NSG 6005 Week 9 Assignment 1 Discussion

JT is a fifty-five-year-old man with a three-day history

Select one of the two questions from the discussion questions listed below .By Week 9, Day 3, respond to the selected discussion question and submit your response to this Discussion Area .

Be sure to respond to the question using the lessons and vocabulary found in the reading .Justify your answers using examples and reasoning .Support your answers with examples and research and cite your research using APA format .In addition to your textbook, consult the Sanford Guide to help you identify appropriate treatment for specific infections .JT is a fifty-five-year-old man with a three-day history

Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ posts .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .JT is a fifty-five-year-old man with a three-day history.

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Discussion Question 1

JT is a fifty-five-year-old man with a three-day history of worsening shortness of breath, fever, chills, right-sided chest pain, and productive cough .He states that the initial symptoms started approximately one week ago .He has been taking over-the-counter (OTC) medications to control the fever and the cough .He comes in today because he feels that he is getting worse .He is coughing up rust-colored mucus, and the chest pain has started to make breathing even more difficult .His physical exam is normal, with the exception of tachypnea, labored breathing, coarse rhonchi through the right lung field, and decreased breath sounds on the right .Answer the following questions:

• What additional laboratory or radiological tests would be indicated and why? What would you expect to find?
• What is your diagnosis?
• What medication would be given and for what period of time?

Discussion Question 2

LN is a twenty-six-year-old married woman who presents at the clinic with symptoms of dysuria, frequency, and urgency .Further history yields two days of these symptoms but no fever, chills, or flank pain .She describes a burning discomfort during and immediately following urination and feeling the need to void every half hour .There is no vaginal discharge, itching, or odor .She is not using birth control at this time .She requests “a urine culture and some sulfa pills .” When asked to explain, she says she has had many “bladder infections” over the past three years and “sulfa pills usually work .” She was evaluated approximately five years ago with an IV pyelography and cystogram, and “nothing was wrong .” All her vital signs are normal .Answer the following questions:

• What additional information would you like to collect?
• What is your working diagnosis?
• What are the contributing factors to this potential diagnosis?
• What treatment would you implement and why?
• What type of follow-up would you recommend?

NSG 6005 Week 9 Assignment 3 Quiz

Question 1 .Jonathan has been diagnosed with strep throat and needs a prescription for an antibiotic .He says the last time he had penicillin he developed a red, blotchy rash .The appropriate antibiotic to prescribe would be:

Penicillin VK, since his rash does not sound like a serious rash

Amoxicillin

Cefadroxil (Duricef)

Erythromycin

Question 2 .Tetracyclines are contraindicated in children younger than 8 years because of:

Risk of developing cartilage problems

Development of significant diarrhea

Risk of kernicterus

Adverse effects on bone growth

Question 3 .Lisa is a healthy non-pregnant adult woman who recently had a UTI .She is asking about drinking cranberry juice to prevent a recurrence of the UTI .The answer to give her would be:

“Sixteen ounces per day of cranberry juice cocktail will prevent UTIs .”

“100% cranberry juice or cranberry juice extract may decrease UTIs in some patients .”

“There is no evidence that cranberry juice helps prevent UTIs .”

“Cranberry juice only works to prevent UTIs in children .”

Question 4 .Rose is a 3 year old with an upper respiratory infection (URI) .Treatment for her URI would include:

Amoxicillin

Diphenhydramine

Pseudoephedrine

Nasal saline spray

Question 5 .Patient education for a patient who is prescribed antibiotics for sinusitis includes:

Use of nasal saline washes

Use of inhaled corticosteroids

Avoiding the use of ibuprofen while ill

Use of laxatives to treat constipation

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