fbpx

Peer reply | Nursing homework help

Don't use plagiarized sources. Get Your Assignment on
Peer reply | Nursing homework help
Just from $13/Page
Order Now

1-maceda

What other assessment data would be helpful for the nurse practitioner to have?

           The diagnosis of UTI by clinical criteria alone has an error rate of approximately 33%; therefore, the NP should be vigilant and pay attention to additional assessment data (Allen, Manilal & Gezmu, 2019).  For example, patient population is typically premenopausal women of any age with risk factors of diabetes, diaphragm use, especially those with spermicide, history of UTI or UTI during childhood, mother or female relatives with history of UTIs, and sexual intercourse.

What are the organisms most likely to cause an UTI?

           Urinary tract infections are primarily caused by gram-negative bacteria, but gram-positive pathogens may also be involved. More  than  95%  of  uncomplicated  UTIs  are  monobacterial.  The most common pathogen for uncomplicated UTIs is E.coli (75%–95%), followed by Klebsiella pneumoniae, Staphylococcus saprophyticus,  Enterococcus  faecalis,  group  B  streptococci,  and Proteus  mirabilis (Bollestad, Vik, Grude& Lindbæk, 2018).

What is the pharmacological treatment for Shelly? Keep in mind safe dosing.

           The first step in treating Shelly is to classify the type of infection, such as acute uncomplicated cystitis or pyelonephritis, acute complicated cystitis or pyelonephritis, CA-UTI, asymptomatic  bacteriuria  (ASB),  or  prostatitis  (Allen, Manilal & Gezmu, 2019).  The Infectious Diseases Society of America (IDSA) recommends that  empiric  regimens  for  uncomplicated  UTIs  be  guided  by  the  local  susceptibility,  particularly  to  E.  coli.  They  recommend   considering   trimethoprim/sulfamethoxazole if the local resistance rate is less than 20% and fluoroquinolones if the resistance rate is less than 10% (Bollestad, Vik, Grude& Lindbæk, 2018). The empiric regimen for complicated UTIs should also be guided by local susceptibility trends of uropathogens,  and  definitive  regimens  should  be  tailored  according  to  susceptibility  results,  when available.

What are the teaching priorities for Shelly and her mother prior to her discharge from the clinic?

           The teaching priority for Shelly is hydration.  During  UTI  management,  hydration  dilutes  the  uropathogen  and  removes  infected  urine  by  frequent  bladder  emptying.  However, the bacterial count returns to the prehydration  level  after  hydration  is  discontinued.  Potential problems with forcing fluids include urinary retention in a  patient  with  a  partially  obstructed  bladder  and  decreased  urinary antibiotic concentration. 

References

Allen, M., Manilal, A., Gezmu, T., (2019). Prevalence and associated factors of urinary tract infections among women. Journal of Urology, 45(1), 56–62. https://doi.org/10.5152/tud.2018.32855

Bollestad, M., Vik, I., Grude, N., & Lindbæk, M. (2018). Predictors of Symptom Duration and Bacteriuria in Urinary Tract Infection. Scandinavian Journal of Primary Health Care, 36(4), 446–454. https://doi.org/10.1080/02813432.2018.1499602

2-alberto

What other assessment data would be helpful for the nurse practitioner to have?

           Nurse practitioners are well positioned to have important roles in the assessment and management of UTIs.  The bacterial count is an assessment data helpful to the NP.  Urine dip sticks are one of the most frequently used instruments for diagnostic testing if there is clinical evidence that a patient is suffering from UTI. Multistix are most often used, which may be able to detect nitrite (a metabolic product of typical pathogens of the urinary tract), leukocyte esterase, protein and blood (as a marker of inflammation).

What are the organisms most likely to cause an UTI?

           Infection of the bladder (cystitis). This type of UTI is usually caused by Escherichia coli (E. coli), a type of bacteria commonly found in the gastrointestinal (GI) tract. However, sometimes other bacteria are responsible.  Infection of the urethra (urethritis). This type of UTI can occur when GI bacteria spread from the anus to the urethra. Also, because the female urethra is close to the vagina, sexually transmitted infections, such as herpes, gonorrhea, chlamydia and mycoplasma, can cause urethritis.

What is the pharmacological treatment for Shelly? Keep in mind safe dosing.

           Antibiotics usually are the first line treatment for urinary tract infections. Which drugs are prescribed and for how long depend on your health condition and the type of bacteria found in your urine.

Drugs commonly recommended for simple UTIs include:

   Trimethoprim/sulfamethoxazole (Bactrim, Septra, others)

   Fosfomycin (Monurol)

   Nitrofurantoin (Macrodantin, Macrobid)

   Cephalexin (Keflex)

   Ceftriaxone

What are the teaching priorities for Shelly and her mother prior to her discharge from the clinic?

           In many states, NPs already have the authority to manage UTIs, to varying degrees.  Teaching priority includes drinking plenty of water. Water helps to dilute the urine and flush out bacteria.  Avoiding drinks that may irritate the bladder. Avoid coffee, alcohol, and soft drinks containing citrus juices or caffeine until your infection has cleared. They can irritate the bladder and tend to aggravate the frequent or urgent need to urinate.  Use a heating pad. Apply a warm, but not hot, heating pad to the abdomen to minimize bladder pressure or discomfort.

           Some alternative remedies may include drinking cranberry juice to prevent UTIs. There’s some indication that cranberry products, in either juice or tablet form, may have infection-fighting properties. Researchers continue to study the ability of cranberry juice to prevent UTIs, but results are not conclusive.

References 

Collins, L. (2019). Diagnosis and management of a urinary tract infection. British Journal of Nursing, 28(2), 84–88. https://doi.org/10.12968/bjon.2019.28.2.84

Duncan, D. (2019).  Alternative to antibiotics for managing asymptomatic and non-symptomatic bacteriuria.  British Journal of Community Nursing, 24(3), 116–119. https://doi.org/10.12968/bjcn.2019.24.3.116

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Homework Writing Services
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Economics
Good job.
Customer 456823, April 2nd, 2022
Human Resources Management (HRM)
Thank you for this excellent power point
Customer 453633, February 24th, 2020
Business Studies
Excellent as always!
Customer 454647, June 26th, 2020
English 101
thank you for your professional work
Customer 454759, July 1st, 2020
Medicine
Great job.
Customer 463301, November 14th, 2022
Healthcare & Medical
Great
Customer 463473, November 4th, 2022
Other
Great work.
Customer 462927, May 24th, 2022
Business Studies
Very well done, thank you!
Customer 462533, February 6th, 2022
IT
A few mistakes but overall an excellent paper
Customer 453915, September 13th, 2022
Entertainment & Gaming
Avoid plagiarism.
Customer 452441, April 12th, 2022
Business and administrative studies
I received a mastery on this assignment!
Customer 463143, August 31st, 2022
Psychology
Good work.
Customer 459817, June 16th, 2022
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat