Week 7discussion reply 1 | Nursing homework help

Case #1:  A 55-year-old woman presents to the office with bloody urine and dysuria
of 12-hour duration. She was recently married and has never had similar
symptoms. She denies chills and fever. On physical examination she is afebrile, has normal vital signs, and has mild tenderness in the midline above the pubis. Her urinalysis shows too many to count (TNTC) red blood cells.

1.    What is the definition of bacteriuria?  Bacteriuria is the presence of bacteria in the urine (Huether & McCance 2018, p.1256). 
Asymptomatic bacteriuria is the presence of bacteria in the urine with no signs or symptoms of a UTI (Cai et al, 2016).
2.    What additional history do you need to make a diagnosis?  The onset of symptoms and a thorough medical history is needed for diagnosis. 

3.    What diagnostic studies would you order and why?  I would order a urinalysis and a urine culture.  A urinalysis is a diagnostic procedure obtained from a fresh, cleanly voided specimen (Huether & McCance 2018, p.1256).  It includes urine color evaluation, turbidity, protein, pH, specific gravity, sediment, and supernatant.  There are few or no red blood cells in normal urine (Huether & McCance 2018, p.1256).  A large number of red blood cells in urine is hematuria (Huether & McCance 2018, p.1256).  The urine sediment may be red or brown.  A urine culture is also from freshly voided urine.  To diagnose an uncomplicated uti, urine is tested for positive leukocyte esterase or nitrite reductase (Huether & McCance 2018, p.1256).  If bacteria is found in the urine, the urine culture and antibiotic sensitivity warrants treatment with microorganism specific antibiotics (Huether & McCance 2018, p.1256).  Follow up urine cultures should be done 1 week after treatment has started.  

Calculate your order
Pages (275 words)
Standard price: $0.00
Client Reviews
Our Guarantees
100% Confidentiality
Information about customers is confidential and never disclosed to third parties.
Original Writing
We complete all papers from scratch. You can get a plagiarism report.
Timely Delivery
No missed deadlines – 97% of assignments are completed in time.
Money Back
If you're confident that a writer didn't follow your order details, ask for a refund.

Calculate the price of your order

You will get a personal manager and a discount.
We'll send you the first draft for approval by at
Total price:
Power up Your Academic Success with the
Team of Professionals. We’ve Got Your Back.
Power up Your Study Success with Experts We’ve Got Your Back.