Exam 57: Principles for Prescribing Antiinfectives

The primary care NP sees a patient who has a 1-week history of nasal congestion; red,watery eyes; cough; and a temperature ranging from 99.1° F to 100.5° F.The NP notes thin,white nasal discharge and an erythematous oropharynx without swelling or exudates.The NP should:

A patient who has had two recent urinary tract infections is in the clinic with dysuria and fever.The primary care NP reviews the patient's chart and notes that in both previous cases the causative organism and sensitivity were the same.The NP should:

A new patient comes to see the primary care NP with fever,mild dehydration,and dysuria with flank pain.The patient tells the NP that a previous provider always prescribed trimethoprim-sulfamethoxazole and wonders why a urine culture is necessary because this antibiotic has worked in the past.The NP should tell this patient that a culture is necessary to help determine:

A patient has a sore throat with fever.The primary care NP observes erythematous 4+ tonsils with white exudate.A rapid antigen strep test is negative,and a culture is pending.The NP orders amoxicillin as empiric treatment.The patient calls the next day to report a rash.The NP should suspect:

A patient comes to the clinic with a history of fever of 102° F for several days,poor appetite,and cough.A sputum culture is pending,but Gram stain indicates a bacterial infection.The primary care nurse practitioner (NP)should:

The primary care NP sees a child in the clinic who has a 5-day history of cough,poor fluid intake,and fever of 103° F.A chest radiograph shows areas of consolidation in the child's lungs.The child's cough is nonproductive,and the NP is unable to get a sputum specimen.The NP should: