University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2022
Views:

289

Pages:

2
Author:

Prince Sampson

Assessment Nursing Diagnosis Planning Patient is a 2 year old male exhibiting signs of impaired urinary elimination. Patient’s parents report a history of frequent UTIs and an inconsistent urinary pattern (about once every 4 hours). Patient winces when the LLQ of the abdomen is palpated. Patient also appears lethargic, irritable, and skin is hot to touch. Impaired urinary elimination related to inflammation as evidenced by oliguria. Patient will void in normal amounts and usual pattern within 12 hours of interventions. BP- 104/62 HR- 98 R- 25 Temp- 101.4 Intervention 1. Record I&O and characteristics of urine. 2. Encourage the patient to walk if possible. 3. Promote sufÏcient intake of fluids. 4. Offer fruit juices ,particu larly cranberry juice. 5. Investigate reports of bladder fullness; palpate for suprapubic distension. Note decreased urine output, presence of periorbital and Rationale Evaluation 1. Provides Goal was met. information about kidney function and presence of complications (infection and hemorrhage). 2. To facilitate spontaneous passage. 3. Increased hydration flushes bacteria, blood, and debris and may facilitate stone passage. 4. Helps to acidify urine. 5. Urinary retention may develop, causing tissue distention which can lead to infection. dependent edema. 6. Maintain patency of indwelling catheters (urethral, urethral, or nephrostomy) when used. 6. May be required to facilitate urine flow and prevent retention and corresponding complications.