Overview
Assignment:
Scenario #1 (25 points)
A 30-year-old female complains of unusual fatigue, cold intolerance, and weight gain. She is diagnosed with hypothyroidism and started on levothyroxine 112 mcg daily.
• What teaching should the nurse provide about expected timing for relief of symptoms?
• What teaching should the nurse provide to this patient about administration of levothyroxine. Be specific and include the rationales.
• The nurse should also teach the patient about possible adverse effects of levothyroxine. What adverse effects warrant notifying the provider? Include the rationales.
Scenario #2 (25 points)
Mrs. Thomas calls the pediatrician’s office and asks whether she should give acetaminophen, aspirin, or ibuprofen to her son for a fever. Her son is three years old and weighs 40 lbs.
• Which medication(s) you would recommend for Mrs. Thomas to administer to her son? Explain your rationale.
• Is there a medication you would not recommend? Explain your rationale.
Scenario #3 (25 points)
Mr. Zachary is starting therapy for gout and is now taking allopurinol. The patient asks the nurse, “What is gout?”
• How would the nurse respond to Mr. Zachary’s question?
• What would the nurse include in patient teaching?
Scenario #4 (25 points)
Wendy, a nurse working on medical surgical unit, is 16 weeks pregnant. She is caring for a 54-year-old male with benign prostate hyperplasia (BPH) who is taking finasteride.
• What is the mechanism of action and the adverse effects of this medication?
• Why is this medication contraindicated for pregnant women?
• Please review Canvas PowerPoints, audios, and read the textbook.
• Read the questions/scenarios and answer the following questions.
• Watch for grammar and sentence structure. There must be a minimum of ONE (1) paragraph (five to ten complete sentences) per question.
• Please cite your source(s) and include your reference(s). Reference(s) must be from a credible source (i.e textbook, peer-reviewed articles, etc.). Ten (10) points will be deducted for missing or non-credible reference(s).