Walden University - NURS 6531 NURS6531 wk7 NURS 6531: Primary Care of Adults Across the Lifespan Week Seven: Evaluation and Management of Genitourinary Disorders   10 pages solution Walden University

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presents to the ****** care ****** **** ******* ** urinary ********* *** nocturia **** be reflected ********* ** *** patient *** ******** **** **** ******* for several ****** and **** ********* ** ********* **** the **** week ** *** **** ****** ** ***** ******* ** *** **** ** urinate ** ***** hourly *** day *** ***** *** ******* **** *** **** * ******* **** ******** *** has not seen * ****** in **** **** *** ***** *** family history ******** **** *** ****** died from a ***** ******* accident **** ** *** * child *** ****** ** 79 ***** *** *** has ************ *** *** ** ******** *** ******* ***** ** * ****** ** ********** ** ** a ******** ****** ** *** grown ******** non-smoker *** ************ ******** ******* on weekends ******** the ******** symptoms *** ** suggestive ** ************* conditions ******* ******** information ********* ******** examination and ********** ***** *** ****** ** **** ** accurate ********* *** ********* therapyObtaining HistoryObtaining ******* is *** *********** ***** **** ** *********** *** ******** ** * ********* ****** problem ******** ******* *** physical exam *** critical ** the diagnostic ******* which ** a ******** *** ** ****** ******** *********** *** ***** *********** ******* (Muhrer 2014) Gathering ********** data during the initial ********* *** provide **** ** recognizing *** sets ** possible ********** ********* **** ********** ****** * history they *** *********** ********** differential ********* ** ***** ***** ******** *** ********* ******* ** direct *** ******* *** ** ********** ********* ** which the **** of probable ********* ** ***** **** ***** a *** ****** ******* *** **** **** what was **** a **** list of ************* **** ******* of *** ********** ** ********** 2015) ********* ********** ****** ******** **** involve ********* ******** ******* ********* ******** ******* ****** and ****** history ******** **** symptom ******** to ****** in performing the *********** physical *********** **** ********** ** *** body ******* **** likely ******** by the *********** ******** ******** ************** ******** **** ** the needed *********** was ******** based ** *** ******** ******* ********** ** the *********** ********** health ******* will ** ********* ******* the ********* questions• Have *** had *** recent *********** *** *** taking *** medications?• *** you have *** past surgical *********** Do you ****** *** family members ****** ******* ************ ** *** **** * history of ******** cancer within **** ********** ** you have allergies?• *** *** ******** ********** How many ****** partners did *** **** ** *** **** ******** Have *** ******* *** changes ** your ****** *********** *** *** ******** **** *** to day ************** ** *** watch **** **** *** ******** ************* What ***** ** ********* do *** consume daily?• *** ***** ** *** *********** Do you **** any ******** with your ***** *********** ** *** **** ******** ***** your work?• **** **** of ******* *** *** **** do you ***** ************** ****** mnemonic ** explore presenting ******** ** COLDSPA ***** ****** *** character onset location ******** severity pattern associated factors ******** Dains ************* 2016 pp1-2) The ********* ********* **** ** ***** to further assess *** *********** ***** ************ Can *** tell me how **** ** *** have ** ** ** *** bathroom ** *********** ** you **** **** and ******* to *********** Did *** **** episode ** ****** ** hold your ********* ** *** ****** any ******* ** *** *************** of **** urine output?• How ***** do you **** to *** ** ** ***** ** ** ** the ************ **** did you ******* **** ******** *********** **** you *** *** ****** changes ** **** day to *** activities ****** *** notice ***** ************ ** *** **** the urinary ********* ********** or **************** *** *** **** ** **** *** *********** ********* over the ******* *********** ** ******* **** ************ Did you ** *** changes ** your **** ******** *** ******** ** ********* your ************ Do *** **** *** ********* **** ** flank ******** Any ****** discharge?• **** *** notice *** ******* in **** reproductive ****** **** ** ***** *** ***************** Examination *** ********* MethodThe role ** *** ******** *********** ** ******** *********** diagnostic ******* ** **** important ** ******** extensive *** ***** *********** testing **** ***** ********** ******* *** ****** *** ** * greater **** ** both ******* *** ********* ******* 2014) As *** *********** presenting symptoms *** ******** ******* ** directed ******* ************* ******** ******** **** and ********* ***** **** be focused on *** ****** **** ****** ******** ** *** ********** ******** ********* for *** ********* **** *** ******* ******** or ****** ***** nodes ** the groin *** * ******* ** ****** ******* **** ** conducted ****** ******** examination (National ********* ** ******** *** Digestive *** ****** Diseases ***** ******* physical *********** and screening ***** ** ******** the *********** 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********** and ******* ********** ** ****** (McPhee ************** **** * 981)• ******* ********** examination: ***** *** ******* ******** ** *** ***** *********** *** ******** ********* ********* **** sphincter **** to ******** ********** ******* as a ***** of ***** ******* ***** symptoms *********** ** *** (American ******* ** ****** ********** ******** ***** ******* examination: is ********* ** assess for ******* ********** ********** of ******* ********* which can be ********* ** ********* ******** ***** *********** ***** * ******* ******* ********* Academy ** ****** ********** *************** ************* ********* *********** ***** symptoms *** be quantified ** ** ***** ********* by *** American Urological *********** ** *** ** *********** the ******** ** *** ************** ********* to frequency *** ********** **** results *********** as **** (0-7) ******** (8-19) *** severe ******* ***** *** ** **** ** *** *********** of *** treatment **** ******** Polgar ****** Sandberg-Cook ************** 2017 * **** ** addition ** ***************** ******* ************* ********** ***** can ** *********** ** **** *** other ******** or complications related to *** ******** *********** Urinalysis: ********* to ******* urinary tract infection or ********* ******** ****** Bailey ************* &Trybulski **** p ******* Serum creatinine: *** to ****** ***** function ******** ****** ****** ************* ************** **** * 739)• ******* *********** *** to determine ********* ******** **** *** ***** ********* examination ** ********** ** urinary ********* (American ******* of ****** ********** ******** ***** prostate-specific ******** ********** ** ******** **** **** expectancy ** longer than *** years ***** ********* *** ******* ** ****** ******** cancer **** DRE ***** ******* ************** **** * ******* Cystoscopy: although *** recommended *** *********** *** **** *** ********* the diagnostic study ** **** ** ********* the ******** approach in ******** ****** for ******** ******* ******* ************** **** * 981)Benign Prostatic ***************** prostatic hyperplasia ***** is the most ****** ****** tumor in men **** ********* ********* **** *** ** ******* have shown *** prevalence ** ************* *** ** men **** ***** ***** *** ** *** of ***** ***** ** *** *** to **** *** **** ** ***** *** (McPhee &Papadakis 2018 * 980) ** addition ** *** *** as * **** ****** ** the ******* ** *** ******** *** ******** presentation *** ** an ********** ** *** *** ******** ** the ********* *** be ******* into two ********** **** ** *** *********** **** ***** include ********* ********* force *** ******* ** ****** ********* ** ********** ******* ******** ****** voiding straining ** ***** *** ********* ********* and the irritative form which ******* ******* ********* *** ******** ******* &Papadakis **** * **** ******* ** *** ******* ******* *** the ******* ************** ** *** ******** ****** BPH ** *** ** indication of ****** ******* ************* that can ****** kidney ******* *** reproductive function ********* ********* urinary ***** ********* can ***** ******* *** ******** complications ** ********* *** *** discomforts caused by *** ******* *** ********* **** *** individual’s ********* *** ********** ** daily *************** ******** *********** ********** **** *** benign ********* *********** ***** has **** relief ** symptoms ** ******* ******* ** **** with ********* ***** ** ********* the ******** ** *** *********** ******** **** ********* **** ******* of ******* ******** Polgar Bailey ************* ************** 2017 p **** Management of *** ******* ********* ************* ******* ********** *** ** medications minor ******** procedures *** ******** ************* The main ********* ******* *** *** *** ******** ******* ** ****** ************ medical ******* ******* invasive ********** *** surgical ********* ******** Care ********** 2018) ********* ***** ** ***** *** ***** ** *** ******** of ******** *** *** *** condition ******* *** ******* ***** **** *** preferencesPrescriptions(s):The *** ********** *** alpha ******** alfuzosin *********** ********* ********* tamsulosin (Flomax) and ********* ** ********** ********** *** *** **** *** and ********** ******** ** severe ******** (American Academy ** Family Physicians ******** ********** **** once dailyAlpha blockers ********** **************** in *** prostatic urethra and bladder neck ********* ** ****** ****** ********** *** *********** ** lower ******* ***** ******** ********* ****** *** ** **** weeks ***** initiation ********* ******* ** ****** Physicians ******************* ********* ********** *** **** BPH who have mild ******** *** no ************* ********** ************* ********* limiting ****** ****** ******* ********* ** ******* *** ******** use ********* ****** ******* *** ** ******* ******** Polgar ****** ************* &Trybulski **** p 740)• ***** ***** intake * to 4 ***** ****** going ** sleep• ***** *********** ** ******** *** alcoholic ************ *** ** anticholinergics ********* *************** *** ***** in **** ************ *** ****** ******* ************* *** *************** ***** like ****************** can increase ******* resistance ******** ****** ****** ************* &Trybulski 2017 * ******* ******* **** ********** ********* ******** effects ****** ****** *** medicationsReferralsUrinary ***** ********** ******* retention and ***** ******** *** ****** ************* ** BPH ***** may ******* a ******** to * ********** ******** ****** ****** ************* ************** **** p ******* ********* referral *** ****** for recurrent *** ************ ******* ************ ************ ******** *** needed ** *** *********** ** ***** complications is ***************** ***** *** first ********* *********** **** ** ********* ** *** ***** ** earlier as neededEducation• In ******** to ********* ************ ********** on *** ********** of ********** monitoring of ******** *** ********* ** regular ********* with ******* **** ******** ****** ** ********** ** ******* the **** ** ******* *********** and ************************************* ******* of Family ********** (2014 ******** *** ****** ********* About *** ********* and Management ** ****** ********* *********** Retrieved **** https://wwwaafporg/afp/2014/1201/p769htmlBaumann * * Dains * * ************* P ****** ******** ****** ********** *** ******** diagnosis in primary **** (5th *** ** ***** *** ******** MosbyButtaro T * ****** ****** * ************* * ************** * ****** ******* ***** * ************* ******** (5th *** St ***** MO: ************** * * ************** M A ************* ******* Diagnosis ***** ********* New **** NY: ****** Hill MedicalMuhrer * * ****** The ********** ** the history *** physical in ************ ***** Practitioner *** 30Retrieved **** http://ovidsptxovidcomezpwaldenulibraryorgNational ********* ** ******** and ********* and ****** Diseases (2014 September *** ******** Enlargement (Benign ********* ************ ********* **** ********************************************************************************************************************************** ******* of the University ** ********** ***** October) ******* of Present Illness (HPI) ********* from ************************************************** **** ********** (2018) *** ******* Tract System ********* **** ******************************************************************************* **** Foundation ****** **** is Benign ********* *********** ****** ********* **** *******************************************************************************************************************

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