3. Nursing Diagnosis:
Impaired urinary elimination related to obstruction (presence of stones inthe renal collecting system) and swelling of the urinary tract as manifestedby decreased urinary output and hematuria
Stones lodged in the pelvis usually causes obstruction of urine flow aswell as the swelling of the urinary tract due to inflammation causesurinary stasis which leads to dysuria, decreased urine output andhematuria when the stone is flushed down in the ureters causing injuryinto its lining.
After 3-4 days of rendering appropriate nursing interventions, the client·surinary elimination status will be improved as will be manifested byabsence of dysuria, hematuria, output equal to input, and verbalization ofthe client, ´Medyo limmaga-an ti panag-isbo kon ken haan unaynasakiten nu umisbo ak. Ad-adu bassit ti mais-isbo kon kompara idikuwa.µ
ncourage the client to void in sitz bath to relax muscles, to soothe sore tissues,and facilitating voiding.2.
Maintain an acidic environment of the bladder by the use of agents such as Vit.C,Mandelamine (a urinary antiseptic) when appropriate to discourage bacterialgrowth.3.
mphasize importance area keeping clean and dry to reduce the risk of furtherinfection and skin breakdown.4.
Instruct to wipe the area from front to back and take showers rather than tubbaths to limit risks or to avoid re-infection.5.
Demonstrate positioning of catheter, drainage, tubing, and bag to facilitatedrainage and to prevent reflux.6.
Increase oral fluid intake .
After 3-4 days of rendering appropriate nursing interventions, the client·surinary elimination status was improved as manifested by absence ofdysuria, hematuria, urine output of 30-50ml. per hour, and verbalizationof the client,µ Limmaga-an ti panag-isbo kon ken haan unay nasakiten nuumisbo ak. ´