Urinalysis reveals pyuria and positive nitrites

A 79 yr old woman comes into a walk-in clinic you are working as an NP with a chief complaint of increased urinary frequency and dysuria. Urinalysis reveals pyuria and positive nitrites. She mentions she has a “bit of kidney trouble-not too bad”. A recent evaluation of renal status is unavailable. What would you consider for therapy? Explain the rationale for therapy as well as considerations that you would include while prescribing this medication. Considerations should also include drug resistance and how you would assess this patient for the possibility of drug resistance.

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