A patient comes to the clinic with a 3-day history of fever and a severe cough that interferes with sleep. The patient asks the NP about using a cough suppressant to help with sleep. The NP should:
a. order a narcotic antitussive to suppress cough.
b. obtain a thorough history of the patient's symptoms.
c. suggest that the patient try a guaifenesin-only over-the-counter product.
d. prescribe an antibiotic to treat the underlying cause of the patient's cough.
B
It is important to determine the underlying disorder that is causing the cough to rule out serious causes of cough. The NP should obtain a thorough history before prescribing any treatment. A narcotic antitussive may be used after serious causes are ruled out. Guaifenesin may be used to make nonproductive coughs more productive. Antibiotics are indicated only for a proven bacterial infection.
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