A patient asks a primary care nurse practitioner (NP) about using over-the-counter medications to treat an upper respiratory infection with symptoms of cough, fever, and nasal congestion. The NP should:
a. recommend a cough preparation that also contains acetaminophen.
b. suggest using single-ingredient products to treat each symptom separately.
c. recommend a product containing antitussive, antipyretic, and decongestant ingredients.
d. tell the patient that over-the-counter medications are usually not effective in manufacturer-recommended doses.
Question 2
A primary care NP is evaluating a patient who has COPD. The patient uses a LABA twice daily. The patient reports having increased exertional dyspnea, a frequent cough, and poor sleep.
The patient also uses a short-acting -adrenergic agonist (SABA) five or six times each day. Pulse oximetry reveals an oxygen saturation of 92. The patient's FEV1/forced vital capacity is 65, and FEV1 is 55 of predicted. The NP should prescribe a(n): a. oral corticosteroid.
b. long-acting anticholinergic.
c. long-acting oral theophylline.
d. combination ICS/LABA inhaler.
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