Mr. Smith brings his 4-year-old son to your primary care office

Mr. Smith brings his 4-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 pre-school the next day.

History – Child began with sneezing, mild cough, and low grade fever of 100 degrees three days ago. All immunizations UTD. Father reports that the child has had only two incidents of URI and no other illnesses.

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Social – non-smoking household. Child attends preschool four mornings a week and is insured through his father’s employment. No other siblings in the household.

PE/ROS -T 99, R 20, P 100. Alert, cooperative, in good spirits, well-hydrated. Mildly erythemic throat, no exudate, tonsils +2. Both ears mild pink tympanic membrane with good movement. Lungs clear bilaterally. All other systems WNL.

Do not consider COVID-19 for this patient diagnosis.

For the assignment, do the following:

1. Diagnose the child and describe how you arrived at the diagnosis (i.e. how you ruled out other diagnoses).

2. Provide a specific treatment plan for this patient, pharmacologic and/or nonpharmacologic.

3. Provide a communication plan for how the family will be involved in the treatment plan.

4. Provide resources that Mr. Smith could access which would provide information concerning your treatment decisions.

5. Utilize national standards, your pharm and/or patho book and medical or advanced practice professional sources. Do not use patient-facing sources or general nursing texts to support your diagnosis and treatment.

6. Use references to support your concepts. Utilize correct APA formatting and mechanics of professional communication.

Present this Assignment as a narrative document, with a minimum of 4, and maximum of 5 pages not counting the cover page or reference page. It is not necessary to repeat the facts of the case in your narrative.

Before finalizing your work, you should:

· Read the Assignment description carefully (as displayed above);

· Consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and

· Utilize spelling and grammar check to minimize errors.

Your writing assignment should:

· Follow the conventions of Standard American English (correct grammar, punctuation, mechanics, etc.);

· Be well organized, logical, and unified, as well as original and insightful;

· Utilize correct APA formatting, 7th edition.

· Submit to, and review results of Turnitin. Purdue University Global Student Conduct policy as it relates to plagiarism will be adhered to in this course.


Mr. Smith arrives at your primary care office with his 4-year-old son. He claims that the boy has been sick for three days. Mr. Smith requests antibiotics so that he can return his son to pre-school the following day.

Three days ago, the child began sneezing, coughing, and developing a low grade fever of 100 degrees. UTD on all immunizations. According to the father, the child has only had two cases of URI and no other illnesses.

Social – non-smoking family. The child goes to preschool four mornings a week and is insured through his father’s job. There are no other siblings in the family.

T 99, R 20, P 100 for PE/ROS. Alert, cooperative, upbeat, and well-hydrated. Tonsils +2, throat mildly erythemic, no exudate Both of your ears tympanic pink tympanic tympanic tymp