Get Answer: Ademir Ribeiro Year Question Guide

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Original Question

Ademir Ribeiro, a 76-year-old male client (DOB: 12/31/1948), presents to the clinic with a productive cough (with green mucus), fever, chills, and fatigue for four days, which has been getting worse. The NP performs a physical assessment that reveals crackles in the right lower lobe with lung sounds diminished on the left with no retractions or increased work of breathing. A rapid test in the office indicates that he is negative for influenza, COVID-19, and RSV and a chest X-ray taken in the office demonstrates consolidation in the right lower lobe. The NP diagnoses the client with bacterial pneumonia and prescribes amoxicillin/clavulanate (Augmentin). The NP considers appropriate antibiotic therapy, knowing that pneumococcal resistance to macrolides is less than 25% in the clinic’s geographic area. Past Medical History: COPD, Lyme Disease Allergies: Doxycycline Medications: olodaterol 2.5 mcg/tiotropium 2.5 mcg (Stiolto Respimat) respimat Social History: He quit smoking cigarettes 20 years ago and does not drink alcohol. Physical Exam: Height: 5 feet 10 inches Weight: 189 pounds Body Mass Index (BMI): 27.1 Blood Pressure (BP): 104/70 Heart Rate (HR): 88 Respiratory Rate (RR): 25 Oxygen Saturation (O2 Sat): 97% on RA Temperature (TEMP): 101.1 oral

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