Patient Teaching and Home Healthcare Guidelines Nursing care plans for Urinary tract infections (UTIs)

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Teach the patient an understanding of the proposed therapy, including the medication name, dosage, route, and side effects, Emphasize the importance of completing the prescribed course of therapy or, with long-term prophylaxis, of strictly adhering to the ordered dosage. Explain that an uncontaminated midstream urine specimen is essential for accurate diagnosis. Teach the female patient to clean the perineum properly and to keep the labia separated during urination. To prevent recurrent lower UTIs, teach a female patient to carefully wipe the perineum from front to back and to thoroughly clean it with soap and water after bowel movements. Teach to the patients never to postpone urination and to empty her bladder completely. Tell the male patient that prompt treatment of predisposing conditions such as chronic prostatitis helps prevent recurrent UTIs. Urge the patient to drink about 2 qt (2 L) of fluid a day during treatment.

Nursing interventions Nursing care plans for Urinary tract infections (UTIs)
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Administer antibiotics specific to the invading organism as ordered Watch for GI disturbances from antimicrobial therapy. If ordered, administer nitrofurantoin macrocrystals with milk or meals to prevent such distress. If the patient experiences perineal discomfort, sitz baths to the perineum may increase comfort. If sitz baths dont relieve perineal discomfort, apply warm compresses sparingly to the perineum, but be careful not to burn the patient. Apply topical antiseptics on the urethral meatus as necessary. Collect urine specimens for culture and sensitivity testing carefully and promptly. Encourage patients to increase fluid intake to promote frequent urination