Mrs. C., a 66-year-old woman, presents to your practice with a…

Question Mrs. C., a 66-year-old woman, presents to your practice with a… Mrs. C., a 66-year-old woman, presents to your practice with a complaint of recent onset of leaking urine. She has no prior history of this. On further questioning you discover that she is newly married, after being widowed for 15 years, during which time she had no sexual partners. She and her new husband have just returned from a cruise, and she reports that he is a “passionate” lover and she is having difficulty meeting his needs for daily intercourse. Other symptoms that Mrs. C. reports are vaginal burning and general discomfort “down there.”Medications: Takes fish oil at bedtime, vitamin D3 1,000 daily. No known drug allergies.Vital signs: Blood pressure 128/76, pulse 82, respiratory rate 16, temperature 98.2, BMI 23.4. A staff member has obtained a urine specimen for dipstick. Findings are as follows: Nitrite- negative, leukocyte – negative, blood-trace, protein-trace, glucose-negative, ketones-negative, specific gravity-1.015. Questions:What additional subjective data are you seeking?What additional objective data will you be assessing for?What national guidelines are appropriate to consider?What are the differential diagnoses that you are considering?Are there any Healthy People 2020 objectives that you should consider?What additional patient teaching may be needed? Health Science Science Nursing NURS 520 Share QuestionEmailCopy link Comments (0)