A 46-year-old kindergarten teacher with type 2 diabetes was recently treated for an episode of acute otitis media (AOM) of the right ear. During her follow-up visit, she denies ear pain but reports that she has new onset of dysuria and frequency.
The urine dipstick result shows 3+ leukocytes and is positive for nitrites. On further questioning, the patient denies flank pain and fever but reports that her A1C is 8.5%. She has a sulfa allergy and may also be allergic to penicillins.
Which of the following is the best initial intervention?
- Send a urine specimen for culture and sensitivity to the laboratory and treat the patient for a urinary tract infection (UTI)
- Treat the patient for acute otitis media (AOM) and an acute urinary tract infection (UTI)
- Recheck the urine by sending another specimen to the laboratory and evaluate the patient further
- Advise the patient that she needs further evaluation
This question appears in Med-Challenger Adult-Gerontology Primary Care Nurse Practitioner Review with CME
Try for free and save. Ace your exams and meet your CME/MOC requirements for just $15 a month!
No matter your program, no matter the size, Med-Challenger for Groups and Institutions can better prepare your program or group, fulfill industry requirements, and increase test scores.
For personal medical education that includes board's prep, MOC, and CME requirements, Med-Challenger has you covered in Family Medicine, Emergency Medicine, Internal Medicine, Pediatrics, Pediatric Emergency Medicine, OBGYN, Physician Assistants, and Nurse Practitioners.
Never miss a thing. Subscribe to our blog and save!
