I need a response to this 2 peers:
PEER 1
1. The nurse needs to familiarize with the history of symptoms exhibited by Shelly. For instance, the nurse needs information on the young girls urine color. Urine concentration and description of cloudiness are equally relevant assessment factors because she already knows there is increased volume and urgency (Masika & Armstrong, 2017). Hourly visits to the bathroom are a critical indicator that there could be a urinary tract infection (UTI) but additional assessment details such as odor would provide further information to help assess gravity, diagnosis and subsequent care and treatment.
2. Escherichia coli is a typical causative microorganism that is responsible for the urinary tract infection (UTI). Klebsiella is equally culpable for UTI as well as Proteus spp, although they mostly suggest the presence of stone disease (Taylor & Moore, 2018). The increased levels of gram-positive bacteria also show that enterococcus and staphylococcus are microorganisms related to UTI.
3. The four-year-old Shelly needs antibiotics to address her situation. Some of the ideal medications include trimethoprim or sulfamethoxazole, which exist as Bactrim or Septra. The alternative pharmacological treatment is amoxicillin or clavulanate, alternatively known as Augmentin (Taylor & Moore, 2018). Cephalosporins such as Suprax, cefprozil, and Keflex are equally effective medication to treat the UTI infection.
4. Shelly and her parents require patient education to minimize exposure to the causative microorganisms. For instance, the Shelly needs information such as wiping strategy after urination or bowel movement. As a child, she might not be acquainted with the recommended front to back technique. The frequent urination on an hourly basis means Shelly needs an equally habitual intake of fluids such as cranberry juice (Masika & Armstrong, 2017). The teaching priorities should focus on behavioral changes for Shelly in the daycare. Minimizing exposure and high levels of sanitation at the facility will reduce or eliminate the recurrence of UTI.
PEER 2
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Image may not display correctly.’; JS_RESOURCES[‘validate.invalidate.number.space’] = ‘Space’; JS_RESOURCES.getString = i18n_get_string; JS_RESOURCES.getFormattedString = i18n_get_formatted_string; } _init_bundle_JS_RESOURCES(); var LOCALE_SETTINGS = new Object(); function _init_bundle_LOCALE_SETTINGS() { LOCALE_SETTINGS[‘LOCALE_SETTINGS.ADDRESS_FIELD_ORDER’] = ‘STREET_1 STREET_2 CITY STATE ZIP_CODE COUNTRY’; LOCALE_SETTINGS[‘number_format.exponent’] = ‘eE’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.COLUMN.2’] = ‘{1}’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.YEAR_CHARACTER.03255’] = ”; LOCALE_SETTINGS[‘BBI18N.SOLARIS_CHARSET’] = ‘ISO8859-1’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.COLUMN.1’] = ‘{0}’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_COLUMN_FORMAT_MONTH.03255’] = ‘ddd’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.internal_date_format’] = ‘MM/dd/yy’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_TITLE_FORMAT_MONTH.03259’] = ‘MMMM yyyy’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.TIME_ORDER.00519’] = ‘HMP’; LOCALE_SETTINGS[‘float.format’] = ‘^([0-9]{1,3}(\,[0-9]{3})*(\.[0-9]+)?|\.[0-9]+)?$’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.SORT_COLUMN’] = ‘familyName’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.SHORT’] = ‘{1} {3}’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAY_SHORT.02097’] = ‘SUN MON TUE WED THU FRI SAT’; LOCALE_SETTINGS[‘float.allow.negative.format’] = ‘^((([-]?[0-9]{1,3}(\,[0-9]{3})*)|[-]?[0-9]*)(\.[0-9]+)?|\.[0-9]+)?