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Chapter 58: Treatment of Specific Infections and Miscellaneous Antibiotics Test Bank

Chapter 58: Treatment of Specific Infections and Miscellaneous Antibiotics Test Bank

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Chapter 58: Treatment of Specific Infections and Miscellaneous Antibiotics
Test Bank
MULTIPLE CHOICE
1.   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.

dicloxacillin.

b.

clarithromycin.

c.

mupirocin topical.

d.

trimethoprim-sulfamethoxazole (TMP-SMX).

2.   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:
a.

prescribe TMP-SMX.

b.

prescribe topical mupirocin four times daily.

c.

suggest that the patient apply warm soaks three times daily.

d.

refer the patient to the surgeon for further evaluation.

3.   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.

prescribe azithromycin once daily for 5 days.

b.

prescribe amoxicillin twice daily for 10 days.

c.

prescribe amoxicillin-clavulanate twice daily for 10 days.

d.

initiate antibiotic therapy if the child’s condition worsens.

4.   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:
a.

order azithromycin daily for 5 days.

b.

prescribe cefdinir twice daily for 10 days.

c.

prescribe amoxicillin-clavulanate twice daily for 10 days.

d.

recommend symptomatic treatment because this is probably a viral infection.

5.   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.

order azithromycin.

b.

prescribe doxycycline.

c.

obtain a sputum culture.

d.

recommend symptomatic treatment.


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