Author Question: A patient who is taking an antibiotic to treat bronchitis reports moderate rib pain associated with ... (Read 29 times)

scienceeasy · **on:** Jul 24, 2018

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 · **Reply #1 on:** Jul 24, 2018

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.