Question

prostate cancer Screen patients will understand the reasons for the change 6. Advances in HIV diagnosis and trea and Prevention (CDC) (www.c of HIV. HIV diagnosis and treatment o f constantly. Search the website for the Ces for Disease Control Lion (CDC) (www.cdc.gov) to learn about the most recent diagnostic tests and medications for men HEALTH RECORD ACTIVITIES r-old man comes to the cinc complaining of discharge of pus, an iching to the opening of the and burning on urination. What type of questions should Sars, the medical assistant, ask the patient? How the patient disrobe and be position What tests might the physician order to diagnosis the problem? What type of patient education should Sara provide? Document the case, urethra, and burning on urination. What 2. You collected a clean-catch urine specimen from a male patient. The urine is dark orange but clear. The amount of urine was 460 ml. The patient appeared to be comfortable during the procedure. Document your findings. Use appropriate abbreviations. Be sure to include the date and your signature 3. Sally Lange, a 23-year-old patient with a history of urinary tract infections (UTIS), is being seen today because of complaints of burning on urination, bladder spasms, urinary urgency, and urine that is dark and foul smelling. She had a Pyridium prescription at home and has already taken several doses. What would you expect her unne to look like what will the physician order to determine whether Sally has a UTI? Sally is diagnosed with a repeat s prescribed Bactrim for 14 days. What patient education should she receive? Document the case study in the health record. od the physician order to deters already taken several doses. What would dark and foul smelling. She
please anwer question 1-3 and type

thank you

Answer 1

1. Sara should ask the patient did he had any previous history of same symptoms . Is he a diabetic, has any infection , for how long he is having the complaint , did he took any medication for the same . Sara should take assistance of male nurse to disrobe and should position him in dorsal recumbent position .

The physician should order CBC ,LFT ,RFT ,urine culture and sensitivity ,blood sugar ,urine glucose to diagnose the problem .Sara should provide health education like teaching the patient to drink lot of fluids to flush impurities out of the body , if diabetes is present then how to manage it etc

2. Documentation - The collected urine specimen was dark orange in colour and it was around 460ml . The patient was comfortable during the procedure and had no complaints

Date - 17/8/2019

Signature - Elisa

3. Urine looks cloudy in UTI

Diagnostic Tests of UTI

1. Urinalysis

-checks for WBC's, leukocyte esterase, RBC's/blood

2. Urine Culture and Sensitivity

>100,000 CFU's (colony forming units) if clean catch

>100 CFU's if catheter specimen (sterile technique, should be 0)

both from midstream clean catch urine sample

if there is concern for pyelonephritis or urosepsis:

-CBC with diff

-blood culture X2

this is bc the kidney is highly vascular; can easily spread hematogenously and cause sepsis

3. Urine Dipstick Analysis

commonly used in outpt setting

color change in 2 minutes for detection of 2 major substances:

4. Active Leukocytes

presence indicates infection but is NOT conclusive for UTI

high leukocytes may be due to STI, candidiasis, etc.

5. Nitrites

presence is conclusive of UTI (most specific part of dip)

bc bacteria convert urine nitrates into nitrites

#. Patient education :-

1. take all ABx as prescribed

2. practice appropriate hygiene: carefully clean perineal region by separating the labia when cleansing, wipe from front to back after urinating, cleanse with warm soapy water after each bowel movement

3. empty bladder before and after sex

4. urinate regularly, approx. every 3-4 hours during the day

5. maintain adequate fluid intake

6. avoid vaginal douches and harsh soaps, bubble baths, powders, sprays in the perineal area

7. report to HCP symptoms or signs of recurrent UTI, i.e. fever, cloudy urine, dysuria, urgency, frequency

8. consider drinking unsweetened cranberry juice (8 oz. 3x per day) or taking cranberry extract tablets 300-400 mg/day for UTI prevention

9. temporarily discontinue diaphragm