NURS 306: Problem Solving in Nursing GI Case Study

NURS 306: Problem Solving in Nursing
GI Case Study
Name:

Part 1: A 48-year-old female client is admitted to the telemetry unit after a syncopal episode
during church service. She is married, has two elementary school children, and works for the
public defender’s office. Her past medical history includes atrial fibrillation, dyspepsia, chronic
back pain, and a recent urinary tract infection. The client denies alcohol or cigarette use and
jokes that she is addicted to caffeine. She drinks approximately eight 12 ounces carbonated
beverages daily. She provides a list of her current medications, but the list is not complete.
Choose the most likely options for the information missing from the table below by selecting
from the list of options provided.
Medication Dose, Route, Drug Class Indication
Frequency
Warfarin 2.5mg PO QD Anticoagulant  1 Atrial
fibrillation

 2 Ibuprofen 400mg PO Q6-8hr Nonsteroidal anti- Chronic back pain
prn for pain inflammatory
drug
Famotidine 20mg PO BID 3 H2antagonist Gastric acid reflux
Trimethoprim/Sulfamethoxazole  4 160/800 mg Anti-infective Urinary tract
orally twice agent infection
daily

Verapamil 40mg PO Calcium channel  5 Angina
extended-release blocker pectoris
QD

Options for 1 Options for 2 Options for 3 Options for 4 Options for 5
 Atrial  Acetaminophen  Antacid  40/200mg  Angina
fibrillation  Aspirin  Beta2- orally three pectoris
 Stroke  Ibuprofen adrenergic times daily  Peptic ulcer
 Coronary  Oxycodone agonist  160/800 mg disease
artery disease  Prednisone  H2antagonist orally twice  Pulmonary
 Peripheral  Mucosal daily edema
vascular protectant  350-mg  Cirrhosis
disease  Proton pump extended  Urinary
 Pulmonary inhibitor release tablet retention
embolism orally once
daily
 400/80 mg as



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