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Impaired urinary elimination related to effects of urinary tract infection (UTI) as evidenced by pain and burning on urination;
flank, suprapubic, and/or lower back pain; urgency; frequency; nocturia; or hematuria
1. Experiences normal urinary elimination patterns
2. Reports relief of bothersome urinary tract symptoms
OUTCOMES (NOC)
Urinary Elimination
Monitor urinary elimination including frequency, consistency, odor, volume, and color to evaluate
elimination status.
Obtain midstream voided specimen for urinalysis (as appropriate) to determine pathogen causing UTI or
to monitor effectiveness of treatment.
Teach patient to obtain midstream urine specimens at first sign of return of infection signs and symptoms
to obtain early treatment of recurrence.
Teach patient to drink 8 oz of liquid with meals, between meals, and in early evening to prevent dehydration, relieve bladder irritability, and decrease bacterial colonization.
Measurement Scale
1 = Severe
2 = Substantial
3 = Moderate
4 = Mild
5 = None
Pain Management
Perform a comprehensive assessment of pain to include location, characteristics, onset/duration,
frequency, quality, intensity or severity, and precipitating factors to establish history and baseline pain
level.
Provide the patient optimal pain relief with prescribed analgesics.
Teach the use of nonpharmacologic techniques (e.g., heating pad to suprapubic area or lower back, warm
showers) along with other relief measures to supplement pain medication and increase pain relief.
NURSING DIAGNOSIS
PATIENT GOALS
Readiness for enhanced self-health management as evidenced by verbalization of desire to manage treatment of illness
and prevent recurrence
1. Verbalizes knowledge of treatment regimen
2. Expresses intent to carry out treatment regimen
OUTCOMES (NOC)
Knowledge: Treatment Regimen
Appraise patients current level of knowledge related to specific disease process to plan individualized
teaching.
Explain pathophysiology of the disease and how it relates to anatomy and physiology.
Describe rationale behind management/therapy/treatment recommendations to promote compliance
with treatment.
Describe possible chronic complications to emphasize the need for completion of treatment.
Measurement Scale
1 = No knowledge
2 = Limited knowledge
3 = Moderate knowledge
4 = Substantial knowledge
5 = Extensive knowledge
COLLABORATIVE PROBLEM
POTENTIAL COMPLICATION
NURSING GOALS