$’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_TYPE’] = ‘GREGORIAN’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.GIVEN_INITIAL_FAMILY_NAME’] = ‘{4} {3}’; LOCALE_SETTINGS[‘efloat.format’] = ‘^[+-]?[0-9]*(\.[0-9]+)?([eE][+-]?[0-9]+)?$’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_TITLE_FORMAT_WEEK.03260’] = ‘MMM d[ yyyy]{ ‘—'[ MMM] d yyyy}’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_FULL.02100’] = ‘January February March April May June July August September October November December’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.NUMBERS_HIJRI_LOCALIZED.00521’] = ‘NO’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.LONG’] = ‘{0} {1} {2} {3}’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.WORK_FIELD_ORDER’] = ‘JOB_TITLE DEPARTMENT COMPANY B_PHONE_1 B_PHONE_2 B_FAX’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_FULL_HIJRI.02100’] = ‘Mu?arram,?afar,Rab??’al-Awwal,Rab??’ath-Th?n?,Jum?d?’al-?l?,Jum?d?’ath-Th?niya,Rajab,Sha?b?n,Rama??n,Shaww?l,Dh?’al-Qa?da,Dh?’al-?ijja’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.GREETING’] = ‘Welcome, {1}’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_SHORT.00520’] = ‘Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec’; LOCALE_SETTINGS[‘number_format.thousands_sep’] = ‘,’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_COLUMN_FORMAT_WEEK.03256’] = ‘ddd M/d’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.SHORT_SURNAME’] = ‘{3}, {1}’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.AM_PM.00522’] = ‘AM PM’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.DATE_ORDER.00519’] = ‘MDY’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.PHONE_FIELD_ORDER’] = ‘H_PHONE_1 H_PHONE_2 H_FAX M_PHONE’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAY_MIN.02099’] = ‘Su Mo Tu We Th Fr Sa’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.24HR_SUPPORT.03208’] = ‘0’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.FIRST_DAY_OF_WEEK.03207’] = ‘0’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_SHORT_HIJRI.00520’] = ‘Mu?arram,?afar,Rab??’I,Rab??’II,Jum?d?’I,Jum?d?’II,Rajab,Sha?b?n,Rama??n,Shaww?l,Dh?’al-Qa?da,Dh?’al-?ijja’; LOCALE_SETTINGS[‘BBI18N.WINDOWS_CHARSET’] = ‘ISO-8859-1’; LOCALE_SETTINGS[‘BBI18N.LINUX_CHARSET’] = ‘iso88591’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAY_CHARACTER.03253’] = ”; LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_CHARACTER.03254’] = ”; LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.COLUMN_ORDER’] = ‘title,givenName,middleName,familyName,suffix,otherName’; LOCALE_SETTINGS[‘number_format.decimal_point’] = ‘.’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_TITLE_FORMAT_DAY.03258’] = ‘dddd, MMM d, yyyy’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAYS.00521′] = ’01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAY_FULL.02098’] = ‘Sunday Monday Tuesday Wednesday Thursday Friday Saturday’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.date_display_pattern’] = ‘MM/DD/YY’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.EXTENDED_SURNAME’] = ‘{3}’; LOCALE_SETTINGS[‘thousand.sep.format’] = ‘,’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.NUMBERS_HIJRI.00521’] = ‘0 1 2 3 4 5 6 7 8 9’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.ADDRESS_ORDER.07832’] = ‘street,city,region,postal_code,country’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_COLUMN_FORMAT_DAY.03257’] = ‘dddd M/d’; LOCALE_SETTINGS.getString = i18n_get_string; LOCALE_SETTINGS.getFormattedString = i18n_get_formatted_string; } _init_bundle_LOCALE_SETTINGS(); var LOCALE_SETTINGS = new Object(); function _init_bundle_LOCALE_SETTINGS() { LOCALE_SETTINGS[‘LOCALE_SETTINGS.ADDRESS_FIELD_ORDER’] = ‘STREET_1 STREET_2 CITY STATE ZIP_CODE