3 year old Emily is brought to the urgent care center because she has a cold and low grade fever. She has been sick for the past week and she awakens nightly with coughing. Her breathing is labored and by listening to her lungs, you hear some mild to moderate wheezing. She is treated with nebulized Albuterol, which clears her wheezing. Her mother say that she did the same thing last fall, when she had a cold.

This learning activity was developed by Christine Pintz, FNP, MSN, coordinator of the Family Nurse Practitioner program at the George Washington University, in collaboration with Partnerships for Training, an Association of Academic Health Centers program funded by the Robert Wood Johnson Foundation.