University:
West Coast University
Course:
NURS 122 | Introduction to Medical Surgical Nursing
Academic year:

2021
Views:

36

Pages:

1
Author:

emplanasf3fe

Nursing Diagnosis, r/t, AMB Goal (who what when) 1 Acute pain due to infection of the urinary tract 1. Patient will verbalize pain level less than 2 out of 10 on Wong-Baker faces pain rating scale. 2 Hyperthermia related to UTI as evidence body temperature above 37 C. (98.96f), flushed skin, diaphoresis and weak pulse. 2.Within 4hrs of nursing interventions patient will have be afebrile and WNL. 3 Knowledge Deficit: about condition, prognosis, and treatment needs related to UTI 3. Prior to discharge pt will be able to demonstrate and verbalize knowledge obtained about UTI sufficiently in order to reduce risk of infection reoccurrence. 4 interventions each ND 1. Assess vital signs 2. Ask patient to rate pain on scale from 1/10 on pain scale and describe pain that is being experienced. 3. Administer analgesic and anti-spasmodic as ordered 4. Reassess pain within 1hr after administration of analgesic and anti-spasmodic 1.Assess vitals Q4 hrs 2.Remove excessive clothing and blankets and change soiled bedding as needed. 3.Administer prescribed antibiotic and anti-pyretic medications as ordered 4.Encourage pt to drink 2L of fluid a day if not on fluid restrictions. 1.Assess patient’s readiness to learn or evasions to learning and any misconceptions related to UTI infections. 2.Provide information on UTI physiology and treatment in layman’s terms. 3.Educate pt on how to identify and report symptoms of UTI to PCP. 4.Educate pt on lifestyle changes and proper hygiene to 1reduce risk of reoccurring UTI Evaluation On 1 hour follow up Pain reported was rated 1 out of 10, pain is under control with current medication regimen, no alterations needed at this time. Pt will be afebrile within 4 hrs of nursing interventions and will remain in stable condition. Upon discharge, Patient verbalizes understanding of UTI infections and preventions measures that are to be taken in order to prevent future infections, pt is able to state medication names and doses, identifies s/s of UTI, has PCP contact information available and verbalizes commitment to proper hygiene and lifestyle changes to reduce risk of reoccurring infections.