SUSAN JONES: PHARMACOLOGY REASONING CASE STUDY 2023

Susan Jones, 42-year-old female Medication Categories Concepts Antihypertensives Perfusion NCLEX Client Need Categories Percentage of Items from Each Category/Subcategory Covered in 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: 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: Client has dx of diabetes mellitus type 2 At work client feels faint, dizzy, and has to sit down This dx typically comes with many complications, perhaps hypoglycemia could be contributing to her reason for admission This client could be dehydrated, maybe she is not getting enough O2, or could be related to her diabetes. Need to assess the client further investigation of CV system indicated. 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