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pavithra teiyaguJul 31, 2024
Final Answer :
D
Explanation :
Rhinorrhea, itching of the nose and eyes, and sneezing are manifestations of allergic rhinitis. On physical examination, serous edema is noted, and the turbinates usually appear pale with a smooth, glistening surface. Nasal polyps appear as smooth, pale gray nodules which are overgrowths of mucosa most commonly caused by chronic allergic rhinitis and often cause absence of sense of smell and a sensation of a "valve that moves" in the nose when breathing. Acute rhinitis initially presents with clear, watery discharge (rhinorrhea) which later become purulent, with sneezing nasal itching, stimulation of cough reflex, and inflamed mucosa with dark red and swollen turbinates which cause nasal obstruction. With sinusitis, there is usually mucopurulent drainage, nasal obstruction, facial pain or pressure, and may have fever, chills, and malaise. This patient's symptoms of rhinorrhea, itching of the nose and eyes, and sneezing are manifestations of allergic rhinitis. On physical examination, serous edema is noted, and the turbinates usually appear pale with a smooth, glistening surface.