Reference no: EM131093352

Topic 2: Genitourinary Case Study

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. Shelly's 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.

Shelly's mother calls the clinic and tells the nurse practitioner that Shelly has been "running a fever of 101 F for the past 2 days" 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 "it hurts when I pee-pee". Shelly's mother also has noticed that her daughter seems to be in the bathroom "every hour". She makes an appointment to see the nurse practitioner this afternoon (Broyles, 2006).

• What is a potential diagnosis for Shelly?
• What other assessment data would be helpful for the nurse practitioner to have?
• Discuss Shelly's anatomic risk factor(s) for developing an urinary tract infection (UTI).
• Discuss the relationship between Shelly's hygiene habits and her risk for developing an UTI.
• Discuss how Shelly's level of growth and development places her at risk for developing an UTI.
• What are the organisms most likely to cause an UTI?
• What are the priorities for Shelly's care?
• Shelly weighs 33 lbs and is prescribed Trimethoprim - sulfamethoxazole 60 mg every 12 hours for 14 days. What is this drug and is her prescribed dose safe?
• What are the teaching priorities for Shelly and her mother prior to her discharge from the clinic?
• Shelly is scheduled for a return visit to the clinic in 2 weeks. What is the purpose of this appointment?

Please answer this in 2 paragraphs.

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