ASSESSMENT NURSING RATIONALE PLANNING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
Impaired Impaired INDEPENDENT: GOAL MET
SUBJECTIVE CUES: urinary urinary GOAL: After 2 days or - Encourage adequate - Sufficient
In 2004, when she is 22 elimination elimination nursing intervention, fluid intake (2 to 4 L hydration After 2 days of
years old, she was related to refers to the the client will be able to per day), avoiding promotes urinary nursing
diagnosed with Urinary Urinary inability to demonstrate salty food like junk output and aids in intervention, the
tract infection and was hesitancy pass urine appropriate emptying foods. preventing client did able to
given medicines for it. and dysuria. effectively. techniques, such as - Assess the infection. demonstrate
Impaired double voiding and availability of - Giving a clear appropriate
According to her, 2-3 urinary complete emptying of toileting facilities explanation of the emptying
weeks prior to elimination the bladder to prevent and barriers that problem during techniques such as
admission, she has can cause UTI urinary hesitancy, affect toileting. education and double voiding and
difficulty urinating, she and dysuria. dysuria and decrease - Educate the patient counseling complete
spends fifteen minutes the risk of urinary tract about how to sessions with emptying of the
sitting on the toilet bowl infection, as evidenced properly wash when medical bladder as
waiting for the urine to by post-void residuals urinating and to professionals will evidenced by:
come out, when it does, less than 60 mL and wash herself after have an impact on a. post-void
she experiences pain. reports of clear, intercourse. (Proper their daily residuals
odorless urine. hygiene) activities. less than
She does not wash - Alpha blockers 60 mL and
herself after intercourse. DEPENDENT: work by helping b. reports of
When urinating, she - Encourage the muscles around clear,
washes in an upward patient to take the bladder and odorless
direction. OBJECTIVES: After 8 antibiotics as prostate relax. urine.
hours of intervention, prescribed. - Collaboration with c. Returns
The client states that she the patient will be able - Administer alpha- specialists is regular
often eats fried food and to: blockers as helpful for elimination
consumes soft drinks. a. Verbalize prescribed. developing an pattern
She said that she’s fond comprehension individual plan of without
of eating salty foods like of condition. COLLABORATIVE: refer to care to meet urgency or
junk foods. b. Improve urine Obstetrician-gynecologist or clients’ specific frequency
elimination Urogynecologist needs
She verbalized that she c. Drink oral fluids
doesn't drink much for adequate
water before and usually hydration
drinks softdrinks, "May d. Restores normal
one time nga na every elimination
day, mga two weeks pattern without
puro soft drinks lang frequency and
ininom ko." urgency
Before hospitalization, it
became 3 times a day
with pain and describes
her urine as dark-
colored, minimal in
amount, and has a very
strong smell. She
experienced frequent
urgency to urinate as
well.
She also verbalized that
she often holds it in,
because when she is at
her workplace, the
bathroom is far.
OBJECTIVE CUES:
Dark-colored urine
8/10 liver tenderness
