Problem #5: Impaired urinary elimination related to decreased urine output

Assessment

Nursing Diagnosis

Scientific Explanation In CKD, there is impaired fluid elimination. This causes the inability of the body to excrete excess water and waste products. As a result, there is decrease in blood volume and also a

Objectives

Nursing Interventions

Rationale

Expected Outcome

S>O

Impaired urinary

Short term:

>monitor VS

>to obtain baseline data.

Short term:

O> the pt. manifested: -oliguria -anuria -dysuria -irritability - bipedal edema -albuminuria (+3 albumin in urinalysis) -hematuria

elimination related to decreased urine output

After 4hours of Nursing Interventions, the pt. will demonstrate improvement in urine elimination. >asses the pt. gen. condition. >to evaluate for further interventions. >establish rapport with the pt. and significant others. >to gain trust and active participation.

The patient. shall have demonstrated improvement in urine elimination AEB increase urine output.

Long trem:

>determine the pathology of

>to identify causative or contributing factor. The pt. shall have returned Long term:

After 4 days of NI, the pt. will have

bladder dysfunction.

>the pt. may manifest:

decrease perfusion to

-distention of bladder -alternation in the color and clarity of the urine.

the different parts of the body including the kidneys

return of normal voiding pattern and

>review lab. Test. >to determine any changes in renal function and presence of infection.

of normal voiding pattern and elimination.

that will lead to elimination. decrease urine output. >palpate bladder.

>to assess for urinary retention.

>investigate pain, >to assess degree noting location, duration and intensity, presence of bladder spasm, back or flank pain. of interference or disability.

>determine pts usual daily fluid intake.

>to help determine of hydration.

>provide fluids at frequent intervals.

>to help maintain renal function, hydration and formation urinary stone.

>observe for signs of infection, cloudy, foul odor, and bloody urine.

>pt. with urinary retention are at high risk for developing infection.

>emphasize importance of perineal hygiene.

>to reduce risk of infection.