Question

question 1
1 pts
a school - age child has had nasal discharge and daytime cough but no fever for 12 days without improvement in symptoms. the child has not had antibiotics recently and there is no significant antibiotic resistance in the local community. what is the appropriate treatment for this child?

• saline irrigation for symptomatic relief
• amoxicillin 80 - 90 mg/kg/day
• amoxicillin 45 mg/kg/day
• amoxicillin - clavulanate 80 - 90 mg/kg/day

question 2
1 pts
a child was recently prescribed an opioid for a tibial fracture. the parent reports the child is very nauseous after taking the opiate. which of the following interventions is most appropriate?

• prescribe ondansetron
• prescribe glycerin suppository for possible impaction as cause of nausea
• refer for acupuncture
• lower the opioid dose by half.

question 3
1 pts

Explanation:

Question 1

The child has nasal discharge and cough for 12 days without fever, no recent antibiotics, and no significant resistance. For uncomplicated cases with these features, the appropriate amoxicillin dose for treating suspected bacterial sinusitis (if applicable) or similar respiratory issues in children (when antibiotics are indicated) is 80 - 90 mg/kg/day. The other options: saline irrigation is symptomatic but if infection is present, antibiotics are needed; 45 mg/kg/day is lower than recommended for effective treatment; amoxicillin - clavulanate is for resistant cases or when amoxicillin fails, which isn't indicated here yet.

Opioid - induced nausea is a common side effect. The most appropriate intervention for nausea due to opioid use is to prescribe an antiemetic like ondansetron. Lowering the opioid dose may reduce pain control, glycerin suppository is for constipation (not the cause here), and acupuncture is not the first - line or most appropriate intervention for opioid - induced nausea.

Answer:

B. Amoxicillin 80 - 90 mg/kg/day (assuming the options are labeled A: Saline irrigation for symptomatic relief, B: Amoxicillin 80 - 90 mg/kg/day, C: Amoxicillin 45 mg/kg/day, D: Amoxicillin - clavulanate 80 - 90 mg/kg/day)

Question 2