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.
1.The assessment questions to ask are
2.The diagnostic test required are
3.The topic to be discussed are
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...
Judith Kline (J. K.), a 55-year-old woman, arrived at an urgent care center complaining of generalized malaise, an overwhelming feeling of exhaustion that was not relieved with rest, and difficulty walking more than 10 ft. She has thinning scalp hair, scaly skin, and puffiness around her eyes. She appears to be anxious. She is married and responsible for raising three grandchildren (2, 4, and 8 years old). She is employed full time as a college professor and is worried that...
Chief Complaint: Nausea & Vomiting History of Present Illness A 24-year-old woman presents to your urgent care clinic complaining of nausea and vomiting for the past 4 weeks. She had no prior gastrointestinal problems until the onset of symptoms 4 weeks ago. She generally develops nausea about 1/2 hour after eating and then vomits non-bloody material about an hour later. Solid food causes more symptoms than liquids, and the amount of food needed to cause symptoms has been decreasing. Otherwise,...
R.H. is a 62-year-old woman who comes to the clinic for a routine physical examination. She works as a banking executive and gets little exercise. She says she is “just tired.” She has gained 18 pounds over the past year and eats a high-fat diet. Her blood pressure is 162/98, heart rate is 92, and respiration rate is 20 R.H. complains of some weakness in her right foot that began about a month ago. She says it also feels a...