Please answer the following case studies. For help, I have uploaded a copy of another students answers. Please write a short response to the students answers as well. Thank you.

Case Study #1

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Ms. T., a 38-year-old secretary who has come to the clinic with a fever, sore throat, and cough that she has had for 2 days. Her posterior pharynx is reddened with patches of purulent exudate, and she complains that it hurts to swallow. Based on her symptoms and physical examination, the physician suspects a streptococcal infection. After a throat culture, the physician writes the following order:

10/30/20 Penicillin 500.0 mg B.I.D. for 10 days

0800 Steph Loccocus, MD—————————————

Identify the errors in the order that the nurse must call the physician back for. A clarification of orders is needed for 3 errors.
Why you should find the physician’s name funny (LOL)?
Explain the rationale for obtaining a throat culture & sensitivity before the first dose of Penicillin is started.
Before giving the first dose of Penicillin, what additional assessment data does the nurse need to collect from B.T.?
What should the nurse teach B.T. about Penicillin?

Follow Up: After 7 days on the antibiotic, B. T. calls the office. Her throat is better, but she complains of severe perineal itching and has noticed a vaginal discharge. B. T. asks the nurse if she can stop taking the antibiotic.

What do you think has occurred?
What patient education should B. T. receive about finishing the antibiotic?

Case Study #2

Mrs. W. calls the pediatrician’s office and asks whether she should give Tylenol (acetaminophen), Bayer (aspirin), or Advil (ibuprofen) to her child for a fever. Her son is 3 years old and weighs 40 pounds. Mrs. W. asks the nurse, “He isn’t going to have to take this medicine with food, right, because he isn’t really eating?”

Which medication is the most appropriate for her child?
Why or why not should the nurse instruct Mrs. W. to give the medication with food?
What is the safe dose range to administer her son in a 24-hour period?
What is the mechanism of action for Penicillin?

Case Study #3

Mr. Z. is starting therapy for gout and is now taking Zyloprim (allopurinol). The patient asks the nurse, “Why do I have to take that medicine, I don’t even know what gout is.”

What would the nurse need to include inpatient teaching?
What lab should be monitored to determine the effectiveness of the medication?

Case Study #4

Mr. K. will be beginning therapy for human immunodeficiency virus (HIV).

What type of drugs may be prescribed and why?
What would you teach the patient about these drugs and what would be some adverse effects of these drugs you would need to make the patient aware about?

Case Study #5

L. M. was admitted for acute respiratory distress has now developed a systemic fungal infection.

What drugs may be prescribed and why?
What are the side effects of these drugs?

Case Study #6

Mrs. G has been diagnosed with leukemia. The doctor has prescribed Trexall (methotrexate) as part of her therapy. She is anxious about the adverse effects.

What would the nurse teach this patient?

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