II.Nursing Diagnosis
• Acute pain
• Risk for infection
• Impaired urinary elimination
• Deficient or excess fluid volume
• Imbalanced nutrition: less than body requirements
• Impaired skin integrity
• Activity intolerance
• Deficient knowledge
• Ineffective coping
III.Planning and Outcome Identification
• The major goals for the client diagnosed with a urinary or renal disorder may include relief of pain and discomfort, prevention of the infection, return to normal elimination patterns, maintenance of fluid and nutritional intake, intact skin integrity, participation in activity within tolerance, increased knowledge of prevention and treatment and effective coping with disorder.
IV.Implementation
Provide pain relief.
• Assess the client’s level of pain, rule out complications, administer pain medications as prescribed, and evaluate effectiveness of pain medications.
Promote measures to prevent infection.
• Monitor the client’s vital signs, assess for signs and symptoms of infection, and monitor the white blood cell count.
Promote measures to ensure adequate urinary elimination to include ensuring the client voids clear and odor-free urine at least every 2 to 3 hours.
Promote measure to maintain fluid and electrolyte balance.
• Assess the client’s fluid status, including intake and output, skin turgor, presence of edema and jugular vein distention.
• Weigh the client daily at the same time and in the same clothes.
• Encourage the client to drink at least 2 L of fluid daily (water is preferable), if not contraindicated.
• Promote measures to ensure adequate nutrition. Encourage the client to adhere to the prescribed diet, explain the rationale for the diet, and monitor for weight loss or gain.
• Maintain skin integrity. Turn the client every 2 hours and assess skin for any redness or breakdown.
• Enhance activity intolerance. Encourage the client to alternate activity with rest.
• Provide client and family teaching. Provide explanations for the cause, treatment, and expected course of renal or urinary disorder.
• Promote client and family coping. Encourage the client to verbalize feelings and assist coping with the discomforts, treatment regimen, and changes in lifestyle.
V.Outcome Identification
• The client reports pain relief.
• The client displays no evidence of urinary tract infection or kidney infection
• The client demonstrates a normal voiding pattern without pain or discomfort.
• The client exhibits adequate intake and output, no weight gain, or no peripheral edema.
• The client maintains an adequate nutritional intake.
• The client’s skin remains intact.
• The client expresses the intention to increase activity as tolerated.
• The client verbalizes knowledge about the course of illness, need to drink 2 L of fluid daily and required follow-up care.
• The client and family exhibit effective coping strategies during the illness.