Question

Gina is 2 years old and presents with a 3-day history of fever, crankiness, and congested cough. Her respiratory rate is more than 50% of the upper limit of normal for age. Tubular breath sounds are noted at the right lung base. Skin turgor is normal, and she is wearing a wet diaper. She is alert, is resisting the examination as age appropriate, and engages in eye contact. Temperature is 38.3°C (101°F). Gina's diagnostic evaluation should include:

A. chest x-ray.
B. urine culture and sensitivity measurement.
C. lumbar puncture.
D. sputum culture.

Answer 1

Gina's symptoms and tubular breath sounds at the right lung base suggest a possible pulmonary infection such as pneumonia, for which a chest x-ray is the appropriate diagnostic evaluation.

Step-by-step explanation:

Gina is a 2-year-old with a presentation of fever, irritability, congested cough, and an elevated respiratory rate. Considering her symptoms and the physical examination findings of tubular breath sounds at the right lung base, the appropriate diagnostic evaluation should include a chest x-ray. This imaging modality helps in diagnosing conditions such as pneumonia, evident by signs like localized consolidation or infiltrates. It is commonly used in the evaluation of patients with suspected pulmonary infections, especially when the likelihood is high given the clinical presentation, as demonstrated in similar cases within clinical focus discussions.

Answer 2

Answer: A. Chest X Ray

Step-by-step explanation: