NR 511 Week 4 Clinical Virtual Interactive Student Evaluation (VISE) Assignment (Due by the end of Week 5)

The client has a history of type 2 diabetes and is non-compliant in her medica琀椀on treatment plan, which places her a risk for developing a UTI, ketoacidosis, and an overac琀椀ve bladder. The client is experiencing burning when urina琀椀ng, the constant urge to urinate, cloudy and yellow urine, and is uncomfortable. This informa琀椀on correlates with a urinary tract infec琀椀on. Increased urina琀椀on also correlates with ketoacidosis and over昀氀ow incon琀椀nence. However, when asked about increased thirst, a fruity-scented breath, fa琀椀gue, and nausea and vomi琀椀ng the client denied all symptoms. Also, the UA performed did not reveal the presence of ketones in the urine which would correlate with a ketoacidosis diagnosis so I will remove this diagnosis. Typically, with an overac琀椀ve bladder there is a sudden need to urinate which the client did describe. However, the client has not experienced any involuntary loss of urine so I will eliminate the diagnosis of overac琀椀ve bladder. Therefore, based on the client’s symptoms combined with the 昀椀ndings in the UA with the presence of leukocytes I believe the pa琀椀ent has a urinary tract infec琀椀on. There are three ques琀椀ons that I have involving this client’s case: 1) The client is not compliant with managing her diabetes. What type of educa琀椀on can be provided to the client illustra琀椀ng to her what she is at risk for developing when her diabetes is not under control? 2) Can Azo for urinary pain relief be taken in addi琀椀on to the an琀椀bio琀椀c if the pa琀椀ent men琀椀oned taking this? 3) How do you explain to the client that she did not receive the UTI from the “nasty toilet” that she sat own when she is very certain the UTI was caused by that? 4) Is there an an琀椀bio琀椀c that works be琀琀er for diabe琀椀c women with UTIs? 5) What informa琀椀on can be provided to the client to help prevent UTIs from developing besides ge琀��ng her blood sugar under control? I diagnosed the pa琀椀ent with a urinary tract infec琀椀on. Con昀椀rma琀椀on of the UTI involved a combina琀椀on of the pa琀椀ent’s symptoms and PE along with the diagnos琀椀c study of a UA which indicated high levels of leukocytes. The treatment I chose for the client is the an琀椀bio琀椀c Bactrim regular strength to be taken as 2 tablets PO every 12 hours for 5 days. The an琀椀bio琀椀c should be taking as prescribed, and the en琀椀re course of an琀椀bio琀椀c should be completed. The client will be educated on the importance of drinking 80-100 ounces of water per day to keep herself hydrated and to urinate when she feels the urge. It is important not to hold the urine in as this can cause an infec琀椀on. The client will be educated on ways to manage her diabetes and prevent further UTIs from developing. This includes incorpora琀椀ng an exercise regimen and maintaining a healthy diabe琀椀c diet to keep her blood sugars down. The client should also be educated on maintaining good hygienic health like wiping from front to back. The client should feel relief of symptoms within a few days from the