Pharmacology Reasoning Case Study
Susan Jones, 42-year-old female
Medication Categories Concepts
Antihypertensives Perfusion
NCLEX Client Need Categories Percentage of Items from Each Covered in
Category/Subcategory Case Study
Safe and Effective Care Environment
• Management of Care 17-23% ✓
• Safety and Infection Control 9-15%
Health Promotion and Maintenance 6-12% ✓
Psychosocial Integrity 6-12%
Physiological Integrity
• Basic Care and Comfort 6-12%
• Pharmacological and Parenteral Therapies 12-18% ✓
• Reduction of Risk Potential 9-15% ✓
• Physiological Adaptation 11-17% ✓
I. Initial Presentation:
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, Susan Jones is a 42-year-old African-American female with a past medical history of diabetes mellitus type II.
She works in a manufacturing plant in her hometown. While at work, she feels faint and has to sit down. The
occupational nurse is contacted to assess her.
Susan Jones is married and a mother of two elementary age children. She has been employed in her current
position for two years.
1. What data from the present problem are RELEVANT and must be NOTICED as clinically significant by the
nurse? (NCSBN: Step 1 Recognize cues/NCLEX Reduction of Risk Potential)
RELEVANT Data from Present Problem: Clinical Significance:
Past history of DM II Might be suffering hypoglycemia
Feels faint, dizzy, and has to sit down The patient could be dehydrated, or could be related to her DM.
Need to assess the client for further investigation of CV system.
As the nurse responsible for this patient, you promptly review the medical history
and note that she has NKDA. This is her PMH and current home medications
documented in the employee’s medical record:
1. What is the RELATIONSHIP of the past medical history and current medications? Why is your patient
receiving these medications? (Which medication treats which condition? Draw lines to connect)
Medical History (PMH): Home Medications:
Hypertension ASA 81 mg PO daily HTN
GERD Lisinopril 40 mg PO daily HTN
Type II diabetes mellitus HCTZ 25 mg PO am HTN
Metformin 875 mg PO BID DM II
Omeprazole 20 mg PO daily GERD
Applying your knowledge of pharmacology, to provide safe patient care,
answer the following essential information:
2. List each home medication from the scenario and answer the following: (NCLEX Pharmacologic and Parenteral
Therapies)
Home Pharm. Class: Indication(s): Mechanism Body Common Nursing
Medication: of Action In System Side Effects Assessments:
OWN Impacted
WORDS:
ASA 81mg NSAID Anticoagulant/bloo Decreases the chance CV Bleeding, Watch for
Antipyretic d thinner of occlusion in blood hemorrhage, hypersensitivity
salicylate vessels by platelet nausea, reactions.
aggregation bruising Assess for
salicylate
Lisinopril 40 ACE inhibitor HTN Prevents conversion Renal Hypotension, Monitor B/P
mg of angiotensin I to dizziness frequently,
angiotensin II I&O, weights
HCTZ 25 Thiazide diuretic HTN A loop diuretic that CV, renal Electrolyte Monitor B/P
© 2020 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any
form
This or source
study by anywas
means, electronic,
downloaded mechanical,from
by 100000831480169 photocopying, recording
CourseHero.com or otherwise,
on 01-21-2022 without
15:03:35 GMT the prior written permission of KeithRN
-06:00
https://www.coursehero.com/file/106489594/STUDENT-Pharm-Reasoning-Hypotension901docx/
Susan Jones, 42-year-old female
Medication Categories Concepts
Antihypertensives Perfusion
NCLEX Client Need Categories Percentage of Items from Each Covered in
Category/Subcategory Case Study
Safe and Effective Care Environment
• Management of Care 17-23% ✓
• Safety and Infection Control 9-15%
Health Promotion and Maintenance 6-12% ✓
Psychosocial Integrity 6-12%
Physiological Integrity
• Basic Care and Comfort 6-12%
• Pharmacological and Parenteral Therapies 12-18% ✓
• Reduction of Risk Potential 9-15% ✓
• Physiological Adaptation 11-17% ✓
I. Initial Presentation:
© 2020 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any
form
This or source
study by anywas
means, electronic,
downloaded mechanical,from
by 100000831480169 photocopying, recording
CourseHero.com or otherwise,
on 01-21-2022 without
15:03:35 GMT the prior written permission of KeithRN
-06:00
https://www.coursehero.com/file/106489594/STUDENT-Pharm-Reasoning-Hypotension901docx/
, Susan Jones is a 42-year-old African-American female with a past medical history of diabetes mellitus type II.
She works in a manufacturing plant in her hometown. While at work, she feels faint and has to sit down. The
occupational nurse is contacted to assess her.
Susan Jones is married and a mother of two elementary age children. She has been employed in her current
position for two years.
1. What data from the present problem are RELEVANT and must be NOTICED as clinically significant by the
nurse? (NCSBN: Step 1 Recognize cues/NCLEX Reduction of Risk Potential)
RELEVANT Data from Present Problem: Clinical Significance:
Past history of DM II Might be suffering hypoglycemia
Feels faint, dizzy, and has to sit down The patient could be dehydrated, or could be related to her DM.
Need to assess the client for further investigation of CV system.
As the nurse responsible for this patient, you promptly review the medical history
and note that she has NKDA. This is her PMH and current home medications
documented in the employee’s medical record:
1. What is the RELATIONSHIP of the past medical history and current medications? Why is your patient
receiving these medications? (Which medication treats which condition? Draw lines to connect)
Medical History (PMH): Home Medications:
Hypertension ASA 81 mg PO daily HTN
GERD Lisinopril 40 mg PO daily HTN
Type II diabetes mellitus HCTZ 25 mg PO am HTN
Metformin 875 mg PO BID DM II
Omeprazole 20 mg PO daily GERD
Applying your knowledge of pharmacology, to provide safe patient care,
answer the following essential information:
2. List each home medication from the scenario and answer the following: (NCLEX Pharmacologic and Parenteral
Therapies)
Home Pharm. Class: Indication(s): Mechanism Body Common Nursing
Medication: of Action In System Side Effects Assessments:
OWN Impacted
WORDS:
ASA 81mg NSAID Anticoagulant/bloo Decreases the chance CV Bleeding, Watch for
Antipyretic d thinner of occlusion in blood hemorrhage, hypersensitivity
salicylate vessels by platelet nausea, reactions.
aggregation bruising Assess for
salicylate
Lisinopril 40 ACE inhibitor HTN Prevents conversion Renal Hypotension, Monitor B/P
mg of angiotensin I to dizziness frequently,
angiotensin II I&O, weights
HCTZ 25 Thiazide diuretic HTN A loop diuretic that CV, renal Electrolyte Monitor B/P
© 2020 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any
form
This or source
study by anywas
means, electronic,
downloaded mechanical,from
by 100000831480169 photocopying, recording
CourseHero.com or otherwise,
on 01-21-2022 without
15:03:35 GMT the prior written permission of KeithRN
-06:00
https://www.coursehero.com/file/106489594/STUDENT-Pharm-Reasoning-Hypotension901docx/
