An 18-year-old, sexually active, female teenager presented

An 18-year-old, sexually active, female teenager presented for a virtual visit with symptoms of dysuria for the last 2 days. She reported significant discomfort with voiding and was visibly uncomfortable during the visit. The clinician prescribed nitrofurantoin for suspected urinary tract infection (UTI) and phenazopyridine for the patient’s discomfort. The patient took these medications as directed. Three days later, the patient presented again to the virtual clinician, reporting that her symptoms were “not better at all” and that it still “hurt so much to pee.” Which of the following would you recommend this clinician do next? A. Assume that the patient has a UTI that is resistant to nitrofurantoin and prescribe a cephalosporin instead B. Obtain a more detailed history, including sexual history, and determine whether the patient has any vaginal discharge, odor, or lesions C. Order a urinalysis and culture D. Assume that the patient has a UTI that is resistant to nitrofurantoin and prescribe a fluoroquinolone instead SCIENCE HEALTH SCIENCE NURSING

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