Diagnosed with the VDRL and RPR tests, P.W. is being retreated for multiple sexual transmitted infections (STIs), Chlamydia and syphilis, and pelvic inflammatory disease
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Discussion Board Post a. Diagnosed with the VDRL and RPR tests, P.W. is being retreated for multiple sexual transmitted infections (STIs), Chlamydia and syphilis, and pelvic inflammatory disease. She has an allergy to penicillin. What is the rationale for using tetracycline for P.W.’s STIs? What would the nurse teach P.W about treatment of a recurrent infection? b. A nursing home resident, K.W., had a hip knee replacement 6 months ago and consequently developed an infection with methicillin-resistant Staphylococcus aureus and then osteomyelitis. He has a history of diabetes. K.W. receives vancomycin IVPB ordered at 15 mg/kg/day. K.W. weighs 220 lb. What daily dose would the nurse administer? What nursing considerations are essential when giving this medication? What are the signs and symptoms and treatment the nurse would be alert for if K.W. developed red man syndrome? c. S.C. is a 79-year-old patient who is seen in the clinic today for a painful rash that runs in a half-circle along her rib line. The rash is composed of raised, fluid-filled lesions. The patient describes the pain as the most severe pain she has ever experienced. The physician makes a diagnosis of shingles and gives the patient a prescription for acyclovir (Zovirax). The patient has some questions for the nurse regarding the disease and the medication. The patient asks the nurse why she has developed shingles. How will the nurse respond? S.C. asks what side effects she can expect. How will the nurse respond? S.C. returns to the clinic in 4 weeks stating she still have severe pain where the blisters once were. What would the nurse instruct S.C.?
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