Reference no: EM133695672 , Length: 1 pages

Write one-page summary answering the questions to the case study provided below and cite two reliable references.

Topic: 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, multiple sexual encounters with her partner in the past 3 weeks, and suprapubic tenderness on palpation. On the basis of diagnostic test results, Ms. James is prescribed an antibiotic, nitrofurantoin (100 mg PO q 6 hr), and the urinary tract analgesic phenazopyridine tablets PO tid PRN) for a bladder infection and told to return to the clinic in a month for a follow-up appointment.

• Identify three assessment questions that the nurse should ask Ms. James to further investigate her chief complaint.
• What diagnostic studies are most likely to be performed in evaluating Ms. James? Give the rationale for each study.
• List a minimum of three topics that the nurse should discuss with Ms. James before discharging her from the clinic. Include content that the nurse should cover under each topic.