A patient with group A b-hemolytic streptococcal pharyngitis is treated with penicillin V.At a follow-up visit 2 weeks later,the patient presents with edema of the hands and feet,blood pressure of 140/85 mm Hg,and cola-colored urine.A urine dipstick shows proteinuria.The primary care NP should:

Question

Quizplus · Accepted Answer

A minimum of 10 days of treatment is recommended for any infection caused by group A b-hemolytic streptococcus to prevent the occurrence of rheumatic fever or acute glomerulonephritis.This patient shows signs of acute glomerulonephritis,so the NP should obtain an ASO titer and creatinine clearance to help confirm the diagnosis.It is not necessary to repeat the throat culture.Treatment involves controlling blood pressure and maintaining renal function,not giving antibiotics.

A Patient with Group a B-Hemolytic Streptococcal Pharyngitis Is Treated