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.
C
Evidence of a bacterial sinus infection includes prolonged symptoms without improvement for 10 to 14 days, fever greater than 102° F, and unilateral pain. A bacterial infection should be suspected if nasal discharge turns from yellow to green. Amoxicillin-clavulanate is a recommended first-line drug to treat sinusitis.
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Patients taking diuretics that deplete potassium stores are
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