3.

Nursing Diagnosis: Impaired urinary elimination related to obstruction (presence of stones in the renal collecting system) and swelling of the urinary tract as manifested by decreased urinary output and hematuria Nursing Inference: Stones lodged in the pelvis usually causes obstruction of urine flow as well as the swelling of the urinary tract due to inflammation causes urinary stasis which leads to dysuria, decreased urine output and hematuria when the stone is flushed down in the ureters causing injury into its lining. Nursing Goal: After 3-4 days of rendering appropriate nursing interventions, the client·s urinary elimination status will be improved as will be manifested by absence of dysuria, hematuria, output equal to input, and verbalization of the client, ´Medyo limmaga-an ti panag-isbo kon ken haan unay nasakiten nu umisbo ak. Ad-adu bassit ti mais-isbo kon kompara idi kuwa.µ Nursing Interventions: 1. Encourage 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 bacterial growth. 3. Emphasize importance area keeping clean and dry to reduce the risk of further infection and skin breakdown. 4. Instruct to wipe the area from front to back and take showers rather than tub baths to limit risks or to avoid re-infection. 5. Demonstrate positioning of catheter, drainage, tubing, and bag to facilitate drainage and to prevent reflux. 6. Increase oral fluid intake . Nursing Evaluation: After 3-4 days of rendering appropriate nursing interventions, the client·s urinary elimination status was improved as manifested by absence of dysuria, hematuria, urine output of 30-50ml. per hour, and verbalization of the client,µ Limmaga-an ti panag-isbo kon ken haan unay nasakiten nu umisbo ak. ´

Generic Name: Cefuroxime Classification: Anti- infective Mode of Action: It inhibits cell-wall synthesis, promoting osmotic instability; usually bactericidal. Dosage, Route, Frequency: IV 8 hours Desired Effect: This was given to our patient to treat urinary tract infection.

Nursing Responsibilities: 1. Check the doctor·s order to protect self from illegal actions. 2. Observe the 10 R·s before administration for an effective treatment regimen. 3. Taken with food to minimize gastric irritation. 4, It should be swallowed whole, not crushed because crushed tablet have a strong, persistent, bitter taste. 5. Instruct to take the entire amount of this medication as prescribed, even if patient feels better. 6. Instruct to notify health care provider if you get a rash since it is one of its side effects.

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