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Exam (elaborations)

NURS 3525 - EXAM ONE - Combined With Complete Solutions

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NURS 3525 - EXAM ONE - Combined With Complete Solutions ...

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  • November 5, 2024
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  • 2024/2025
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  • NURS 3525
  • NURS 3525
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Easton
NURS 3525 - EXAM ONE - Combined With Complete
Solutions 2025-2026


Allergic Rhinitis

Inflammation of the nasal mucosa, usually due to a specific allergen



Seasonal Rhinitis

During spring and fall due to pollen from trees, flowers, weeds, or grasses



Perennial Rhinitis

Present throughout the year caused by environmental allergens such as dust mites,
animal dander, cockroaches, fungi, mold



Episodic, intermittent, & persistent

What are the types of rhinitis?



Episodic Rhinitis

Symptoms related to intermittent exposure to allergen not typically present in usual
environment




Intermittent rhinitis

Symptoms present < 4 days/week or < 4 weeks/year



Persistent rhinitis

Symptoms present > 4 days/week or > 4 weeks/year

,Sneezing, watery, itchy eyes and nose, ↓ sense of smell, and thin, watery nasal
discharge leading to ↑ mucus production and congestion

What are the clinical manifestations of allergic rhinitis?



Nasal turbinates pale, boggy, swollen

What are the physical assessments for allergic rhinitis?




HA, stuffy nose, nasal congestion, ↑ sinus pressure. Nasal polyps, postnasal drip results
in cough + hoarseness

What are the clinical manifestations of chronic exposure to allergens?



Avoid triggers of allergic reactions

What is the nonpharmacologic management of allergic rhinitis?



↓ inflammation, reduce nasal symptoms, minimize complications, maximize QOL

What is the pharmacologic goal for allergic rhinitis?



H1-antihistamines (Benadryl, Claritin, allegra), decongestants (pseudoephedrine, afrin),
leukotriene receptor antagonists (LTRAs)

What are some examples of oral medications for allergic rhinitis?



Antihistamines, anticholinergics, corticosteroids, mast-cell stabilizers, decongestants

What are some examples of intranasal medications for allergic rhinitis?



Allergy shots

What are some examples of immunotherapy for allergic rhinitis?

,Upper respiratory infection (URI)

Infection of the nose, mouth, or throat



Bacterial or viral

Are URIs bacterial, fungal, or viral?



Airborne droplets of the infected individual: breathing, talking, sneezing, or coughing +
can survive on inanimate objects for 3 days

How are URIs spread?

Fatigue, physical and emotional stress, allergies affecting nose and throat and
compromised immune status

What ↑ the risk for URIs?

Handwashing, neutropenic precautions

How do you prevent URIs?

Runny nose, watery eyes, nasal congestion, sneezing, cough, sore throat, fever, HA,
fatigue

What are the clinical manifestations of URIs?

2-14 days, contagious 1-2 days < symptoms onset + until symptoms subside

How long do URI symptoms last + when are Pts contagious?




Relieve symptoms, prevent complication

What do you do for URIs??



Rest, fluids, antipyretics, analgesics, antihistamines

How do you relieve URI symptoms??

, Acute bronchitis, sinusitis, otitis media, tonsilitis, pneumonia. Antibiotics do not treat
viruses

What are the possible complications of URIs??



↑ fever, swollen glands, severe sinus + ear pain, worsening symptoms

What do we look for during URIs to prevent complications??



Viral. Classified in 4 serotypes A,B,C,D. A/B significant to humans, A most common +
virulent virus.

What is the etymology of influenza?



B/t humans through infected droplets, inhalation of aerosolized particles, and in a lesser
extent through direct contact with contaminated surfaces

How is influenza contagious?



Abrupt onset, chills, fever, generalized myalgia, HA, cough, sore throat, fatigue

What are the clinical manifestations of influenza?



Gradual vs. abrupt onset, no fever vs. fever, no HA vs. HA, slight vs. severe myalgia,
occasional vs. usual fatigue

What are the manifestations of the common cold vs. influenza?



Bronchitis, pneumonia, acute respiratory failure and acute respiratory distress
syndrome (ARDS)

What are the complications of influenza?



Cultures done via nose + throat can identify causative agents.

Rapid test screens for A/B, can get false positive

What diagnostics are used in a Pt. w/influenza?

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