[Answered]: Chief Complaint: Urinary frequency, urgency, and…

Chief Complaint: Urinary frequency, urgency, and dysuria History of Present Illness: Mrs. Andrews is a 64-year-old female who presents to the primary care office with complaints of burning on urination x 3 days. Reports intermittent incontinence. Review of Systems: General: Clean, well-groomed appearance Neurological: Alert and oriented to person, place, time, and situation (A&O x 4) Cardiovascular: Regular rate and rhythm. S1 and S2 present. Respiratory: Respirations even and unlabored at rest; Lungs clear to auscultation (CTA) Gastrointestinal: Reports regular, daily bowel movements. Denies abdominal pain Genitourinary: Urinary frequency and urgency, dysuria. Musculoskeletal: Low back pain with urination 6/10 on pain scale Medications: Multivitamin, melatonin HS PRN Integumentary: Skin pink, warm, and dry. Allergies: None reported Social History: Works full-time; married, sexually active, lives with husband and has three adult children Family History: No significant family history reported Vital Signs: Temperature: 98.4 °F (36.9 °C); Heart rate: 92 bpm; Respiratory rate: 18 breaths per minute; Blood pressure: 116/80 mmHg; Pulse oximetry: 98% on room air Which three (3) actions should the nurse practitioner (NP) consider when caring for this client? Select three (3). Order urine culture and sensitivity laboratory tests Consult a nephrologist Refer for an abdominal ultrasound Advise the client to increase fluid intake Prescribe an antibiotic Obtain a sexually transmitted infection (STI) panel