Week 3 Summary and Plan

docx

School

Chamberlain College of Nursing *

*We aren’t endorsed by this school

Course

509

Subject

Nursing

Date

Apr 29, 2024

Type

docx

Pages

Uploaded by BarristerNeutron4870

A.W., 23 year old female presents today with complaints of fever, sore throat, chills, mild headache and tender, swollen cervical lymph nodes. Patient is a law student with prior history of mononucleosis at age 15. Patient is sexually active and performs oral sex 'a few times. Family history includes a mother with hypertension. Patient is up to date on all vaccines, except this year's flu vaccine. Patient drinks on average 4 drinks a week. Physical assessment finding include swollen, tender cervical lymph nodes, erythematous posterior pharynx, and swollen bilateral tonsils with exudate. No shortness of breath noted, negative for nasal or ear discharge or build-up. Pharmacology  - Penicillin V 250 mg oral 4 times a day for 10 day duration for infection  - Acetaminophen OTC 325 mg 1-2 tabs oral q 4-6 hours; max dose 10 tablets per day for fever, headache and/or pain Supportive care  - Wash hands often, including after sneezing, coughing, touching your face, using the restroom etc. (CDC, 2022) to reduce the spread of infection  - Do not share food, utensils or drinks to prevent the spread of infection  - Increase fluid intake to prevent dehydration  - Rest more; do not attend school; note given for 48 hours out of school to prevent the spread of infection Patient Education Influenza PCR nasal swab - negative  Rapid influenza diagnostic test (RIDT) – negative for influenza A and B  SARS-CoV-2 antigen – negative  Group A Streptococcal rapid antigen test – negative  There is a relatively low incidence of false-negative tests for Group A Streptococcal rapid antigen testing, however there are still some who are positive, but test negative for this test (Rystedt, Hedin, Tyrstrup, Skoog-Ståhlgren, Edlund, Giske, Gunnarsson, & Sundvall, 2023).

 Throat culture – pending (results will be available within 7 days)  Pharyngitis, group A streptococcal - bacteria infects the pharynx (back of throat), causing the tonsils to swell up. They normally drain into the anterior cervical lymph nodes, causing them to swell. Follow- up  - Take all doses of antibiotic treatment; do not stop when symptoms improve  Seek medical attention if symptoms are not improving within 48 hours, if fever worsens or persists for 3 days or more, or if shortness of breath or difficulty breathing occurs.  - Seek medical attention in the event you become lightheaded or faint, have changes in your breathing pattern, have breathing difficulties, wheezing begins, your skin becomes clammy, and/or confusion begins. These may be signs of a life-threatening allergic reaction.  - Follow-up in 2 weeks for influenza vaccination Bickley, L. S., Szilagyi, P. G., Hoffman, R. M., & Soriano, R. P. (2021). Bates' guide to physical examination and history taking (13th ed.). Wolters Kluwer. CDC. (2022). Pharyngitis (strept throat). Received on March 23, 2023 from https://www.cdc.gov/groupastrep/diseases-hcp/strep-throat.html Katzung, B. G. & Vanderah, T. W. (2021). Basic & Clinical Pharmacology (15th ed.). McGraw Hill Education. Rystedt, K., Hedin, K., Tyrstrup, M., Skoog-Ståhlgren, G., Edlund, C., Giske, C. G., Gunnarsson, R., & Sundvall, P.-D. (2023). Agreement between rapid antigen detection test and culture for group A streptococcus in patients recently treated for pharyngotonsillitis - a prospective observational study in primary care. Scandinavian Journal of Primary Health Care, ahead-of-print(ahead-of- print), 1–7. https://doi.org/10.1080/02813432.2023.2182631

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

Related Documents

Copy of 6.1_ Project Trigger and the Iowa Model Flowchart to Promote Quality Care.pdf

Case Study Shock, Respiratory and Urinary .doc

Week 7 iHuman Assessment_McBerty.docx

AStrickland_POAassignment_041424.docx

102719_Level 3#2.docx

2-2 Case Study PSY 200.docx

MD7_Assgn1_6501.docx

FNP NR507 - Week 6 CS - Diabetes.docx

Module 02 Course Project Assignment Template.docx

Assessment of the Visual System-F23.docx

Case Study Acute Coronary Syndrome and Myocardial Infarction Part 2.docx

3-1 Discussion PSY 200.docx

Recommended textbooks for you

Principles Of Pharmacology Med Assist

Biology

ISBN:9781337512442

Author:RICE

Publisher:Cengage

Microbiology for Surgical Technologists (MindTap ...

Biology

ISBN:9781111306663

Author:Margaret Rodriguez, Paul Price

Publisher:Cengage Learning

Understanding Health Insurance: A Guide to Billin...

Health & Nutrition

ISBN:9781337679480

Author:GREEN

Publisher:Cengage

Basic Clinical Lab Competencies for Respiratory C...

Nursing

ISBN:9781285244662

Author:White

Publisher:Cengage

Body Structures & Functions Updated

Biology

ISBN:9780357191606

Author:Scott

Publisher:Cengage

An Illustrated Guide To Vet Med Term

Biology

ISBN:9781305465763

Author:ROMICH

Publisher:Cengage

SEE MORE TEXTBOOKS

Recommended textbooks for you

Principles Of Pharmacology Med Assist
Biology
ISBN:9781337512442
Author:RICE
Publisher:Cengage
Microbiology for Surgical Technologists (MindTap ...
Biology
ISBN:9781111306663
Author:Margaret Rodriguez, Paul Price
Publisher:Cengage Learning
Understanding Health Insurance: A Guide to Billin...
Health & Nutrition
ISBN:9781337679480
Author:GREEN
Publisher:Cengage
Basic Clinical Lab Competencies for Respiratory C...
Nursing
ISBN:9781285244662
Author:White
Publisher:Cengage
Body Structures & Functions Updated
Biology
ISBN:9780357191606
Author:Scott
Publisher:Cengage
An Illustrated Guide To Vet Med Term
Biology
ISBN:9781305465763
Author:ROMICH
Publisher:Cengage