SHADOW HEALTH 1
NURS 615 ASSIGNMENT 5.2: SHADOW HEALTH FOCUSED EXAM:
UTI WITH ANTIBIOTIC SENSITIVITY |LATEST UPDATE WITH
COMPLETE SOLUTIONS
Assignment 5.2: Shadow Health Focused exam: UTI with Antibiotic Sensitivity
Dora Aguilar
Maryville University
, SHADOW HEALTH 2
Synopsis
Ms. Henderson, a 21-year-old woman, came to the clinic during this week's Shadow
Health assignment because she had been having painful urination and dark urine for the
past three days. Due in large part to the structure of the female lower urinary system and its close
location to the reproductive organs, women are far more susceptible to UTIs than males
(Czajkowski et al, 2021). The patient also reported having cramps in her lower abdomen,
although she denies having a fever, nausea, vomiting, or back pain. Ms. Henderson’s urine
dipstick for nitrites/leukocyte esterase was positive while her pregnancy test was negative. The
primary criterion used in UTI diagnosis is leukocyte count, so a count of more than 10
leukocytes indicates infection (Czajkowski et al, 2021). Based on the results of my evaluation,
labs, and the patient's stated symptoms, an uncomplicated urinary tract infection was diagnosed.
These types of UTIs may resolve on their own without medical intervention, but many patients—
like the patient in this scenario—will nevertheless seek therapy to relieve their symptoms.
What did I learn?
What I learned during this assignment was how to ask the right questions to determine
the right treatment plan. Treatment for asymptomatic UTIs is not always necessary because
overuse of antibiotics can result in the establishment of strains that are resistant to them
(Czajkowski et al, 2021). So, it’s important to ask the right questions to determine if the patient is
symptomatic or asymptomatic. I particularly appreciated that they had a broad list of different
antibiotics to pick from making it more challenging to decide which one was the most
appropriate choice to treat the UTI. This patient's best option turned out to be nitrofurantoin
because she resided in a place where sulfamethoxazole/trimethoprim combo medications were
NURS 615 ASSIGNMENT 5.2: SHADOW HEALTH FOCUSED EXAM:
UTI WITH ANTIBIOTIC SENSITIVITY |LATEST UPDATE WITH
COMPLETE SOLUTIONS
Assignment 5.2: Shadow Health Focused exam: UTI with Antibiotic Sensitivity
Dora Aguilar
Maryville University
, SHADOW HEALTH 2
Synopsis
Ms. Henderson, a 21-year-old woman, came to the clinic during this week's Shadow
Health assignment because she had been having painful urination and dark urine for the
past three days. Due in large part to the structure of the female lower urinary system and its close
location to the reproductive organs, women are far more susceptible to UTIs than males
(Czajkowski et al, 2021). The patient also reported having cramps in her lower abdomen,
although she denies having a fever, nausea, vomiting, or back pain. Ms. Henderson’s urine
dipstick for nitrites/leukocyte esterase was positive while her pregnancy test was negative. The
primary criterion used in UTI diagnosis is leukocyte count, so a count of more than 10
leukocytes indicates infection (Czajkowski et al, 2021). Based on the results of my evaluation,
labs, and the patient's stated symptoms, an uncomplicated urinary tract infection was diagnosed.
These types of UTIs may resolve on their own without medical intervention, but many patients—
like the patient in this scenario—will nevertheless seek therapy to relieve their symptoms.
What did I learn?
What I learned during this assignment was how to ask the right questions to determine
the right treatment plan. Treatment for asymptomatic UTIs is not always necessary because
overuse of antibiotics can result in the establishment of strains that are resistant to them
(Czajkowski et al, 2021). So, it’s important to ask the right questions to determine if the patient is
symptomatic or asymptomatic. I particularly appreciated that they had a broad list of different
antibiotics to pick from making it more challenging to decide which one was the most
appropriate choice to treat the UTI. This patient's best option turned out to be nitrofurantoin
because she resided in a place where sulfamethoxazole/trimethoprim combo medications were
