A Patient with Group a B-Hemolytic Streptococcal Pharyngitis Is Treated

question 2

Multiple Choice

A patient with group A b-hemolytic streptococcal pharyngitis is treated with penicillin V.At a follow-up visit 2 weeks later,the patient presents with edema of the hands and feet,blood pressure of 140/85 mm Hg,and cola-colored urine.A urine dipstick shows proteinuria.The primary care NP should:

• A) perform a repeat throat culture.
• B) prescribe 10 more days of penicillin V.
• C) obtain an ASO titer and creatinine clearance.
• D) order oral amoxicillin-clavulanate for 14 days.

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