Case Study 1

Hector Ramirez is a 55 -year-old male admitted to the hospital with a chief complaint of redness, swelling, and pain at the side of recent abrasion that he experienced in a construction accident. The accident occurred three days ago.

Medical Hx: Mr. Ramirez has a medical history of type 2 diabetes, hypertension, and hyperlipidemia.  He takes insulin, simvastatin, and lisinopril daily.

Physical Examination: On physical examination, Mr. Ramirez was alert and oriented. The right arm was erythematous, warm to touch, and there was swelling at the site of the abrasion. The patient reported pain when the site was touched.

Diagnostic Tests: A sample of fluid was collected from the affected area and sent for culture and sensitivity testing. The results showed the presence of Staphylococcus aureus. Blood tests were also performed and revealed no signs of systemic infection.

1. Based upon the presence of Staphylococcus aureus, what medication would you expect to be prescribed?
2. What nursing interventions and education would be necessary to provide to Mr. Ramirez?
3. What common side effects might the patient experience related to the medication?

Case Study 2

Miss Iso, a 17-year-old, presents to the dermatologist with complaints of persistent acne on her face, neck, and back.  She has tried over-the-counter creams and gels but has not seen significant improvement.

Medical History: Miss Iso is otherwise healthy and has no known drug allergies. She has a history of eczema but is currently not experiencing any symptoms. She is not taking any other medications and has no significant family history.

Physical Examination: Miss Iso is an alert and cooperative teenager. Vital signs are within normal limits. Physical examination reveals moderate to severe acne on her face, neck, and back with a few cystic lesions.

Diagnostic Tests: No diagnostic tests were performed.

1. What medication do you anticipate will be prescribed for Miss Iso?
2. What nursing interventions and education would be necessary to provide to Miss Iso about this medication?
3. What common side effects might Miss Iso experience while taking this medication?

Note: Answers to the Case Studies can be found in the “Answer Key” sections at the end of the book.