Assessment Nursing Planning Nursing Rationale Evaluation

Diagnosis intervention
Subjective: Urinary After 8 hours of -Monitor the vital To obtain After 8 hours of
retention intervention the signs. baseline data intervention the
-The patient related to patient will be able patient was be
reports strong to: able to:
frequency, sphincter; -Monitor intake -to ensure
urgency, and blockage. -Void in sufficient and output. accurate -verbalized
nocturia he has amount. picture of fluid
understanding
a weak stream status of causative
and has to sit to -Verbalized factors and
void. understanding of appropriate
causative factors -Increase fluid -To discourage interventions.
Objective: and appropriate intake, including bacteria
intervention. use of acidifying growth and - Demonstrates
-Incontinence fruit juices or stone techniques
-Retention -Demonstrates ingestion of formation behavior to
-Polyuria techniques vitamin C. alleviate/prevent
behavior to retention.
alleviate/prevent
retention. -Catheterize with -To reduce -void in
intermittent or acute retention sufficient
-Voiding pattern indwelling
amount with no
normalize. catheters
palpable
-to relieve bladder
-Administer
pain. distention.
prescribed
medications.
-Goal met
NURSING CARE PLAN
Assessment Nursing Planning Nursing Rationale Evaluation
Diagnosis intervention
Objective: Knowledge -asses -monitor the -to obtain -The patient was
deficiency causative/contributin vital signs. baseline data able to identifies
- related to g factors individual risk
fluid volume -encourage oral -to maximize factors and
-prevent occurrence intake (e.g, offer intake appropriate
of deficit fluids between interventions.
meals, provide
-promote wellness water with -the patient was
drinking straw). able to
demonstrate
-monitor intake -to ensure behavior or life
and output accurate style changes to
picture of prevent
fluid status development of
fluid volume
-review deficit.
appropriate use
of medication

-health teaching