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

Assessment Nursing Scientific Objectives Nursing Rationale Expected

Diagnosis Explanation Interventions Outcome

S>O Impaired In CKD, there Short term: >monitor VS >to obtain baseline Short term:
urinary is impaired data.
O> the pt. elimination fluid After 4hours The patient.
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 elimination
- 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 interventions.
(+3 albumin result, there is
in urinalysis) decrease in Long trem: >determine the >to identify
-hematuria blood volume pathology of causative or Long term:
and also a After 4 days bladder contributing factor.
>the pt. may decrease of NI, the pt. dysfunction. The pt. shall
manifest: perfusion to will have have returned
-distention of the different return of >review lab. Test. >to determine any of normal
bladder parts of the normal changes in renal voiding pattern
-alternation in 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. >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.

>determine pt’s >to help determine

usual daily fluid of hydration.
intake.
>provide fluids at >to help maintain
frequent renal function,
intervals. hydration and
formation urinary
stone.

>observe for >pt. with urinary

signs of infection, retention are at
cloudy, foul odor, high risk for
and bloody urine. developing
infection.

>emphasize >to reduce risk of

importance of infection.
perineal hygiene.