DAVAO DOCTORS COLLEGE

General Malvar St., Davao City

Nursing Program

NURSING CARE PLAN

Name of Patient: Maria ___ Date of Admission: __11/09/2022___ Room: __108___ Age: _10 yrs old _ Sex: Female __ Civil Status: _N/A______ Chief Complaint: _
__Acute cystitis________ Religion: __N/A ___ Attending Physician: Dr. A. Ng_____________________________
PROBLEM SCIENTIFIC BASIS/ GOALS/OBJECTIVES NURSING RATIONALE EVALUATION
DIAGNOSIS CRITERIA INTERVENTIONS

November 09, 2022 Urinary retention related At my 8 hours of nursing ● Ascertain quantity ● Urinary After 8 hours of nursing
@7:05 AM uterine tract infection as interventions the patient frequency , and retention vaginal interventions the patient
evidenced by the patient will be able to: character of urine discharge , and was able to:
Subjective: urgency in urination such as color, presence of
“ Dirty hygiene practices" odor and specific PARTICULARLY MET
1. Patient empties catheter
Verbalized by the mother Scientific Basis : bladder
gravity.
predispose
Urinary retention, also 1. Empties bladder
known as ischuria, is the completely patient to
Objective:
body's failure to infection,
● Dysuria
effectively and 2. Patient will void in especially patient
● Increase
frequency completely empty the sufficient quantity has perineal 2. Patient voids in
● Urgency in bladder. It may occur in with no palpable sutures sufficient quantity
urination conjunction with or bladder distension with no palpable
independent of urinary ● Keeping an bladder distension
Vital Signs: incontinence. An ● Review previous
3. Patient will have hourly record
immobile person: a patterns of
urine volume can help in
BP- 90/60 mm Hg person with a medical voiding . 3. Patient has urine
condition such as BPH greater than or establishing a volume greater
PR- 100 Bpm
disk surgery, or equal to 300 mL toileting program than or equal to
RR- 18 Cpm
hysterectomy or a with each voiding and gives a clear 300 mL with each
T- 37.9 °C
person who is and residual picture of the voiding and
experiencing the side volume less than patient's voiding residual volume
effects of medications , 100 pattern . less than 100
including anesthetic
agents antihypertensives ● High urethral
antispasmodics pressure can
antihistamines, and ● Palpate and inhibit voiding
anticholinergics , may percuss until abdominal
experience urinary suprapubic area.
pressure
retention , bladder Examine
increases enough
distention , and verbalization of
infrequently urinary discomfort, pain, for urine to be
incontinence These fullness and involuntarily lost.
drugs may meddle with difficulty of Also hinders
the herve impulses voiding. bladders
essential to cause emptying.
relaxation of the
sphincters , which ● Unless medically
enable urination.
restricted fluid
intake should be
REFERENCES : Ackley, ● Promote fluids, if
B. , Ladwig G Msn , R. , not
at least 1500 / 24
Makic, M. Martinez- contraindicated. hr .
KratzM & Zanotti , M.
(2019 ) Nursing
Diagnosis Handbook E-
Book An Evidence-
Based Guide to Planning
CareMosby

__FRANCESCA D. GONZALES ________

NAME OF STUDENT