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NURS 501 VSim#1 Daniella Young Bear 2023
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NURS 501 VSim#1 Daniella Young Bear 2023/NURS 501 VSim#1 Daniella Young Bear 2023/NURS 501 VSim#1 Daniella Young Bear 2023/NURS 501 VSim#1 Daniella Young Bear 2023/NURS 501 VSim#1 Daniella Young Bear 2023/NURS 501 VSim#1 Daniella Young Bear 2023/NURS 501 VSim#1 Daniella Young Bear 2023/NURS 501 VSi...

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  • June 27, 2023
  • 12
  • 2022/2023
  • Case
  • None
  • A+

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  • nurs 501 vsim1 daniella young bear 2023nurs 501
  • nurs 501 vsim1 daniella young bear 2023

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ANIELL
YOUNG
EAR -
SIM
h Feldman –
7/21

, 1
Sarah Feldman
NURS 501
Dr. Regina Phillips
9/27/21

D.Y is a 32-year-old female presenting in the clinic. She complains of a persistent cough and

fatigue for the past two weeks. D.Y. admits that she is concerned because the cough and fatigue

have not gone away. She is taking prescription drugs along with OTC medications and herbal

therapies. Potential drug interaction is the concern in D.Y.’s case.


Medical reconciliation is the way to identify a patients list of current medications including

prescription meds, nutritional supplements, herbals, and over the counter (OTC) drugs. This

process is done to avoid errors such as drug interactions, duplication of medication, dosing

errors, and the omission of drugs, (Barnsteiner J.H, n.d.). In D.Y.’s case, the medication

reconciliation shows the potential drug interactions and the concern of liver damage with the

amount of acetaminophen she is taking.


In regard to providing D.Y. care, the nurse was told to do a focused pain assessment and assess

neurological status. He inspected and palpated her back and asked her questions regarding time

and place. The nurse should have examined the legs for sensation, motion, strength, pulse, and

color, to complete his assessment. Close to the end of the assessment the nurse called D.Y.’s

pharmacist to be notified of any medication changes. He should have also called her provider to

guide him in further treatment of D.Y.


One nursing diagnosis for D.Y. would be chronic pain related to inflammation of the lumbar

spine as evidence by the patient’s pain rating of 6. Another nursing diagnosis would be risk for

poisoning as evidence by inadequate knowledge of pharmacological agents.

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