Question

Case Study 1 Mr. Collins is a 52-year-old client with a history of chronic renal insufficiency who presents to the medical clinic complaining of a severe sore throat. He is diagnosed with a streptococcal pharyngitis. He is informed by the primary care provider that he will be treated with ampicillin 500 mg every 6 hours. 1. What assessment data did the healthcare prescriber obtain before ordering the ampicillin? 2. What questions should the nurse ask Mr. Collins before the administration of the ampicillin 3. What should the nurse include in the teaching plan for Mr. Collins before discharge? 4 Mr. Collins returns to his prescriber and does not seem to have improved. He is given a prescription for ciprofloxacin 250 mg orally twice a day. What additional patient teaching should the nurse provide?

Answer 1

1.The assessment of severe sore throat,and a further diagnosis of streptococcocal pharyngitis ,his renal functions were obtained before starting ampicillin

2.Some of the questions which a nurse can ask patient before starting ampicillin are

• History of any allergy to ampicillin or food
• Is on empty stomach because this drug will act slow when meals are consumed
• History of any past illness

3.The discharge plan should include the following

• Take medicine in empty stomach (30minutes before Neal or 2 hours post meals)
• No OTC drugs
• Report in case of side effects
• Do not skip medicine ,if done take it as soon as remembered ,if it is time for next dose skip the dose
• In case of over dose call poison control center
• Complete the course even when symptoms pager better

4.The additional patient teaching needed for this patient are

• Health education of the disease condition
• Patient response in regards to his renal function and antibiotics
• Necessitate the importance of taking this medication daily without skipping