Nursing diagnosis Nursing outcome Nursing Interventions Evaluation

Acute painrelated
to inIlammation,
obstruction, and
abrasion oI urinary
tract by migration
oI stones
Verbalizes reduced pain
level
Administer prescribed analgesic
Encourage patient to assume position that brings
some relieI.
Reassess pain Irequently using pain scale.
Administer antiemetic as indicated Ior nausea
Position the patient Ior comIort

Altered urinary
elimination
Urinary
Elimination:
Ability oI the
urinary system to
Iilter wastes,
conserve solutes,
and
collect and
discharge urine in a
healthy pattern
Urinary
Continence:Control
oI the elimination oI
urine
Self-Care:
Toileting: Ability
to toilet selI
Assess degree of interference/disability
Determine client`s previous pattern oI elimination and
compare with current situation.
Frequency,
Urgency,
Burning,
Incontinence,
Nocturia/enuresis,
Size and Iorce oI urinary stream.
Provides information about degree of interference
with elimination or mav indicate bladder infection
Palpate bladder to assess retention. Fullness over
bladder Iollowing voiding is indicative oI inadequate
emptying/retention and requires intervention.
Investigate pain which mav be indicative of infection:
location,
duration,
intensity;
Presence oI bladder spasms, back or Ilank pain
Determine client`s usual daily Iluid intake
Verbalize
understanding
oI condition.
IdentiIy causative
Iactors. (ReIer to
speciIic NDs Ior
incontinence/reten
tion as
appropriate.)
Achieve normal
elimination pattern
or participate in
measures to
correct/compensat
e Ior deIects.
Demonstrate
behaviors/techniq
ues to prevent
urinary inIection.
Manage care oI
urinary catheter,
or stoma and
appliance
Iollowing urinary
diversion.