A 4-Year-Old Boy Is Brought to the Clinic Due to Fever

question 370

Multiple Choice

A 4-year-old boy is brought to the clinic due to fever for the past 5 days.  He has also had a cough productive of yellow-green mucus.  The patient had pneumonia a year ago that required hospitalization for hypoxia.  Currently, he takes no daily medications other than acetaminophen as needed for fever.  The patient has received all of his vaccinations except for an annual influenza vaccine.  His family is originally from Peru, but he was born in the United States and has not traveled outside of the country.  Temperature is 38.9 C (102 F) , blood pressure is 90/60 mm Hg, pulse is 112/min, and respirations are 20/min.  Pulse oximetry is 99% on room air.  His weight is at the 75th percentile, and review of his medical records reveals that he is growing well.  Physical examination reveals a young child with moist mucous membranes, rales and decreased breath sounds over the left lower lung, and comfortable work of breathing.  Chest x-ray demonstrates an opacity over the lower left lung with minimal layering of fluid on lateral decubitus film.  Which of the following is the most appropriate next step in management of this patient?

• A)Chest physiotherapy
• B)Chest tube placement
• C)CT scan of the chest
• D)Oral antibiotics
• E)Oral furosemide
• F)Tuberculin skin test

Understand the importance of immediate and appropriate care for ocular emergencies.

Know the correct procedures for eye care for both conscious and unconscious patients.

Understand the principles of administering serums and lubricants in eye care.

Recognize the steps to take immediately following chemical eye injuries.

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Definitions:

Never-married Parents

Individuals who have children but have never been legally married to another individual at any point.

Marry

The legally or formally recognized union of two people as partners in a personal relationship.

Eastern Culture

Refers to the customs, traditions, and social values originating from countries in Asia, emphasizing communal living and philosophies like Confucianism and Buddhism.

Romantic Love

A type of love characterized by passion, intimacy, and commitment between partners.