Question 1:

Betty is a 38 year old Secretary who has come to the clinic with a fever, sore throat, and cough that she has had for 2 days.

Her posterior pharynx is reddened with patches of purulent educate and she complains that it hurts to swallow.

Based on her symptom history and physical examination, the physician suspects a streptococcal infection.

After a throat culture, Betty is started on amoxicillin 500mg every 8 hours for 10 days.

1. After 10 days on the antibiotic therapy, Betty calls the office. Her throat is better but she complains of severe parineal itching and has noticed a vaginal discharge.

2. How should the nurse respond to Bettys questions about these symptoms?

Question 2:

Mr Robertson, age 42 is diagnosed with essential hypertension. His blood pressure has been ranging between 150 and 184 mm Hg systolic and 94 and 110mm Hg diastolic. His average blood pressure is 154/ 94mm Hg. There is a positive family history of hypertension and stroke on both sides of the family. He is married, with two school-age children and works full time as a local truck driver for a seafood company. His elevated blood pressure was found during a routine physical examination. He has no other symptoms. Mr Robertson is to begin taking atenolol, 50mg daily and hychlorothiazide 50mg daily.

1. How do each of these drugs work to control blood pressure?

2. Why are both drugs prescribed at this time?

What patient teaching is important with these medications? ( include teaching about potential adverse effects)

Question 3:

A physician writes a prescription for a beta blocker for a patient's cardiovascular problem.

You know the patient has asthma.

Should the physician write a prescription for a beta blocker for a patient with asthma ?

Why or why not?

Is the specific type of beta blocker relevant to this question?