Introduction
Read the information below and proceed to complete each step of the activity that follows.
Lisa, a 35-year-old mother of two, presents to a family
practitioner's office in Maine. She is visibly shaken, but does not
appear to be acutely ill in any way. You begin to take her vitals,
and suddenly she shouts out: "Please, just take this from me!" You
reach for the sandwich bag in her hand, which appears to contain a
fecal sample. Upon closer inspection, you notice something in the
sample that makes you quickly understand the woman's
agitation.
The following are the answers the patient provided for the patient
history questionnaire:
Question: What have been the patient's symptoms?
Answer: I have been experiencing abdominal pain, gas, and diarrhea
for the past few weeks. I've also been losing weight, but I was
thinking it was due to my new workout routine.
Question: Has the patient consumed any unpasteurized food
recently?
Answer: I did try raw milk a few weeks back upon the suggestion of
a friend, but it was only a glass.
Question: Has the patient consumed any raw produce or meat
recently?
Answer: Salads and fresh fruit. I cook my meat thoroughly when we
do eat it, but we mostly eat salmon cooked in various ways. We live
on the coast, and my uncle is a local fisherman.
Question: Has the patient traveled recently?
Answer: No, I am a stay-at-home mom and rarely even get out of
town.
Question: Has anyone else in the family traveled recently?
Answer: My husband travels for work, but just to Cleveland.
Question: Has the patient experienced any other recent
illness?
Answer: No.
Question: Has anyone else in the family recently experienced any
illness?
Answer: My daughter had rotavirus infection a month ago.
Question: Is the patient up to date with vaccinations for her
age?
Answer: Yes, I am very diligent about this issue since I have young
children.
Identification of Drug Therapy
Read the following information below and answer all questions that follow.
Based upon the patient’s diagnosis and her degree of symptoms, a treatment protocol has been developed.
1. Which form of treatment should be administered to the patient
at this time?
A. Rifampin
B. Erythromycin
C. Piperazine
D. Praziquantel
E. B or C
A
B
C
D
E
2. The patient could have avoided infection with this organism by
boiling all of the chlorinated city-supplied water in their house before use.
not consuming the raw milk product she noted.
properly preparing the pork they consumed.
properly preparing the salmon they consumed.
Answer: ( B or C) Because the symptoms and the signs after the intervention reveals that there must be any kind of infection. Piperazin is mainly used to treat the infection in stomach caused by tape worm.
Answer: The infection could be avoided as not consuming the raw milk.
Introduction Read the information below and proceed to complete each step of the activity that follows. Lisa, a 35-year-...
Step 1 Read the Case Study A young mother of a 4 year old child expresses concern regarding the milk her child is drinking. The family purchases milk with WIC (Women Infant Children) government assistance. “I am not allowed to purchase organic milk” she states. The mother goes on to explain “I heard regular cow’s milk has hormones in it and I am worried about giving it to my child.” How would you respond to this mother? Would it be...
In two to three pages, complete the case study below by answering the questions. Maria Lopez is a single Hispanic female living in a large Mississippi city. She is 35 years old and has been diagnosed with major depressive disorder (MDD) and post-traumatic stress disorder (PTSD). She recently lost her job and health insurance, so she does not take any medication for her illnesses. Maria has had physical health issues as well, including hypertension, type 2 diabetes, and obesity. Maria's...
A 29-year old female comes for an office visit to her nurse practitioner because she feels jittery, anxious, and easily sweating, especially in her palms since a while ago, probably more than 3 years ago. Her old friend that she has meet recently also said that she seems to have lost weight but her lower front neck seems bigger than normal people, which the patient dismiss it as something ridiculous. She claims she has been healthy all her life, and...
1. A patient is admitted with a history of leukemia and has a total WBC of 2,000, and a neutrophil count of 400. Which of the following precautions would be most appropriate for this patient? a. Respiratory precautions b. Neutropenic Precautions c. Aspiration Precautions d. Contact Precautions 2. The nurse is educating a patient with iron-deficiency anemia about taking iron supplements. Which of the following information should be included in the medication education? Iron supplements are best absorbed with food...
1. The following testimonial was posted on a clinic website (some information has been changed and/or edited to respect privacy). Read the statement and answer the questions that follow. My daughter spent three weeks in an eating disorder medical stabilization unit in Phoenix, Arizona, for restrictive purging anorexia. She deteriorated physically as she intractably vomited everything she was encouraged to eat. She was refusing fluids as well. She fainted frequently with a resting heart rate between 35 and 45; they...
Patient 1 is a 45 year-old male. He presented in the ER (with his wife) and was suffering from a high fever (>103°F) and severe diarrhea (more than 7 unformed stools/day) that started ~3 days ago. The stools contained blood and mucus. The patient was also severely dehydrated. The attending physician felt that the diagnosis of infectious bacterial colitis is likely and sent a stool culture to the pathology laboratory for diagnosis. The patient was given saline (IV) and anti-diarrhea...
Refer to Chapter 6 IDENTIFYING INFORMATION: Patient is 37 years old, self-referred and currently separated from her husband of six years and living with two of her sons, ages 6 and 8. She reported that she has been working as an independent contractor in real estate. She complains of an on-and-off problem with eating disorder. HISTORY OF PRESENT ILLNESS: Patient is a 37-year-old female who reported that she has no previous psychiatric history, but she has been taking some medication,...
Question 1 A 64-year-old woman with MS is hospitalized. The team feels she may need to be placed on a feeding tube soon to assure adequate nourishment. They ask the patient about this in the morning and she agrees. However, in the evening (before the tube has been placed), the patient becomes disoriented and seems confused about her decision to have the feeding tube placed. She tells the team she doesn't want it in. They revisit the question in the...
Chapter 11: Nutrition Case Study Joan is an 82 year old woman whose husband died last year. Now, she lives alone in a small apartment with no money for "luxuries". She has no family or friends in the area having relocated for her husband's job. She takes medication for type 2 diabetes but has had increasing difficulty controlling her blood sugar because of her "sweet tooth". She generally eats alone and reluctantly admitted she has been drinking more than she...
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Chapter 11: Nutrition Case Study Joan is an 82 year old woman whose husband died last year. Now, she lives alone in a small apartment with no money for "luxuries". She has no family or friends in the area having relocated for her husband's job. She takes medication for type 2 diabetes but has had increasing difficulty controlling her blood sugar because of her "sweet tooth”. She generally eats alone and reluctantly admitted she has been drinking more...