Sonya a 45year old female is being admitted to your ward from the emergency department during your afternoon shift for observations treatment and further investigations of her urinary and renal symptoms. Sonya was referred to the local hospital by her GP after returning 5 days ago from her honeymoon overseas with a urinary tract infection (UTI).

Her primary concern was dysuria and frequent scant urination. Sonya was prescribed an oral antibiotic for 5 days and rest. On assessment Sonya stated 3-4 days of fevers with rigors, lower back and flank pain which is not responding to regular paracetamol, nausea with intermittent vomiting and lethargy. She has been unable to tolerate oral intake for over 24 hours and her urine remains dark and offensive. In the emergency department the preliminary diagnosis of pyelonephritis was made by the medical team but confirmation is pending pathology results and renal ultrasound. Sonya has a past medical history of hypertension, hyperlipidaemia and renal calculi but has been unable to tolerate her regular medications. She has a documented allergy to penicillin. Prior to transfer her observations have been charted and remain stable:

Topic: Nursing care of a patient with altered urinary and renal function Length: 2000 words Assessment purpose: Are developing appropriate critical thinking, clinical reasoning and sound clinical decision making processes and strategies essential for safe, evidence-based and competent nursing practice in medical surgical settings
? Are able to focus their attention to the needs of the individual patient as the key concern of nursing practice in medical surgical settings
? Are able to explain and justify or defend their nursing care decisions
? Have a developing understanding of the role and scope of practice of the registered nurse in the Australian health care context
? Are progressing towards the level of professional written communication required for nursing practice in Australia
Presentation
Assessment is to be submitted and presented:
? As a computer generated document in Word format.
? 1.5 spaced using Arial or Calibri font in size 11 or 12
? In clear, coherent Australian English that demonstrates progression towards the standard for written communication for professional nursing practice in Australia
? Using appropriate professional terminology
? Contents page, title page, introduction and conclusion are NOT required
? With no acronyms, abbreviations and/or nursing jargon
? Unless otherwise indicated, grammatically correct sentences and topic paragraphs are required
? No more than 20% over or under the stated word count o Note: Headings, any task information copied in and in-text citations are included in the word count
? Use of trade names is not acceptable. Only generic terms or names are to be used when referring to specific medications or other prescribed treatments or resources that may be used in nursing practice
Referencing Students are reminded of their academic responsibilities and professional nursing practice requirements when using the work of others in assignments. Reminder marks are allocated for academic integrity.
? All information is to be interpreted and restated in your own original words demonstrating your ability to interpret, understand and paraphrase material from your sources
? APA 6th referencing style is to be used for both in-text citations and end of assessment references. ? Use current, reliable evidence for practice
? All resources for this assignment should be from quality, reliable and reputable journals relevant to nursing practice and the Australian healthcare industry or reputable, reliable, professional websites. ? All resources must be dated between 2008 and 2016
? There must be at least 12 peer-reviewed journal articles cited in your assignment.
Assessment: Case scenario
Sonya, a 45year old female, is being admitted to your ward from the emergency department during your afternoon shift for observations, treatment and further investigations of her urinary and renal symptoms. Sonya was referred to the local hospital by her GP after returning 5 days ago from her honeymoon overseas with a urinary tract infection (UTI). Her primary concern was dysuria and frequent scant urination. Sonya was prescribed an oral antibiotic for 5 days and rest. On assessment Sonya stated 3-4 days of fevers with rigors, lower back and flank pain which is not responding to regular paracetamol, nausea with intermittent vomiting and lethargy. She has been unable to tolerate oral intake for over 24 hours and her urine remains dark and offensive. In the emergency department the preliminary diagnosis of pyelonephritis was made by the medical team but confirmation is pending pathology results and renal ultrasound. Sonya has a past medical history of hypertension, hyperlipidaemia and renal calculi but has been unable to tolerate her regular medications. She has a documented allergy to penicillin. Prior to transfer her observations have been charted and remain stable:
Vital signs Urinalysis

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