PHARMACOLOGY REASONING CASE STUDY -SUSAN JONES, 42
YEARS OLD AFRICAN AMERICAN FEMALE WITH A PAST HISTORY
OF DIABETES MELLITUS TYPE II ALL QUESTIONS AND ANSWERS
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% ✓
© 2020 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any
form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN
, I. Initial Presentation:
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:
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
GERD Lisinopril 40 mg PO daily
Type II diabetes mellitus HCTZ 25 mg PO am
Metformin 875 mg PO BID
Omeprazole 20 mg PO daily
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. Indication(s): Mechanism of Action Body Common Nursing
Medication: Class: In OWN WORDS: System Side Effects Assessments:
Impacted
ASA 81mg
Lisinopril 40
mg
HCTZ 25 mg
© 2020 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any
form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN
YEARS OLD AFRICAN AMERICAN FEMALE WITH A PAST HISTORY
OF DIABETES MELLITUS TYPE II ALL QUESTIONS AND ANSWERS
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% ✓
© 2020 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any
form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN
, I. Initial Presentation:
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:
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
GERD Lisinopril 40 mg PO daily
Type II diabetes mellitus HCTZ 25 mg PO am
Metformin 875 mg PO BID
Omeprazole 20 mg PO daily
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. Indication(s): Mechanism of Action Body Common Nursing
Medication: Class: In OWN WORDS: System Side Effects Assessments:
Impacted
ASA 81mg
Lisinopril 40
mg
HCTZ 25 mg
© 2020 KeithRN LLC. All rights reserved. No part of this case study may be reproduced, stored in retrieval system or transmitted in any
form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of KeithRN
