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Title: The primary care NP sees a patient who has a 1-week history of nasal congestion; red, watery eyes; ... Post by: zavier313 on Jan 25, 2018 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. begin empiric antibiotic therapy to treat sinusitis. b. reassure the patient that this is likely a viral infection. c. prescribe antiviral medications and decongestants. d. obtain a nasal culture and consider antibiotic therapy. Title: The primary care NP sees a patient who has a 1-week history of nasal congestion; red, watery eyes; ... Post by: sadeboyd on Jan 25, 2018 B
The patient does not have severe symptoms indicating a bacterial infection. Unless symptoms worsen, reassurance is indicated. Empiric antibiotic therapy is contraindicated for viral infections. Antiviral medications are not routinely used. A nasal culture is not indicated. |