Question

fundamental 224 Unit 4: Chapter 46 urinary elimination

-Factors influencing Urination.

-Table 46-2 Common symptoms of Urinary alterations

-Nursing assessment of urinary elimination; Assessment of urine intake/output and the characteristics of urine.

-Health promotion: Patient education, Promoting normal micturition, promoting complete bladder emptying, and preventing infection.

-Preventing CAUTI Box 46-10

-Review each of the 5 steps in the Nursing Process: How you would apply the Nursing Process in your care of the patient when focusing urinary elimination

What educational teachings would you include for a patient that has a Foley catheter?

What educational teachings would you include for a patient that has a UTI?

Incontinence can lead to client decisions to limit social interactions. What would be an appropriate response to your client? What educational teaching would you include in your teachings?

What are some noninvasive alternatives to catheterization?

How are urinary tract infections diagnosed? What is the role of the nurse in patient care?

Answer 1

Question no 1

Steps in nursing process

1. Assessment is the first step in nursing process
2. Nursing diagnosis is the second step
3. Goal or the expected outcome that is to be achieved
4. Planning on the card
5. Implementation and evaluation

Question no 2)

Nursing process in urinary elimination

Assessment

• Asses the general intake and out put
• Asses the elimination pattern
• Check for any infection
• Ask whether fluid intake is more than minimum
• .

Nursing diagnosis

Impaired urinary elimination related to decreased bladders capacity

Goal

Identify the cause for impaired urinary elimination and returns to normal elimination pattern

Planning

• Assist the patient to restrain his bladder control
• Encourage fluids intake 2- 4litre
• Observe for blood and foul smelling urine
• Keep perinatal area clean
• Consult a doctor
• .

Evaluation

If patient has any improvement and if she has met the goal

If goal not met then review the planning