Nursing

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, prompt 2, #1 Shar ankle sprain. Shar is a 28-year-old female active golfer who fell down the stairs last week and presented to the office three days ago with a high-grade sprain of the right ankle diagnosed by the orthopedist. Today, she reports to you that her ankle is painful, tender, and swollen. She had difficulty ambulating after playing a round of golf with her friends yesterday. What is your treatment plan for Shar, and why? What clinical guidelines support your decision? What patient education should you give to Shar? Hazel is a 32-year-old who thinks she may have a bladder infection. She reports treatment for similar symptoms 3 months prior. She is afebrile, has no back pain or costovertebral angle (CVA) tenderness, and denies vaginal discharge. Her in-office urine dip is positive for nitrites, WBCs greater than 20/hpf, and RBCs less than 5/hpf. Her only medication is Loestrin for birth control. She wants medication for the dysuria. She is a nonsmoker and allergic to sulfa drugs. What is your treatment plan for this patient? Is there any history missing from this patient that would have been helpful in deciding on a treatment plan? What education does she need? Include medication administration, adherence, side effects, and outcome evaluation in your discussion. Jane is a 25-year-old who returns to the office with additional questions after being seen yesterday. She is breastfeeding 4-week-old Harrison and she was diagnosed with mastitis. She is nervous about taking the amoxicillin/clavulanate (Augmentin) she was prescribed. She wants to know if it is safe for Harrison who is fully breastfed. Harrison is nursing every 2 to 3 hours and gaining weight well. What reassurance can you offer Jane? Where can you find evidence-based information regarding the safety of medications for breastfeeding mothers? What education can you offer Jane about the potential side effects of Augmentin to Harrison? Explain the importance of the “Pregnancy and Lactation Labeling Rule” that is found on all prescription drugs. Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.