A 31-year-old female recently diagnosed with a lower respiratory infection has a planned follow-up visit with her primary care provider. The client just finished a course of Azithromycin. In general, the client appeared tired and a bit “washed out.” Her vital signs were as follows: Blood pressure (mmHg): 128/76 HR (bpm): 102 S1 S2 no S3 or S4, regular rate and rhythm RR (bpm): 24 and using accessory muscles for breathing Temperature (F): 101.3 SpO2 (%): 94 Respiratory examination revealed mild tachypnea with dullness to percussion over the lower-right lung. Auscultation revealed decreased breath sounds in the same area, but no crackles or wheezing. Other than mild tachycardia with a regular rhythm, the remainder of the physical examination was normal. There was no jugular venous distention or pedal edema. The client came in two days ago for repeat lab work. Laboratory findings are as follows: Laboratory Results Table Na 138 mEq/L K 4.2 mEq/L Cl 99 mmol/L Ca 8 mg/dL BUN 17 mg/dL Cr 1.1 mg/dL Glucose 87 mg/dL WBC 4200 cells/μL Neutrophil 72% Bands 0% Lymph 12% Bands 180,000 cells/mL Platelets 7.1 g/dL Total Protein 3.9 to 5.0 g/dL Albumin 0.6 mg/dL Total bilirubin 18 IU/L AST 23 IU/L AlkP 98 IU/L Identify the objective and subjective data. What information are the cues providing to you? Analyze the cues and prioritize. What do you believe will be the medical diagnosis? Based on the report findings, the provider has changed the client’s antibiotic therapy to doxycycline hyclate, a tetracycline antibiotic. You have been asked to provide education on the treatment plan for this client. Consider the client’s age, developmental status, the administration of this medication, side effects, and adverse reactions.
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[Solved]: A 31-year-old female recently diagnosed with a…