Nursing Care Plan

Assessment

Nursing
Diagnosis

Avoidance of
urge to void

S/O
BP: 120/90mmhg
RR: 19 bpm
PR: 88 bpm
Temp. : 38.7

Inference

Infection
related to the
disease proper
Bacterial
invasion

WBC: 15x109/l
Weakness
difficulty to
urinate

Multiplication of
bacteria

Infection
(Any part of
urinary tract.)

Planning

Implementation

Short Term
Within the end Independent
of the shift the
1. monitor VS
patient will
2. maintain
achieve timely
adequate
wound healing
hydration, stand
and be free of
/ sit to void and
purulent
catheterized if
drainage and a
necessary
febrile
3. provide
As manifest by
catheter /
temperature of
perineal care
o
38.4 c with a
complaint of Dependent
pain in
1. Administer /
urinating
monitor
medication
Long Term
regimen and
Within the
note for the
months of
patients
rendering
response
nursing
2. administer
intervention
prophylactic
the patient will
antibiotics and
demonstrate
immunization
techniques,
as indicated
lifestyle
changes to
promote safe,
clean and
infectious free
environment

Rationale

1. for future basis

2. To avoid bladder
distention.

3. to reduce risk of
infection
1. to determine
effectiveness of
therapy or
presence of
allergy

2. For better
recovery

Evaluation

After the end

of the shift
the patients
temperature
decrease
from 38.4 o to
37.2o c and
improvement
of
eliminating
urine the
goal was
partially met