Posted: April 14th, 2022

Shelly is a 4-year-old preschooler who lives with her parents and younger brother

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April 2, 2022/in nursing coursework help /by Shem
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.

The potential diagnosis is UTI.

1. What other assessment data would be helpful for the nurse practitioner to have?

2. What are the organisms most likely to cause an UTI?

3. What is the pharmacological treatment for Shelly? Keep in mind safe dosing.

4. What are the teaching priorities for Shelly and her mother prior to her discharge from the clinic?

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Shem/in Nursing Coursework Help/on April 2, 2022
Shelly, a four-year-old preschooler, lives at home with her parents and younger brother. During the week, she and her brother attend a local daycare center while their parents are at work. She and her brother bathe in the evenings, and then their parents read to them before bedtime at 8 p.m. Shelly’s daycare class contains a large number of children her age, and she enjoys playing outside with them. Despite the fact that snack times are planned, Shelly prefers to play and does not always finish her beverages.

Shelly’s mother calls the clinic and informs the nurse practitioner that her daughter has been “running a fever of 101 F for the past 2 days,” despite the fact that her temperature has dropped to 37.2.

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