A patient who is taking an antibiotic to treat bronchitis reports ...

[scienceeasy]

A patient who is taking an antibiotic to treat bronchitis reports moderate rib pain associated with frequent coughing. The primary care NP should consider prescribing:
 
  a. morphine.
  b. hydrocodone.
  c. hydromorphone.
  d. oxycodone CR.

Question 2

A primary care NP sees a patient who reports a 2-week history of nasal congestion and runny nose.
 
  The NP performs a history and learns that the nasal discharge has changed from yellow to green in the past few days, accompanied by a fever of 102 F and unilateral facial pain. To treat this patient, the NP should: a. order azithromycin daily for 5 days.
  b. prescribe cefdinir twice daily for 10 days.
  c. prescribe amoxicillin-clavulanate twice daily for 10 days.
  d. recommend symptomatic treatment because this is probably a viral infection.

[lolol]

Answer to Question 1

B
Hydrocodone is used for cough suppression as well as pain. Morphine can cause profound respiratory depression.

Answer to Question 2

C
Evidence of a bacterial sinus infection includes prolonged symptoms without improvement for 10 to 14 days, fever greater than 102 F, and unilateral pain. A bacterial infection should be suspected if nasal discharge turns from yellow to green. Amoxicillin-clavulanate is a recommended first-line drug to treat sinusitis.

[scienceeasy]

TYSM

[nguyenhoanhat]

Excellent