MN568 Advanced Practice Nursing – Discussion board: UTI
No Plegarism please, will be checked with Turnitin.
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Topic 1K.N. is a 24-year-old woman who presents to the family practice clinic complaining of sudden urgency to urinate, back pain, frequent urination, and pain with urination. Symptoms began approximately 48 hours ago.
She awoke from sleep with urgency and suprapubic discomfort 2 nights ago. Her urine now has a strong odor and a cloudy appearance. She has an allergy to Bactrim.
- What are some appropriate questions to ask the patient?
- What are three differential diagnoses for the patient? ( Urinary Tract Infection,, Overactive Bladder, Cystitis, Noninfectous Urethritis)
- What physical examination would you perform? (Urine culture
- What diagnostics would you include?
- Create an evidenced-based plan of care. Include pharmacological and non-pharmacological treatments.
Urine dipstick results: Color, dark yellow, specific gravity 1.035, ph 5.5, protein (-), Ketones (-), Bilirubin (-), Trace blood, Leukoesterase (+), Nitrites (+), Urobilinogen (-)
MN568 Advanced Practice Nursing – Discussion board: UTI
Prompt:
What is my experience with nursing theory? Have I ever seen nursing theory in practice? How important do I think nursing theory is to nursing practice? What do I find most interesting about what I am learning about nursing theory? Is my mind and heart open to learning to see nursing from a different perspective?
Summary: The purpose of the Reflective Journal is to allow for analysis, synthesis and evaluation of nursing theory using guided questions. Reflection in Action has been referred to as a process that happens internally, privately or in isolation (Hill & Watson, 2011). Also, a useful definition of reflection has been referred to as the examination of an issue of concern, as a consequence of experience, creating clarity and meaning in terms of self, and which results in a change of perspective ( Boyd & Fales, 1983).
Boyd, E. M., & Fales, A. W. (1983). Reflective learning: Key to learning from experience, Journal of Humanistic Psychology, 23(2), 99-117.
Hill, M. & Watson, J. (2011). Creating a Caring Science Curriculum. New York, NY: Springer Publishing.
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