A patient comes to the clinic with a 2-day history of cough and wheezing. The patient has no previous history of asthma. The patient reports having heartburn for several months, which has worsened considerably
The primary care NP makes a diagnosis of asthma and orders oral steroids and inhaled albuterol. The patient's condition worsens, and a chest radiograph obtained 2 days later shows bilateral infiltrates. The NP has failed to: a. confirm the diagnosis.
b. determine the aggressiveness of therapy.
c. prescribe an adequate dose of medications.
d. allow the drugs an adequate amount of time to work.
A
This patient had symptoms that could occur with both asthma and aspiration pneumonia. The NP failed to confirm the diagnosis and prescribed the wrong treatment, leading to worsening of symptoms.
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