Case Study: Nursing Assessment

Charlie is a 56-year-old father of two children who is married to his high school sweetheart, Betty. He drives a truck for a large company doing cross-country trips and often eats at fast food restaurants. Charlie recently went to see his primary healthcare provider for bilateral foot itching. He was diagnosed with onychomycosis and prescribed itraconazole 200mg daily.

A common clinical decision support tool used by healthcare professionals is a drug interaction checker. This tool analyzes a list of medications to determine the potential need to monitor, change medication classes, or adjust dosages to prevent adverse reactions from a drug-to-drug interaction. These are widely available. Here are two free tools which could be used for this question:

• Medicine.com interaction checker
• Medscape.com interaction checker

Use a drug interaction checker to review Charlie’s medications for potential interactions. Which of the following medication(s) show at least one interaction with another one of Charlie’s medications? Select all that apply.

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Itraconazole (Sporanox) 200mg one daily

Calcium Carbonate 400mg 4 tablets every 8 hours as needed

Pravastatin (Pravachol) 40mg one daily

Aspirin 325mg one daily

Hydrochlorothiazide 25mg one daily

Discuss special preparations such as insulin and why it is important for insulin dosage calculations to be VERY accurate.

Discuss the impact that racial and cultural diversity of individuals has on the U.S. healthcare system. 8. List three healthcare interactions you have experienced with another person from a culture or ethnicity different from your own. Were they positive or negative? What could or should have been done differently?

Match the examples to either research or evidence-based to the appropriate label. Analyzed clinical data to answer a question about whether A. Evidence-based practice patient outcomes are different in different hospitals. B. The research Recruited 60 people to be interviewed about how they learned to be adherent to their diabetic medications. Collected data from adolescents dealing with sarcoma, using the quality of life scale. Share the conclusions of a systematic review of studies about the prevention of pneumonia following surgery with the nurses on your unit. Use a clinical practice guideline to improve the care of persons with depression.

There are multiple ethical issues related to the current COVID-19 pandemic. Numerous measures have been instituted to prevent the spread of the virus. The more controversial of these include social isolation, the closure of businesses, and the mandated wearing of masks in public spaces. There has been pushback by certain groups of people who feel that these interventions are an infringement of their personal freedoms. In what circumstances should civil liberties be sacrificed for the greater good?