A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with purulent nasal drainage, facial tenderness, and a cough that increases during sleep. The nurse recognizes that these symptoms are characteristic of which respiratory condition?

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.