Exam 58: Treatment of Specific Infections and Miscellaneous Antibiotics

A patient has confirmed Rocky Mountain spotted fever,and the infectious disease specialist is treating the patient with doxycycline 100 mg orally for 7 days.The patient comes to the clinic for follow-up care with the primary care NP at the end of therapy and reports continued fever,headache,and myalgia.The NP will consult with the infectious disease specialist and order:

A patient has recently returned from travel in Central America and reports having seven to eight liquid stools each day with severe tenesmus.The primary care NP notes a temperature of 102° F.A stool specimen is Hemoccult positive with leukocytes present.The NP will:

A 5-year-old child who has no previous history of otitis media is seen in clinic with a temperature of 100° F.The primary care NP visualizes bilateral erythematous,nonbulging,intact tympanic membranes.The child is taking fluids well and is playing with toys in the examination room.The NP should:

A woman has a urinary tract infection (UTI)and has been taking TMP-SMX for 3 days along with increased fluids.She reports continued dysuria and urinary frequency and has a consistent,low-grade fever.The primary care NP should:

A female patient presents with grayish,odorous vaginal discharge.The primary care NP performs a gynecologic examination and notes vulvar and vaginal erythema.Testing of the discharge reveals a pH of 5.2 and a fishy odor when mixed with a solution of 10% potassium hydroxide.The NP should:

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 patient comes to the clinic several days after an outpatient surgical procedure complaining of swelling and pain at the surgical site.The primary care NP notes a small area of erythema but no abscess or induration.The NP should:

During a gynecologic examination of a sexually active adolescent girl,the primary care NP notes mucopurulent cervicitis.A culture is positive for Neisseria gonorrhoeae.The NP should:

A primary care nurse practitioner (NP)sees a child who has several honey-colored crusted lesions around the nose and mouth.The NP notes that no other lesions are present.The NP should prescribe:

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: