A patient states, "I've been sick for days, and all the doctor does is take a chest x-ray, hand me prescriptions, and tell me I have bronchitis." The nurse realizes that this patient's treatment
1. is appropriate for the diagnosis.
2. should include more diagnostic tests.
3. is inadequate for the diagnosis of bronchitis.
4. should include hospitalization.
Correct Answer: 1
The diagnosis of acute bronchitis typically is based on the history and clinical presentation. A chest x-ray may be ordered to rule out pneumonia, because the presenting manifestations can be similar. Other diagnostic testing and hospitalization are rarely indicated. Treatment is symptomatic and includes rest, increased fluid intake, and the use of aspirin or acetaminophen to relieve fever and malaise. Many physicians prescribe a broad-spectrum antibiotic such as erythromycin or penicillin, because approximately 50% of acute bronchitis is bacterial in origin.
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