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WGU D027 Advanced Patho- pharmacological
Foundations Clinical Practice Experience D027 CPE2025-
2026WGU D027 CPE D027 Synthesis Shadow Health
Phase 3 | 100% Pass Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Scott J. Hall
[COMPANY NAME] [Company address]
, D027 Synthesis Shadow Health Phase 3
Dr. Anita Douglas
A 72 y/o AAF with a history of CKD-2 and HTN, taking Trandolapril/Verapamil,
Chlorothiazide, Aspirin, Calcium, and Vitamin D. Presents with a 1-day history of fever, a 3-day
history of congestion (yellow /Green mucous), productive cough (rust-colored sputum), RLL
chest discomfort that worsens with cough or deep breathing, fatigue, and muscle soreness.
Received her Influenza vaccine 3 months prior and her last Pneumococcal Vaccine was 12 years
ago.
Symptoms suggestive of pneumonia include fever combined with respiratory symptoms
such as cough, sputum production, pleurisy, and dyspnea.[ CITATION Bar95 \l 1033 ] Adult
patients present with symptoms that include fatigue, cough, sputum production, labored
breathing (including altered breath sounds and rales), or fever. [ CITATION Com01 \l 1033 ]
Dr. Douglas shows classic signs of Community-Acquired Pneumonia with her fever, productive
cough, fatigue, and chest discomfort that increases with deep breathing and coughing.
Patients with community-acquired pneumonia are treated as outpatients and do not
require extensive studies except for an x-ray film to establish the diagnosis, selected laboratory
studies to determine the extent of the disease and associated conditions and microbiologic
studies.[ CITATION Bar95 \l 1033 ] Because the recommended antibiotic regimens are effective
for most patients, diagnostic testing will rarely affect therapy.[ CITATION Wun \l 1033 ]Dr.
Douglas’s diagnosis is determined by clinical presentation and health history taking. No clinical
testing was performed.
Comprehensive studies of CAP in the pre-antibiotic era showed over 80 percent of the
cases were due to Streptococcus pneumoniae.[ CITATION Bar95 \l 1033 ] The predominant
pathogen in CAP is Streptococcus pneumoniae, which accounts for about two-thirds of all cases
of bacteraemic pneumonia.[ CITATION Com01 \l 1033 ] Dr. Douglas was recently vaccinated
for Influenza, and since the majority of CAP is caused by a pathogen called Streptococcus
Pneumoniae, A deduction that S. Pneumoniae is the likely source.
North American guidelines variably recommend macrolides, doxycycline, an anti-
pneumococcal fluoroquinolone (e.g., Levofloxacin, Gemifloxacin, Moxifloxacin), or the
combination of a β lactam plus macrolide as treatment options for patients who are mildly ill
and can be treated as outpatients.[ CITATION Com01 \l 1033 ] Macrolides, doxycycline, and
fluoroquinolones are the most appropriate agents for atypical bacterial pathogens.[ CITATION
Wun \l 1033 ] Since Dr. Douglas has CKD-2 she will need combination therapy to prevent
resistance. She will be started on Amoxicillin/Clavulanate and Doxycycline. And her fever and
pain will be treated with Tylenol instead of aspirin. Along with the encouragement of increased
fluid intake and proper rest to allow recovery.
Dr. Douglas is encouraged to make an appointment after her recovery to update her
Pneumococcal vaccine and to follow up on the CKD-2 and HTN.
References
1
WGU D027 Advanced Patho- pharmacological
Foundations Clinical Practice Experience D027 CPE2025-
2026WGU D027 CPE D027 Synthesis Shadow Health
Phase 3 | 100% Pass Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Scott J. Hall
[COMPANY NAME] [Company address]
, D027 Synthesis Shadow Health Phase 3
Dr. Anita Douglas
A 72 y/o AAF with a history of CKD-2 and HTN, taking Trandolapril/Verapamil,
Chlorothiazide, Aspirin, Calcium, and Vitamin D. Presents with a 1-day history of fever, a 3-day
history of congestion (yellow /Green mucous), productive cough (rust-colored sputum), RLL
chest discomfort that worsens with cough or deep breathing, fatigue, and muscle soreness.
Received her Influenza vaccine 3 months prior and her last Pneumococcal Vaccine was 12 years
ago.
Symptoms suggestive of pneumonia include fever combined with respiratory symptoms
such as cough, sputum production, pleurisy, and dyspnea.[ CITATION Bar95 \l 1033 ] Adult
patients present with symptoms that include fatigue, cough, sputum production, labored
breathing (including altered breath sounds and rales), or fever. [ CITATION Com01 \l 1033 ]
Dr. Douglas shows classic signs of Community-Acquired Pneumonia with her fever, productive
cough, fatigue, and chest discomfort that increases with deep breathing and coughing.
Patients with community-acquired pneumonia are treated as outpatients and do not
require extensive studies except for an x-ray film to establish the diagnosis, selected laboratory
studies to determine the extent of the disease and associated conditions and microbiologic
studies.[ CITATION Bar95 \l 1033 ] Because the recommended antibiotic regimens are effective
for most patients, diagnostic testing will rarely affect therapy.[ CITATION Wun \l 1033 ]Dr.
Douglas’s diagnosis is determined by clinical presentation and health history taking. No clinical
testing was performed.
Comprehensive studies of CAP in the pre-antibiotic era showed over 80 percent of the
cases were due to Streptococcus pneumoniae.[ CITATION Bar95 \l 1033 ] The predominant
pathogen in CAP is Streptococcus pneumoniae, which accounts for about two-thirds of all cases
of bacteraemic pneumonia.[ CITATION Com01 \l 1033 ] Dr. Douglas was recently vaccinated
for Influenza, and since the majority of CAP is caused by a pathogen called Streptococcus
Pneumoniae, A deduction that S. Pneumoniae is the likely source.
North American guidelines variably recommend macrolides, doxycycline, an anti-
pneumococcal fluoroquinolone (e.g., Levofloxacin, Gemifloxacin, Moxifloxacin), or the
combination of a β lactam plus macrolide as treatment options for patients who are mildly ill
and can be treated as outpatients.[ CITATION Com01 \l 1033 ] Macrolides, doxycycline, and
fluoroquinolones are the most appropriate agents for atypical bacterial pathogens.[ CITATION
Wun \l 1033 ] Since Dr. Douglas has CKD-2 she will need combination therapy to prevent
resistance. She will be started on Amoxicillin/Clavulanate and Doxycycline. And her fever and
pain will be treated with Tylenol instead of aspirin. Along with the encouragement of increased
fluid intake and proper rest to allow recovery.
Dr. Douglas is encouraged to make an appointment after her recovery to update her
Pneumococcal vaccine and to follow up on the CKD-2 and HTN.
References
1
