Discussion Question/Prompt [Due Wednesday]
Case #1: A 55-year-old woman presents to the office with bloody urine and dysuria
of 12-hour duration. She was recently married and has never had similar
symptoms. She denies chills and fever. On physical examination she is afebrile, has normal vital signs, and has mild tenderness in the midline above the pubis. Her urinalysis shows too many to count (TNTC) red blood cells.se
- What is the definition of bacteriuria?
- What additional history do you need to make a diagnosis?
- What diagnostic studies would you order and why?
Case #2: A 23-year-old woman was married a year ago. Since then, she has experienced five attacks of acute cystitis, all characterized by dysuria, increased frequency, and urgency. Each infection responded to short-term treatment with trimethoprim sulfamethoxazole. The recurrences occurred at intervals of 3 weeks to 3 months following completion of antibiotic therapy. For the past two days, the woman has been experiencing acute flank pain, microscopic hematuria, dysuria, increased frequency, and urgency.
Her vital signs are T = 37.9°C, P = 106, R = 22, and BP = 130/75 mm Hg. Physical examination reveals costovertebral tenderness, mild tenderness to palpation in the suprapubic area, but no other abnormalities.
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- What are possible reasons for this woman’s pain? List possible differential diagnosis and explain each?
- What diagnostic tests should you order to confirm diagnosis?
- What are the possible causes of recurrent lower UTIs?
- What are the differences when comparing prerenal acute renal failure, intrarenal acute renal failure, and postrenal acute renal failure? Give examples of each.
Cite current research findings, national guidelines, and expert opinions and controversies found in the medical and nursing literature to support your position.
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with citations and references in APA format.
Please review the rubric to ensure that your response meets the criteria.
4
Assignment Rubric Detailsclose
Rubric
NU621 Unit 7 Discussion
| NU621 Unit 7 Discussion |
| Criteria |
Ratings |
Pts |
| This criterion is linked to a Learning OutcomeContent
NU621-CO1; NU621-CO2; NU621-CO3; PRICE-P; PRICE-I |
| 12 pts
100%
Initial post addresses all of the required prompt elements in the discussion and demonstrates an exemplary understanding of course content and topic. |
11 pts
92%
Initial post addresses all of the required prompt elements in the discussion and demonstrates a comprehensive understanding of course content and topic. |
10 pts
83%
Initial post is missing one important prompt element and/or demonstrates a basic understanding of course content and topic. |
9 pts
75%
Initial post is missing more than one important prompt element and/or demonstrates a limited understanding of course content and topic. |
8 pts
67%
Initial post does not address discussion prompt elements, and/or does not demonstrate understanding of course content and topic and/or initial post is poorly paraphrased even if accompanied by in-text citations. |
0 pts
0%
Initial post was not submitted and/or not submitted on time and/or initial post demonstrates copying and pasting with or without proper use of quotations or supporting in-text citations. |
|
12 pts |
| This criterion is linked to a Learning OutcomeAnalysis
NU621-CO1; NU621-CO2; NU621-CO3; PRICE-P; PRICE-I |
| 12 pts
100%
The analysis of the topic includes breadth and depth, is aligned to the unit topic, relates to the course content and personal analysis is supported by exemplary references and examples. |
11 pts
92%
The analysis of the topic is justified, and aligned to the unit topic, and personal analysis is supported by comprehensive references and/or examples. |
10 pts
83%
There is a basic analysis of the topic and personal analysis is supported by basic references and/or examples. |
9 pts
75%
There is minimal evidence of analysis of the topic and/or personal analysis is supported by limited references and/or examples. |
8 pts
67%
There is no evidence of analysis of the topic and/or personal analysis is not supported by references and/or examples. |
0 pts
0%
Initial post was not submitted and/or not submitted on time and/or analysis had no relationship to the topic and/or initial post demonstrates copying and pasting with or without proper use of quotations or supporting in-text citations. |
|
12 pts |
| This criterion is linked to a Learning OutcomeCollaboration
PRICE-C; PRICE-E |
| 12 pts
100%
Collaborates with fellow learners at an exemplary level relating the discussion to relevant course concepts and extending the conversation with substantive content. |
11 pts
92%
Collaborates with fellow learners at a comprehensive level relating the discussion to relevant course concepts and extending the conversation with substantive content. |
10 pts
83%
Collaborates with fellow learners at a basic level relating the discussion to some course concepts and extending the conversation with basic content and/or postings are not submitted on a minimum of 3 separate days. |
9 pts
75%
Limited collaboration with fellow learners and makes little connection to course content and/or does not extend the conversation. |
8 pts
67%
Collaborates with fellow learners but only one response post was submitted and/or response post(s) are poorly paraphrased even if accompanied by in-text citations. |
0 pts
0%
No response posts were submitted and/or not submitted on time and/or there is no relationship between the response posts and the discussion prompts and/or one or more response posts demonstrate copying and pasting with or without proper use of quotations or supporting in-text citations. |
|
12 pts |
| This criterion is linked to a Learning OutcomeWriting
PRICE-P; PRICE-I |
| 2 pts
100%
Posts in this discussion are well written and well organized demonstrating exemplary scholarly writing. Mechanics (spelling and punctuation) and grammar are excellent. |
1.8 pts
92%
Posts in this discussion are well written and well organized demonstrating comprehensive scholarly writing and/or have 1-2 errors in mechanics and/or grammar. |
1.7 pts
83%
Posts in this discussion are basic examples of scholarly writing and/or have 3 errors in mechanics and/or grammar. |
1.5 pts
75%
Posts in this discussion are not clear and/or lack organization and/or have 4 or more errors in mechanics and/or grammar. |
1.3 pts
67%
Posts in this discussion lack evidence of clear, organized scholarly writing. Errors interfere with reading and/or understanding of content. |
0 pts
0%
Posts were not submitted and/or one or more posts demonstrate copying and pasting with or without proper use of quotations or supporting in-text citations. |
|
2 pts |
| This criterion is linked to a Learning OutcomeAPA
PRICE-P; PRICE-I |
| 2 pts
100%
Posts in this discussion demonstrate in-text citations of sources and references in proper APA style and formatting. |
1.8 pts
92%
Posts in this discussion demonstrate in-text citations of sources and references but have 1-2 minor APA errors. |
1.7 pts
83%
Posts in this discussion demonstrate in-text citations of sources and references but have 3-4 APA errors. |
1.5 pts
75%
Posts in this discussion demonstrate in-text citations of sources and references but have 5-6 APA errors. |
1.3 pts
67%
Posts in this discussion do not provide sufficient in-text citations and/or references and/or have 7 or more APA errors. |
0 pts
0%
Posts were not submitted and/or one or more posts demonstrate copying and pasting with or without proper use of quotations or supporting in-text citations. |
|
2 pts |
| Total Points: 40 |
