Week Five Endocrine Genitourinary Essay

Words: 1814
Pages: 8

Name: Date:

Case study 76: Endocrine
INSTRUCTIONS: All questions apply to this case study. Your responses should be brief and to the point. When asked to provide several answers, list them in order of priority or significance. Do notassume information that is not provided. Please print or write clearly. If your response is not legible, it will be marked as is and you will need to rewrite it.

Y.L., a 34-year-old Asian woman, comes to the clinic with complaints of chronic fatigue, increased thirst, constant hunger, and frequent urination. She denies any pain, burning, or low-back pain on urination.
She tells you she has a vaginal yeast infection that she has treated numerous times with over-the-counter
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You notice that the NAP emptying the gravity drain is not wearing personal protection devices. You also observe that the drainage port of the drainage bag was contaminated during the process because the NAP allowed it to touch the floor.

6. What issues need to be considered in protecting M.Z.'s safety? Describe your actions in working with the nursing assistant.
7. As you assess M.Z., you notice that her catheter tubing is not secured. Why does the tubing need to be secured, and where is the correct placement of the catheter tubing?

Case Study Progress
On the third day after MZs admission, the urinary culture and sensitivity (C&S) results were as follows:
Escherichia coli, more than 100,000 colonies, sensitive to ciprofloxacin, trimethoprim-sulfamethoxazole, and nitrofurantoin. 8. What changes, if any, will be made to the antibiotic therapy?
9. The NAP reports that M.Z.'s 8-hour intake is 520 ml, and the output is 140 mL Is this significant? Identify two possible reasons that could account for the difference, and explain how you would assess each.

Case Study Progress
M.Z. has completed her antibiotic therapy. Her mental status has cleared, the Foley catheter has been discontinued, and she is ready for discharge.
10. What instructions should you discuss with the daughter?

Case Study 56: Genitourinary Hemodialysis
K.B. is a 32-year-old woman being admitted to the medical floor for complaints of