COUNTRY’; LOCALE_SETTINGS[‘number_format.exponent’] = ‘eE’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.COLUMN.2’] = ‘{1}’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.YEAR_CHARACTER.03255’] = ”; LOCALE_SETTINGS[‘BBI18N.SOLARIS_CHARSET’] = ‘ISO8859-1’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.COLUMN.1’] = ‘{0}’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_COLUMN_FORMAT_MONTH.03255’] = ‘ddd’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.internal_date_format’] = ‘MM/dd/yy’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_TITLE_FORMAT_MONTH.03259’] = ‘MMMM yyyy’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.TIME_ORDER.00519’] = ‘HMP’; LOCALE_SETTINGS[‘float.format’] = ‘^([0-9]{1,3}(\,[0-9]{3})*(\.[0-9]+)?|\.[0-9]+)?$’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.SORT_COLUMN’] = ‘familyName’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.SHORT’] = ‘{1} {3}’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAY_SHORT.02097’] = ‘SUN MON TUE WED THU FRI SAT’; LOCALE_SETTINGS[‘float.allow.negative.format’] = ‘^((([-]?[0-9]{1,3}(\,[0-9]{3})*)|[-]?[0-9]*)(\.[0-9]+)?|\.[0-9]+)?$’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_TYPE’] = ‘GREGORIAN’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.GIVEN_INITIAL_FAMILY_NAME’] = ‘{4} {3}’; LOCALE_SETTINGS[‘efloat.format’] = ‘^[+-]?[0-9]*(\.[0-9]+)?([eE][+-]?[0-9]+)?$’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_TITLE_FORMAT_WEEK.03260’] = ‘MMM d[ yyyy]{ ‘—'[ MMM] d yyyy}’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_FULL.02100’] = ‘January February March April May June July August September October November December’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.NUMBERS_HIJRI_LOCALIZED.00521’] = ‘NO’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.LONG’] = ‘{0} {1} {2} {3}’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.WORK_FIELD_ORDER’] = ‘JOB_TITLE DEPARTMENT COMPANY B_PHONE_1 B_PHONE_2 B_FAX’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_FULL_HIJRI.02100’] = ‘Mu?arram,?afar,Rab??’al-Awwal,Rab??’ath-Th?n?,Jum?d?’al-?l?,Jum?d?’ath-Th?niya,Rajab,Sha?b?n,Rama??n,Shaww?l,Dh?’al-Qa?da,Dh?’al-?ijja’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.GREETING’] = ‘Welcome, {1}’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_SHORT.00520’] = ‘Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec’; LOCALE_SETTINGS[‘number_format.thousands_sep’] = ‘,’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_COLUMN_FORMAT_WEEK.03256’] = ‘ddd M/d’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.SHORT_SURNAME’] = ‘{3}, {1}’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.AM_PM.00522’] = ‘AM PM’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.DATE_ORDER.00519’] = ‘MDY’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.PHONE_FIELD_ORDER’] = ‘H_PHONE_1 H_PHONE_2 H_FAX M_PHONE’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAY_MIN.02099’] = ‘Su Mo Tu We Th Fr Sa’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.24HR_SUPPORT.03208’] = ‘0’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.FIRST_DAY_OF_WEEK.03207’] = ‘0’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_SHORT_HIJRI.00520’] = ‘Mu?arram,?afar,Rab??’I,Rab??’II,Jum?d?’I,Jum?d?’II,Rajab,Sha?b?n,Rama??n,Shaww?l,Dh?’al-Qa?da,Dh?’al-?ijja’; LOCALE_SETTINGS[‘BBI18N.WINDOWS_CHARSET’] = ‘ISO-8859-1’; LOCALE_SETTINGS[‘BBI18N.LINUX_CHARSET’] = ‘iso88591’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAY_CHARACTER.03253’] = ”; LOCALE_SETTINGS[‘LOCALE_SETTINGS.MONTH_CHARACTER.03254’] = ”; LOCALE_SETTINGS[‘LOCALE_SETTINGS.NAME.COLUMN_ORDER’] = ‘title,givenName,middleName,familyName,suffix,otherName’; LOCALE_SETTINGS[‘number_format.decimal_point’] = ‘.’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.CALENDAR_TITLE_FORMAT_DAY.03258’] = ‘dddd, MMM d, yyyy’; LOCALE_SETTINGS[‘LOCALE_SETTINGS.DAYS.00521’] = ’01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24