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Student Nurses’ Community

NURSING CARE PLAN – UTI


ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
Independent:
SUBJECTIVE: • Assess pain, • Provides
Acute pain A urinary tract After 8 hours of noting location, information to After 8 hours
“Masakit ang related to infection (UTI) nursing intensity (scale aid in of nursing
pagihi ko” (I feel pain biological may occur in interventions, the of determining interventions, the
whenever I urinate) as factors such as the bladder, patient’s pain 0 – 10), choice or patient’s pain
verbalized by the trauma or where it is will be duration. effectiveness of will be
patient. activity of called cystitis, relieved or interventions. relieved or
disease or in the controlled. controlled.
process urethra, where • Encourage • Increased
it is called increased fluid hydration
Objective: urethritis. Upper intake. flushes bacteria
• Facial tract infection and toxins.
grimace. results in
• Restlessness. pyelonephritis. • Investigate • Urinary
• V/S taken as Most UTIs report retention may
follows: result from of bladder develop,
T: 37.3 ascending fullness. causing tissue
P: 82 infections by distention (
R: 19 bacteria that bladder or
BP: 120/90 have entered kidney), and
through the potentiates risk
urinary meatus for further
but some may infection.
be caused by
hematogenous
• Observe for • Accumulation of
spread. UTIs
changes in uremic waste
are much
mental status, and electrolyte
common in
behavior or level imbalances
females
of may be toxic to
because the
consciousness. the CNS.
shorter female
urethra makes
them more • Provide comfort • Promotes
vulnerable to measure like relaxation,
entry of back rub, refocuses
organisms from helping attention, and
Student Nurses’ Community

surrounding patient assume may enhance


structures position of coping abilities.
(vagina, comfort.
periurethral Suggest
glands, and use of relaxation
rectum). technique and
deep breathing
exercises.

• Encourage use • Promotes


of muscle
sitz baths, warm relaxation.
soaks to the
perineum.

Collaborative:
• Administer • Reduces
antibacterial as bacteria present
prescribed. in urinary tract
and those
introduced by
drainage
system