Chapter 9, Problem 6MC

TOPIC: PHARMACOLOGY Instructions:1. Thoroughly review the clinical case presented below.2. Formulate and discuss the nursing diagnosis.3. Formulate and discuss the nursing care plan.4. Using references from recently published peer-reviewed journal articles, discuss aspects ofthe pharmacology of the drugs of choice for treating this patient.   HPI:55-year-old J.D. male presents to the oncology clinic with severe pain in his lower back and righthip which started one week ago. He describes the pain as constant, dull, and achy, withintermittent sharp shooting sensations, which have significantly worsened over the past week.He rates the pain on a scale of 9/10, and is made worse with movement, especially walking andstanding and has some relief with rest and changes in position. J.D. reports increased fatigue,reduced appetite, and disturbed sleep due to the pain. PMH: J.D. has a history of Stage IV Lung Cancer: Diagnosed a year ago with metastases to bonesand liver and experiences episodes…

After receiving the third dose of a new oral anticoagulant prescription, Which action should the nurse implement? Select all A. Obtain a soft Bristol toothbrush B. Provide a PRN NSAID for gum discomfort C. Review most recent coagulation lab values D. Complete a medication variance report E. Report findings to healthcare provider

In evaluating a treatment plan, the therapeutic index (TI) is calculated as 1.0. Based on this result, how would the nurse interpret this information? a. The medication can be utilized as there is less potential for a toxic reaction. b. The medication can be used as long as the dosage is within therapeutic range. c. There is no chance of a drug reaction occurring based on this result. d. A different medication should be considered for use in the treatment plan.