What is the possible disease process according to the clients history?

Alterations in Immunity

Donna, a twenty-one-year-old nursing student, comes to her nurse practitioner in December with a five-week history of itchy eyes and nasal congestion with watery nasal discharge. She also complains of a tickling cough, especially at night, and she has had episodes of repetitive sneezing. She gets frequent colds every spring and fall.

Physical Examination


Skin: Flaking erythematous rash on the flexor surfaces of both arms

Head, Eyes, Ears, Nose, and Throat: Tender overmaxillary sinuses; sclera red and slightly swollen with frequent tearing; outer nares with red, irritated skin; internal nares with red, boggy, moist mucosa and one medium-sized polyp on each side; pharynx slightly erythematous, with clear postnasal drainage

Lungs: Clear to auscultation and percussion

Answer the questions about Donna and her condition and provide a pathophysiological response in the body. Examine and describe the pathophysiology associated with the possible disease.

  • What is the possible disease process according to the clients history?
  • What assessment questions would be useful to ask about her medical and family history?
  • What evidence suggests that Donna does not have an acute severe infection?
  • If Donna has allergic rhinitis, what type of hypersensitivity reaction is involved?

***You can use any reference book, but include the textbook of this class****


McCance, K., Huether, S. (2014).&nbsp;Pathophysiology: The Biologic Basis for Disease in Adults and Children, 7th Edition. [South University]. Retrieved from&nbsp;https://digitalbookshelf.southuniversity.edu/#/books/9780323088541



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