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Problem #5: Impaired urinary elimination related to decreased urine output
Assessment
S>O
Nursing
Scientific
Diagnosis
Explanation
Objectives
Nursing
Rationale
Interventions Short term:
>monitor VS
Expected Outcome
Impaired
In CKD, there
>to obtain baseline
Short term:
urinary
is impaired
O> the pt.
elimination
fluid
manifested:
related to
elimination.
of Nursing
>establish
>to gain trust and
shall have
-oliguria
decreased
This causes
Interventions,
rapport with the
active participation.
demonstrated
-anuria
urine output
the inability of
the pt. will
pt. and significant
improvement
-dysuria
the body to
demonstrate
others.
in urine
-irritability
excrete
improvement
- bipedal
excess water
in urine
>asses the pt.
>to evaluate for
AEB increase
edema
and waste
elimination.
gen. condition.
further
urine output.
-albuminuria
products. As a
(+3 albumin
result, there is
in urinalysis)
decrease in
-hematuria
blood volume
data. After 4hours
The patient.
elimination
interventions.
Long trem:
>determine >determine the
>to identify
pathology of
causative or contributing factor.
and also a
After 4 days
bladder
>the pt. may
decrease
of NI, the pt.
dysfunction.
manifest:
perfusion to
will have
Long term:
The pt. shall have returned
-distention of
the different
return of
bladder
parts of the
-alternation in
>to determine any
of normal
normal
changes in renal
voiding pattern
body including
voiding
function and
and
the color and
the kidneys
pattern and
presence of
elimination.
clarity of the
that will lead to
elimination.
infection.
urine.
decrease urine output.
>review lab. Test.
>palpate bladder.
>to assess for urinary retention.
>investigate pain,
>to assess degree
noting location,
of interference or
duration and
disability.
intensity, presence of bladder spasm, back or flank pain.
