Ciera is a 32-year-old mother of 2

Ciera is a 32-year-old mother of 2 boys, ages 3 and 10, and is currently in her first trimester of pregnancy. She visits you in October for a routine visit accompanied by her 2 children and her elderly grandmother, who is 76 years old and has a history of chronic obstructive pulmonary disease (COPD) and hypertension. Who in her family should you recommend receive seasonal influenza vaccination if it is currently available in your office? Ciera’s 3-year-old and 10-year-old children Ciera, her children, and her elderly grandmother Ciera’s elderly grandmother Ciera, the pregnant mother Ciera telephones your office 1 month after receiving the flu shot complaining of fever, cough, muscles soreness, and fatigue for the past 2 days. She is in her second trimester of pregnancy. Which of the following additional symptoms would be of least concern in determining whether Amelia requires urgent medical care? Persistent vomiting Shortness of breath Temperature of 104′ F for more than 3 days Persistent cough Your client presents with an abrupt onset of chills and fever, sore throat, hoarseness, and body aches. She has been unusually tired and cannot breathe through her nose. One exam, you note that she is ill-appearing and has minimal HEENT symptoms except for posterior cervical lymphadenopathy. Her lungs are clear. Your differential diagnosis includes: Group of answer choices Mononucleosis Influenza Atypical pneumonia All should be considered You diagnose a patient with viral respiratory infection and instruct the patient in supportive measures (fluids, rest, analgesics, and antipyretics) and advise him to return if he does not improve in 2-3 days. His condition worsens over the next week and you order a Chest X-ray and sputum for gram stain. The former shows left lower lobe consolidation and the latter reveals Gram Negative micro-organisms. Which of the following is the most likely cause of his pneumonia? Group of answer choices Staphylococcus aureus Haemophilus influenzae Streptococcus pneumonia Mycoplasma 76 yo Agnus presents with a fever of 101, pulse of 90, respiration of 24, and BP 152/94. She complains of a cough that keeps her up all night, green sputum production, occasional vomiting with coughing, and the inability to eat or drink much. Her PMH is significant for COPD, tobacco abuse since age 17, hypercholesterolemia, and CAD. Your best treatment for this patient is: Pulse oximetry, CXR A/P and lateral, nebulizer treatment in office, and discussion re: possible hospitalization Increased fluids, CXR A/P and lateral, pulse oximetry, and a nebulizer treatment in office Encourage increased fluid intake, acetaminophen for fever, and a prescription expectorant Oral Quinolone antibiotic, increased fluids, home nebulizer treatment, and RTC in 2 days

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