Annette James (A. J.) is an obese 31-year-old woman who comes into the primary care center with complaints of frequency, urgency, burning on urination, and lower abdominal pain rated as 4 on a 0-to-10 scale. Her vital signs are T 38.8° C (101.9° F), P 106 and regular, R18 and unlabored, and BP 140/85. Significant assessment findings include a history of multiple and frequent bladder infections, occasional spotting between periods, right ovarian cyst removal 2 years ago, multiple sexual encounters with her partner in the past 3 weeks, and suprapubic tenderness on palpation. Based on diagnostic test results, A. J. is prescribed an antibiotic, nitrofurantoin (100 mg PO q 6 h), and the urinary tract analgesic phenazopyridine (2 tablets PO q 8 h PRN) for a bladder infection and told to return to the clinic in a month for a follow-up appointment. Please answer the following questions regarding the Case Study.
Question 1:
Identify three assessment questions that the nurse should ask A. J. to further investigate her chief complaint.
Question 2:
What diagnostic studies are most likely to be performed in evaluating A. J.? Give the rationale for each study.
Question 3:
List a minimum of three topics that the nurse should discuss with A. J. before discharging her from the clinic. Include content that the nurse should cover under each topic.
Answer 1
Answer 2
The diagnostic test required for the patient are
Answer 3
The following topics should be included
Annette James (A. J.) is an obese 31-year-old woman who comes into the primary care center...
Annette James (A. J.) is an obese 31-year-old woman who comes into the primary care center with complaints of frequency, urgency, burning on urination, and lower abdominal pain rated as 4 on a 0-to-10 scale. Her vital signs are T 38.8° C (101.9° F), P 106 and regular, R18 and unlabored, and BP 140/85. Significant assessment findings include a history of multiple and frequent bladder infections, occasional spotting between periods, right ovarian cyst removal 2 years ago, multiple sexual encounters...
Please help Case study: Urinary Elimination Ms. James is an obese 31-year-old female who comes into the primary care center with complaints of frequency, urgency, burning on urination, and lower abdominal pain rated as 7 on a 0-to-10 scale. Her vital signs are T 38.8° C (101.9° F), P 106 and regular, R18 and unlabored, and BP 110/70. Significant assessment findings include a history of multiple and frequent bladder infections, occasional vaginal bleeding, right ovarian cyst removal 2 years ago,...
Plaese help Case study: Urinary Elimination Ms. James is an obese 31-year-old female who comes into the primary care center with complaints of frequency, urgency, burning on urination, and lower abdominal pain rated as 7 on a 0-to-10 scale. Her vital signs are T 38.8° C (101.9° F), P 106 and regular, R18 and unlabored, and BP 110/70. Significant assessment findings include a history of multiple and frequent bladder infections, occasional vaginal bleeding, right ovarian cyst removal 2 years ago,...
Please help Please help Case study: Urinary Elimination Ms. James is an obese 31-year-old female who comes into the primary care center with complaints of frequency, urgency, burning on urination, and lower abdominal pain rated as 7 on a 0-to-10 scale. Her vital signs are T 38.8° C (101.9° F), P 106 and regular, R18 and unlabored, and BP 110/70. Significant assessment findings include a history of multiple and frequent bladder infections, occasional vaginal bleeding, right ovarian cyst removal 2...
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