Author Question: A school-age child comes to the clinic with a 5-day history of cough and low-grade fever. The ... (Read 45 times)

Melani1276 · **on:** Jul 24, 2018

A school-age child comes to the clinic with a 5-day history of cough and low-grade fever. The primary care NP auscultates crackles and diminished breath sounds bilaterally. The NP should:

a. order azithromycin.
b. prescribe doxycycline.
c. obtain a sputum culture.
d. recommend symptomatic treatment.

Question 2

A patient who has migraine headaches takes sumatriptan as abortive therapy.

The patient tells the primary care nurse practitioner (NP) that the sumatriptan is effective for stopping symptoms but that the episodes are occurring three to four times per month. The NP should consider the addition of: a. aspirin.
b. topiramate.
c. ergotamine.
d. opioid analgesics.

jomama · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

A
Community-acquired pneumonia in school-age children is commonly caused by Mycoplasma. Azithromycin is a first-line drug of choice to treat this type of pneumonia.

Answer to Question 2

B
Topiramate is an anticonvulsant agent that is approved as a preventive medication for migraines. The other medications are indicated for abortive therapy.