Shelly is a 4-year-old preschooler who lives with her parents and younger brother. She and her brother attend a local daycare center during the week while their parents are at work. In the evenings she and her brother take a bath and then their parents read to them before bedtime at 8 PM. Shellyâs daycare class includes many children her age and she enjoys playing outside with them. Although snack times are planned, Shelly would rather play and does not always finish her beverages.
Shellyâs mother calls the clinic and tells the nurse practitioner that Shelly has been ârunning a fever of 101 F for the past 2 daysâ and although her temperature decreases to 37.2 C (99 F) with Tylenol, it returns to 38.4 C (101 F) within 4 hours of each dose. Further, her mother says that Shelly complains that âit hurts when I pee-peeâ. Shellyâs mother also has noticed that her daughter seems to be in the bathroom âevery hourâ. She makes an appointment to see the nurse practitioner this afternoon.
The potential diagnosis is UTI.
1.What other assessment data would be helpful for the nurse practitioner to have?
2.What are the organisms most likely to cause an UTI?
3.What is the pharmacological treatment for Shelly? Keep in mind safe dosing.
4.What are the teaching priorities for Shelly and her mother prior to her discharge from the clinic?
Sample Solution
Profile of Rorschach in Alan Moore’s Watchmen Who picked our saint? Who will see our saint. Who is viewing the security watches? During the time spent history, numerous open figures have been edited about what they accept to be dubious chivalrous acts. Charles Darwin destroyed the hypothesis of creationism with his revelation in transformative science. President Harry S. Truman endorsed an atomic blast in Hiroshima and Nagasaki in Japan, finished the Second World War, and killed a huge number of regular citizens. Pardon International John Dillinger took from banks across the nation Simply select an exemplary animation star of a local army, Allen Moore and Dave Gibbons, security watches. Be that as it may, from a simply representative perspective, it must be Rorschach. Who is the principal photograph of Zack Snyder’s Watchmen film? Rorschach Who will command the online entertainer banter? Like Rorschach Punisher, Rorschach is effectively viewed as an extremist, an outright faith in profound quality – not dark shade, highly contrasting, just great and fiendishness – . Be that as it may, in the possession of Moore, spot ginger Walter Kovacs is a strained, tortured, complex maker and the most critical arrangement of watchers (jail revolt, 1 individual) As a middle, you may in the long run become the most realistic novel Pure job, just job – fool cautioning – not keen on yielding your own advantages for more noteworthy benefit Watcher is a constrained version arrangement of 12 manga books by Alan Moore, Dave Gibbons and John Higgins distributed by DC Comics in 1986 and 1987. The onlooker concentrated on the six fundamental characters of the entertainer, Manhattan specialist, keeping awake until late, Ozymandias, Rorschach, Silk Ghost. These characters were initially founded on an incredible campaign and afterward overhauled with a proactive proposition so as to oblige the hero trait that DC procured from the Charlton animation in the mid 1980s. Arrangement essayist Alan Moore introduced six “totally different techniques” to see the world and made a saint who gives the benefit to decide the ethically most justifiable thing to the peruser of the story. At the point when I read the Brian Doherty segment about Reason Online, “Rorschach was not shrugging his shoulders, a legend of a watcher as an objectiveist,” with moans and chuckling blended. The entire reason of Doherty’s article is to depict Rorschach as “good center”. “A watcher of Alan Moore and Dave Gibbons, a case of osteopathy and murder-accommodating peace keeping treatment delineate him as a regarded individual as opposed to being a needy individual, fearing him.>
Profile of Rorschach in Alan Moore’s Watchmen Who picked our saint? Who will see our saint. Who is viewing the security watches? During the time spent history, numerous open figures have been edited about what they accept to be dubious chivalrous acts. Charles Darwin destroyed the hypothesis of creationism with his revelation in transformative science. President Harry S. Truman endorsed an atomic blast in Hiroshima and Nagasaki in Japan, finished the Second World War, and killed a huge number of regular citizens. Pardon International John Dillinger took from banks across the nation Simply select an exemplary animation star of a local army, Allen Moore and Dave Gibbons, security watches. Be that as it may, from a simply representative perspective, it must be Rorschach. Who is the principal photograph of Zack Snyder’s Watchmen film? Rorschach Who will command the online entertainer banter? Like Rorschach Punisher, Rorschach is effectively viewed as an extremist, an outright faith in profound quality – not dark shade, highly contrasting, just great and fiendishness – . Be that as it may, in the possession of Moore, spot ginger Walter Kovacs is a strained, tortured, complex maker and the most critical arrangement of watchers (jail revolt, 1 individual) As a middle, you may in the long run become the most realistic novel Pure job, just job – fool cautioning – not keen on yielding your own advantages for more noteworthy benefit Watcher is a constrained version arrangement of 12 manga books by Alan Moore, Dave Gibbons and John Higgins distributed by DC Comics in 1986 and 1987. The onlooker concentrated on the six fundamental characters of the entertainer, Manhattan specialist, keeping awake until late, Ozymandias, Rorschach, Silk Ghost. These characters were initially founded on an incredible campaign and afterward overhauled with a proactive proposition so as to oblige the hero trait that DC procured from the Charlton animation in the mid 1980s. Arrangement essayist Alan Moore introduced six “totally different techniques” to see the world and made a saint who gives the benefit to decide the ethically most justifiable thing to the peruser of the story. At the point when I read the Brian Doherty segment about Reason Online, “Rorschach was not shrugging his shoulders, a legend of a watcher as an objectiveist,” with moans and chuckling blended. The entire reason of Doherty’s article is to depict Rorschach as “good center”. “A watcher of Alan Moore and Dave Gibbons, a case of osteopathy and murder-accommodating peace keeping treatment delineate him as a regarded individual as opposed to being a needy individual, fearing him.>
