Case Study: Mrs. Walker You are a Practical Nurse working in acute…

Question Answered step-by-step Case Study: Mrs. Walker You are a Practical Nurse working in acute… Case Study: Mrs. Walker You are a Practical Nurse working in acute care and have been assigned Mrs. Walker, 55 years old. Mrs. Walker is refusing her captopril today because it makes her cough. Primary medical diagnosis: Hypertension related to coronary artery disease Secondary medical diagnosis: Hypothyroidism. History: Mrs. Walker is currently using a salt substitute (e.g., Morton) to help with her blood pressure. She weighs 65 kg and is 160 cm in height. Doctors’ Orders: Medications  Levothyroxine (Synthroid) 75 mcg PO in AM before meals  Captopril 25 mg PO BID after meals Medications Available on the Unit:  Levothyroxine 50 mcg tablets  Captopril 12.5 mg tabletsInstructions  Read the case study (p. 2) and answer the following questions based on the rights of medication administration. o For each medication ordered clearly identify the following  Right medication & Right reason: o Patient’s medical diagnosis that relates to the medication o The mechanism of action (effect) o The pharmacological class  Right dose:  Calculate the ordered dosage (show calculation)  Identify if the dosage is safe (provide rationale)  Right time:  indicate if the drug is ordered at the right time and frequency  Right route:  Identify the abbreviations indicated in the order  Right patient:  Indicate how you would verify you have the right patient  Right documentation:  Indicate when documentation would occur  Right assessment:  Identify 1 priority pre-assessment for each medication  Identify 1 priority post-assessment for each medication  Right patient education  Indicate 1 teaching point for each medication (teaching information can be found in your drug guide)  Right to refuse:  Provide one NANDA diagnosis based on a patient refusing their medication (see p. 109 in Lilley et al.)  Include 1 diagnosis statement  Include 1 outcome statement  Include 1 intervention o Salt Substitute:  Explain the patient teaching that would be done for the salt substitute  Explain why this teaching is important  Health Science Science Nursing Share QuestionEmailCopy link Comments (0)