scussion Post: Nursing Management of Genitourinary Disorders — A Case Study Approach The genitourinary (GU) system is vital for maintaining fluid-electrolyte balance, waste elimination, and reproductive health. As nurses, we frequently encounter patients with GU issues ranging from infections to chronic diseases, and our role in early detection, intervention, and education is critical to improving patient outcomes. Case Study: Mrs. L, a 68-year-old woman with a history of type 2 diabetes and hypertension, presents to the emergency department with complaints of confusion, urinary frequency, urgency, and lower abdominal discomfort. Her daughter reports that Mrs. L has recently been less active and has had occasional urinary incontinence episodes at home. Vital signs show a temperature of 100.8°F, blood pressure of 146/88 mmHg, and heart rate of 102 bpm. A urinalysis reveals positive nitrites, leukocyte esterase, and significant bacteriuria. Serum creatinine is elevated at 1.8 mg/dL (baseline 1.1 mg/dL). Mrs. L has an indwelling Foley catheter placed during a recent hospitalization two weeks ago for knee replacement surgery.
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