The nurse is caring for a 32-year-old female client. The

Mr. Smith brings his 3-year-old son to your primary care office. He states the boy has been ill for three days. Mr. Smith indicates that he would like antibiotics so he can send his son back to preschool the next day. History of Present Illness (HPI): Child began with sneezing, a mild cough, and a low grade fever of 100F (37.7C) three days ago. All immunizations are up to date. Father reports that the child has had only two incidents of upper respiratory illness in the past. Social History: Resides in a non-smoking household. Child attends preschool four mornings a week and is insured through his father’s employment. No other siblings are in the household. Review of Systems (ROS) / Physical Exam (PE): T 99𝇈F, R 20, P 100. Alert, cooperative, in good spirits, well-hydrated. Mildly erythemic throat, no exudate, tonsils +2. Both ears have a mild pink tympanic membrane with good movement. Lungs clear bilaterally. All other systems WNL. All rapid testing in-office is negative. What non pharmacological treatments would you recommend? Discuss what medications you would recommend or avoid in this patient. Include the drug name and recommended dose and frequency for this patient (based on their age). Provide rationale for your decisions.

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