CUES DIAGNOSIS SCIENTIFIC PLANNING INTERVENTIONS RATIONALE EVALUATION

EXPLANATION
Subjective: Impaired Due to After 2 hours Independent: 1. Insufficient Patient was not
“isang beses Urinary Damage of 1. Provide an toileting and able to
of nursing
lang ako umihi Elimination r/t the nephrons the environment that environmental demonstrate an
magmula altered renal filtration of urine to the interventio n, encourages toileting factors may adequate urine
kaninang function urethra is being contribute to output about 30
pt. will able to
umaga” blocked causing functional cc
obstruction in demonstra te incontinence or
Objective: the flow of urine exacerbate other
an adequate
• (+) HD 3x a that leads to forms of urinary
week impairment in urine output leakage
• (+)Oliguria the urinary
about 30 cc.
• Urine output elimination. 2. Maintains
2. Encouraged
of 10cc/hr hydration and good
increase fluids and
• Bloated urine flow
maintain accurate
abdomen
intake
upon palpation
• Pale in 3. These will
appearance 3. Ensure Mr. REB’s
alleviate the anxiety
• Weak Compliance on
and fear of the
looking hemodialysis
patient when doing
procedure.
the procedure.

4. Specific gravity
4. Monitor laboratory
measures the
results that are
activity for the
specific to renal
kidneys to
dysfunction such as:
concentrate urine
Creatinine and
(1.006 – 1.030) and
specific gravity
creatinine measures
kidney damage (>0.5
– 1 mg/dl) which
indicates renal
failure
Dependent: 1.Assist in
1. Administer PNSS maintaining
1L at 40 cc/hour hydration and good
as indicated urine flow

Collaborative 1.Creatinine
1. Monitor measures kidney
electrolytes level damage (>0.5 – 1
particularly creatinine mg/dl) which
indicates renal
failure.