, a 27-year-old married female graduate student, is seen in the student health clinic a few weeks into the fall semester. She has developed a severe…

Question 1.     G.S., a 27-year-old married female graduate student, is seenin the student health clinic a few weeks into the fall semester. She has developed a severe sinusitis and complains of head pressure, difficulty sleeping, fever, and muscle aches and pains. A culture is done, and the next day the culture and sensitivity report identifies the infecting organism as a strain of Klebsiella that is sensitive to tetracycline. G.S. returns to the clinic to get the prescription for tetracycline. In talking with you, G.S. tells you that she began graduate school with plans to start a family in 2 years, after completing her program. She is a very organized person and has carefully planned her rigorous course work and her nonacademic activities so that almost every hour is scheduled. She states that she has successfully used low dose oral contraceptives for 4 years and plans to continue this method of birth control. -How do tetracyclines and some other antibiotics and oral contraceptives interact? What are the possible ramifications of continuing to take oral contraceptives during a pregnancy?  -What nursing interventions are appropriate for G.S.? -What teaching points should be stressed with G.S.?  -Think about the nature of her personality and the problems that an unplanned pregnancy might cause. How can you help G.S. to cope with her infection, her drug regimen, and her rigorous schedule?1.     H.P. is a 34-year-old attorney who was diagnosed with AIDS, having had a positive HIV test 3 years ago. Although his helper T cell count had been stabilized with treatment with zidovudine and efavirenz, it recently dropped remarkably. He presents with numerous opportunistic infections and Kaposi sarcoma. H.P. admits that he has been under tremendous stress at work and at home in the last few weeks. He begins a combination regimen of lamivudine, zidovudine, ritonavir, and zalcitabine.  -What are the important nursing implications in this case?  -What role would stress play in the progress of this disease?  -What specific issues should be discussed?  -What other clinical implications should be considered? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)