A patient at a sports camp is complaining of itchy and watery eyes, coughing, and sneezing when outdoors. The patient's chart states that he has an allergy to grasses. Which medication will the nurse administer?

A. Bronchitis:Bronchitis presents with a productive cough, chest discomfort, and sometimes wheezing, but it does not usually involve facial tenderness, purulent nasal drainage, or worsening nighttime cough due to postnasal drip. Symptoms also tend to resolve in under 2 weeks.

B. Sinusitis:Sinusitis is characterized by persistent cold-like symptoms lasting more than 10 days, purulent nasal discharge, headache, facial pain or tenderness, and a cough that worsens at night due to postnasal drainage. This description fits the presentation of pediatric sinusitis.

C. Asthma:Asthma presents with wheezing, shortness of breath, and episodic coughing, especially at night or during exertion. It does not cause purulent nasal drainage, facial tenderness, or prolonged cold symptoms, which point more toward sinus infection.

D. Allergic rhinitis:Allergic rhinitis causes sneezing, clear nasal discharge, itchy eyes, and nasal congestion, but not purulent drainage or facial pain. Symptoms are usually triggered by allergens and are not typically accompanied by fever or thick mucus.

A. Physical therapy for homebound therapy services:Physical therapy is not routinely indicated in TB management unless the patient has specific mobility deficits. TB treatment focuses more on medication adherence and infection control rather than physical rehabilitation.

B. Occupational therapy for job retraining:There is no direct indication for job retraining in a TB patient unless the illness has caused long-term disability or affected occupational function, which is not suggested in this scenario.

C. Community social worker for Meals on Wheels:Meals on Wheels may assist with nutrition, but it is not specific to TB care. Social services do not directly ensure adherence to TB therapy, which is crucial for treatment success and public health safety.

D. Visiting Nurses for directly observed therapy:Directly observed therapy (DOT) ensures the client takes prescribed TB medications under supervision, which is essential to prevent noncompliance, reduce drug resistance, and promote cure. Visiting nurses are best positioned to provide this support during long-term outpatient TB treatment.