A patient presents to the clinician with a sore throat, fever of 100.7F, and tender anterior cervical lymphadenopathy. The clinician suspects strep throat and performs a rapid strep test that is negative. What would the next step be?
a. The patient should be instructed to rest and increase fluid intake as the infection is most likely viral and will resolve without antibiotic treatment.
b. Because the patient does not have strep throat, the clinician should start broad spectrum antibiotics in order to cover the offending pathogen.
c. A throat culture should be performed to confirm the results of the rapid strep test.
d. The patient should be treated with antibiotics for strep throat as the rapid strep test is not very sensitive.
Question 2
If a patient is requiring six rescue doses for breakthrough pain in a 24-hour period, what would be an appropriate intervention?
a. Increase the dose of the baseline long-acting medication.
b. Increase the dose of the rescue short-acting medication.
c. Switch to a different short-acting rescue medication.
d. Do nothing, because this is appropriate and the patient's pain is well controlled.
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