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NCP For UTI

The patient was experiencing impaired urinary elimination due to kidney stones obstructing urine flow and swelling of the urinary tract, as evidenced by decreased urine output and blood in the urine. Over 3-4 days of nursing interventions including encouraging sitting in warm water to relax muscles and soothe tissues, maintaining bladder acidity to prevent infection, keeping the area clean and dry, and demonstrating proper catheter care, the patient's urinary status improved with no more pain or blood and normal urine output.

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15K views3 pages

NCP For UTI

The patient was experiencing impaired urinary elimination due to kidney stones obstructing urine flow and swelling of the urinary tract, as evidenced by decreased urine output and blood in the urine. Over 3-4 days of nursing interventions including encouraging sitting in warm water to relax muscles and soothe tissues, maintaining bladder acidity to prevent infection, keeping the area clean and dry, and demonstrating proper catheter care, the patient's urinary status improved with no more pain or blood and normal urine output.

Uploaded by

lachrymoseai
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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3.

Nursing Diagnosis:
Impaired urinary elimination related to obstruction (presence of stones in
the renal collecting system) and swelling of the urinary tract as manifested
by decreased urinary output and hematuria

Nursing Inference:
Stones lodged in the pelvis usually causes obstruction of urine flow as
well as the swelling of the urinary tract due to inflammation causes
urinary stasis which leads to dysuria, decreased urine output and
hematuria when the stone is flushed down in the ureters causing injury
into its lining.

Nursing Goal:
After 3-4 days of rendering appropriate nursing interventions, the client’s
urinary elimination status will be improved as will be manifested by
absence of dysuria, hematuria, output equal to input, and verbalization of
the client, “Medyo limmaga-an ti panag-isbo kon ken haan unay
nasakiten nu umisbo ak. Ad-adu bassit ti mais-isbo kon kompara idi
kuwa.”

Nursing Interventions:
1. Encourage the client to void in sitz bath to relax muscles, to soothe sore tissues,
and facilitating voiding.
2. Maintain an acidic environment of the bladder by the use of agents such as Vit.C,
Mandelamine (a urinary antiseptic) when appropriate to discourage bacterial
growth.
3. Emphasize importance area keeping clean and dry to reduce the risk of further
infection and skin breakdown.
4. Instruct to wipe the area from front to back and take showers rather than tub
baths to limit risks or to avoid re-infection.
5. Demonstrate positioning of catheter, drainage, tubing, and bag to facilitate
drainage and to prevent reflux.
6. Increase oral fluid intake .

Nursing Evaluation:
After 3-4 days of rendering appropriate nursing interventions, the client’s
urinary elimination status was improved as manifested by absence of
dysuria, hematuria, urine output of 30-50ml. per hour, and verbalization
of the client,” Limmaga-an ti panag-isbo kon ken haan unay nasakiten nu
umisbo ak. “
Generic Name: Cefuroxime

Classification: Anti- infective

Mode of Action: It inhibits cell-wall synthesis, promoting osmotic instability; usually


bactericidal.

Dosage, Route, Frequency: IV 8 hours

Desired Effect: This was given to our patient to treat urinary tract infection.

Nursing Responsibilities:

1. Check the doctor’s order to protect self from illegal actions.

2. Observe the 10 R’s before administration for an effective treatment regimen.

3. Taken with food to minimize gastric irritation.

4, It should be swallowed whole, not crushed because crushed tablet have a strong,
persistent, bitter taste.

5. Instruct to take the entire amount of this medication as prescribed, even if patient feels
better.

6. Instruct to notify health care provider if you get a rash since it is one of its side effects.

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