NURS 6541 Discussion: Diagnosis and Management of Genitourinary Disorders
A Sample Answer For the Assignment: NURS 6541 Discussion: Diagnosis and Management of Genitourinary Disorders
Title: NURS 6541 Discussion: Diagnosis and Management of Genitourinary Disorders
Additional Questions to Ask
The case study does not address the LOCATES mnemonic. It fails to provide a specific type of condition and the site of the infection for the baby (Maul et al., 2015). Besides, from the medical report availed, it is difficult to establish the attributes of all the symptoms and how they affect the quality of life outcomes for the patient (Klumpp et al., 2017). As such, it will be important to ask additional questions for the healthcare provider to determine the severity of the condition. These questions include;
What is your appetite for food?
Do you experience abdominal pain?
Does your urine have a strong smell?
Do you see blood in your urine?
Additional Examinations or Diagnostic Tests
I will request for renal function tests (RFTs), liver function tests (LFTs) and complete blood count (CBC). The RFTs will help determine the presence or absence of kidney conditions by revealing the electrolyte balance (Chawla et al., 2015). The LFTs, on the other hand, provide an indication of how the liver is working in producing protein as well as clearing bilirubin for the child. Finally, CBC is vital to indicate the number of different components of blood particularly the red blood cells (Kaddourah et al., 2017). The tests correlate directly with genitourinary disorders.
Differential Diagnosis
The patient is likely to have three conditions. Urinary tract infection (UTI) is the first diagnosis for the patient. This is because
she exhibits symptoms such as difficulty in urination due to pain which confirms an invasion of the urinary tract system by a pathogen (Klumpp et al., 2017). The child also exhibits signs of acute cystitis. The condition is related to bacterial invasion of the urinary tract system as evidenced by complaints of dysuria.
The third diagnosis is acute kidney injury related to a bacterial infection in the kidney as evidenced by difficulty in controlling urination (Chawla et al., 2015). The patient in the case study recorded frequent episodes of enuresis implying that the possibility of an infection in the kidney cannot be ruled out.
Most Likely Diagnosis
From the case presented, the patient is likely to have acute kidney injury. The condition is related to a decline in renal function as characterized by irregular patterns of urination or pain which may be accompanied by hematuria (Kaddourah et al., 2017). This disorder involves a bacterial infection, shock or injury in the kidney which if not controlled at early stages, may spread into the bladder and affects the urinary tract systems. As from the case study, the patient exhibit symptoms of acute kidney injury which include blood and protein in the urine (Klumpp et al., 2017). The patient also has a past medical history of dysuria and frequent episodes of enuresis which indicates an infection in the kidney.
Treatment
Administer diuretic therapy to increase urine output for the patient. Furosemide 0.5 mg/kg/min will be titrated and administered as an intravenous fluid for the child (Kaddourah et al., 2017). The medication will be monitored for one month to assess prognosis.
Medications will be administered to control blood pressure. Specifically, dopamine 0.5µg/kg per minute will be administered through intravenous routes to improve renal perfusion.
The patient will also receive renal replacement therapy. Specifically, intermittent hemodialysis (HD) is recommended for the child at least once in a week (Kaddourah et al., 2017). This is expected to ensure the elimination of accumulated wastes in the body.
Patient Education, Health Promotion and Anticipatory Guidance
In this case, a conservative diet is recommended for the children. This involves food choices limited in sodium, potassium, and preservative to reduce the severity of the renal condition (Kaddourah et al., 2017). The child should be admitted in the in-patient units to facilitate in the monitoring of the condition. However, upon discharge, a date for revisit need to be two weeks. The child also receives Hepatitis A and Meningococcal immunizations (Reich, 2018). The parents should ensure hygiene to the child to prevent further complications.
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Important information for writing discussion questions and participation
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Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource