1) Minimum 6 full pages                 Part 1: minimum 1 pa

1) Minimum 6 full pages                 Part 1: minimum 1 page                 Part 1 (a) : minimum 1 page                            Part 2: minimum 2 page                 Part 2 (a) : minimum 2 page                     Submit 1 document per part 2)¨******APA norms, please use headers             All paragraphs must be narrative and cited in the text- each paragraphs             Bulleted responses are not accepted             Dont write in the first person              Dont copy and pase the questions.             Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph            Submit 1 document per part 3) It will be verified by Turnitin and SafeAssign 4) Minimum 24 references not older than 5 years               Minimum 3 references per part   5) Identify your answer with the numbers, according to the question. Example: Q 1. Nursing is XXXXX Q 2. Health is XXXX 6) You must name the files according to the part you are answering:  Example: Part 1.doc  Part 2.doc  _____________________________________________________    You must answer the part 1 questions posted, 2 times. You must submit 2 documents (each one 1 page= Part 1 and Part 1a) Copy and paste will not be admitted.  You should address the questions with different wording, different references, but always, objectively answering the questions. Case study 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? Please keep it concise. 1 initial post and 2 replies using peer-reviewed references published within 5 years. ________________________________________________________________ Part 2: You must answer the part 1 question posted, 2 times. You must submit 2 documents (each one 2 pages= Part 2 and Part 2a) Copy and paste will not be admitted.  You should address the questions with different wording, different references, but always, objectively answering the questions.   S.H., age 47, reports difficulty falling asleep and staying asleep. These problems have been ongoing for many years, but she has never mentioned them to her health care provider. She has generally “lived with it” and selftreated the problem with OTC Tylenol PM. Currently, she is also experiencing perimenopausal symptoms of night sweats and mood swings. Current medical problems include hypertension controlled with medications. Past medical history includes childhood illnesses of measles, chickenpox, and mumps. Family history is positive for diabetes on the maternal side and hypertension on the paternal side. Her only medication is an angiotensinconverting enzyme inhibitor and diuretic combination for hypertension control. She generally does not like taking medication and does not take any other OTC products. Diagnosis: InsomnIa 1. List specific goals of therapy for S.H. 2. What drug therapy would you prescribe? Why? 3. What are the parameters for monitoring the success of the therapy? 4. Discuss specific patient education based on the prescribed therapy 5. List one or two adverse reactions for the selected agent that would cause you to change therapy. 6. What would be the choice for second-line therapy? 7. What OTC and/or alternative medicines might be appropriate for this patient? 8. What dietary and lifestyle changes might you recommend? 9. Describe one or two drug–drug or drug–food interactions for the selected agent.

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