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  • Mrs. Casilang

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    Nicolle Sabalburo Ü
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    The document summarizes the nursing care plan for two patients with impaired urinary elimination. For the first patient, the plan is to monitor vital signs, note skin and urine conditions, and provide fluids frequently over 4 days to improve urine output and return to normal voiding. For the second patient, the short term goal within 6 hours is to help the patient understand causes and interventions, demonstrate techniques to prevent retention, and void sufficiently. Interventions include sitting upright, cranberry juice, and stimulation techniques. The long term goal is to collaborate on treating underlying conditions and teach self-catheterization.

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    The document summarizes the nursing care plan for two patients with impaired urinary elimination. For the first patient, the plan is to monitor vital signs, note skin and urine conditions, and provide fluids frequently over 4 days to improve urine output and return to normal voiding. For the second patient, the short term goal within 6 hours is to help the patient understand causes and interventions, demonstrate techniques to prevent retention, and void sufficiently. Interventions include sitting upright, cranberry juice, and stimulation techniques. The long term goal is to collaborate on treating underlying conditions and teach self-catheterization.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    15 views2 pages

    Mrs. Casilang

    Uploaded by

    Nicolle Sabalburo Ü
    The document summarizes the nursing care plan for two patients with impaired urinary elimination. For the first patient, the plan is to monitor vital signs, note skin and urine conditions, and provide fluids frequently over 4 days to improve urine output and return to normal voiding. For the second patient, the short term goal within 6 hours is to help the patient understand causes and interventions, demonstrate techniques to prevent retention, and void sufficiently. Interventions include sitting upright, cranberry juice, and stimulation techniques. The long term goal is to collaborate on treating underlying conditions and teach self-catheterization.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    assessment Subjective:

    Nursing diagnosis Impaired urinary elimination related to decrease urine output gland as evidenced by 430 ml of urine.

    Scientific explanation

    planning Short term: After 4 hours of nursing intervention the client will demonstrate improvement in urine elimination. Long term:

    intervention -monitor vital signs

    Scientific rationale -to obtain baseline data

    evaluation Short term: After 4 hours of nursing intervention the client will demonstrate improvement in urine elimination. Long term:

    -note condition of skin


    and mucous membranes, color of the urine

    -to help determine level of hydration

    Objective: -430 ml of urine After 4 days of nursing intervention the patient will have return to normal voiding pattern and elimination.

    -provide fluids at frequent intervals

    -to help maintain renal function, hydration and formation urinary stone

    Collaborative: -discuss possible surgical procedures and medical regimen. -assist with physical examination

    After 4 days of nursing intervention the patient will have return to normal voiding pattern and elimination.

    assessment Subjective:

    Nursing diagnosis Acute urinary elimination related to as evidenced by small/ frequent voiding

    Scientific explanation

    planning Short term: After 6 hours of nursing intervention the clinet will be able to: -verbalized understanding of causative factors and appropriate interventions for individual situation -demonstrate techniques or behaviours to alleviate or prevent retention. -void in sufficient amounts with no palpable bladder distention.

    intervention -assist client sit upright on bedpan or commode, or stand -Encourage intake of cran berry juice everyday

    Scientific rationale -to provide functional position of voiding -helps prevent infection because cranberry juice metabolizes to hippuric acid

    evaluation Short term: After 6 hours of nursing intervention the client will be able to: -verbalized understanding of causative factors and appropriate interventions for individual situation -demonstrate techniques or behaviours to alleviate or prevent retention. -void in sufficient amounts with no palpable bladder distention.

    Objective:

    - Have patient listen to sound of running -this stimulates water,or place hands urination in warm water

    Collaborative: - collaborate in treatment of underlying conditions -instruct client to in intermittent self catherization techniques.

    Long term:

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