Free BCEN Certified Emergency Nurse (CEN) Practice Question

A 6-month-old infant is brought to the emergency department with a 3-day history of paroxysmal cough with post-tussive emesis, low-grade fever, and rhinorrhea. The infant has received only one dose of DTaP vaccine. Laboratory results show leukocytosis with lymphocytosis. Which of the following is the BEST next step in management?

  • Discharge with instructions for supportive care and follow-up

  • Obtain nasopharyngeal PCR and await results before treatment

  • Initiate azithromycin and admit for respiratory monitoring

  • Perform chest X-ray and initiate albuterol nebulization

This question's topic:
BCEN Certified Emergency Nurse (CEN) / 
Environment and Toxicology Emergencies, and Communicable Diseases
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