[Verified Answer]: Case Study, Chapter 31, Caring for Clients…

Case Study, Chapter 31, Caring for Clients With Disorders of the Hematopoietic System Georgia Paris, a 32-year-old female client with a history of type 1 diabetes, is admitted with idiopathic (immune) thrombocytopenia purpura (ITP) and has a platelet count of 20,000/mm3. The client has a recent history of recovering from a viral infection. She recently developed a urinary tract infection, which is being treated with a sulfa antibiotic, trimethoprim-sulfamethoxazole (Bactrim). The client reports that she had unusual heavy bleeding with her menstrual cycle for 10 days. The nurse notices scattered purpura on the client’s extremities and trunk area. The nurse reviews the primary provider’s orders, noting that the sulfa antibiotic has been stopped and the client will be started on ciprofloxacin and prednisone with tapering doses. The primary provider also orders fingerstick blood sugars (FSBS) every 6 hours with high-dose sliding scale coverage along with the 30 units of Detimir daily that the client normally takes at home. The LPN/LVN needs to manage the client’s care. a. What are the administration considerations for providing prednisone to the client? b. What nursing responsibilities does the nurse need to consider when managing Ms. Paris’s nursing care? c. Ms Paris’ Blood sugar is 289. What is the dose of sliding scale insulin she should receive? And why might her blood sugars be higher than normal? >150 no insulin 150-200 2 units 201-250 4 units 251-300 6 units >300 8 units and call MD d. What are the administration considerations for administering antibiotics to the