NURS615ADVANCEDPHARMACOTHERAPEUTICS Assignment 5.2 Shadow Health Focused with 100% correct answers

NURS 615: ADVANCED PHARMACOTHERAPEUTICSMelissa Spears, MSN RNDr. Law-HamAssignment 5.2: Shadow Health: Focused Exam: UTI with AntibioticSensitivityoSynopsis of the Shadow Health assignment.This assignment covers an office encounter with Makayla Henderson.She is a 22-year-old African American who presents to the office with complaints of UTIsymptoms including polyuria, dysuria, cloudy and brown urine with an onset of threedays.A dipstick showed positive for nitrates and leukocyte esterase and herpregnancy test was negative.Vital signs are normal.Her current medicationsinclude She has been restricting her water intake to reduce her frequency ofurinating and taking over the counter cranberry supplements to help with hersymptoms.They have ineffective in releving symptoms.Her daily routinemedications include norgestimate/estradiol combination oral birth control once dailyand loratadine 10mg once daily for seasonal allergies.She states she has nohistory of urinary, bladder, or kidney history.There is no family history of any healthissues with the urinary/renal system.She is sexually active with one male partnerand uses both oral contraceptive and condoms.Ms. Henderson states she isallergic to penicillin and experiences a reaction including red itchy rash, nausea andvomiting.She is a non-smoker, drinks 1-2 drinks occasionally, and no illegal druguse.There is a family history of breast cancer that include mother who is a breast