Urinary Tract Infection is due to an infection in the lower urinary tract, involving the bladder, and sometimes the urethra and the ureter. It is an ascending infection caused commonly by E. coli, Enterobacter, Pseudomonas, and Serratia. Clients who are at risk for having urinary tract infection are those with long-standing indwelling catheters, pregnant women, females who are sexually active, or those who usually wear synthetic underwear or pantyhose.

A client with urinary tract infection may manifest frequency, urgency, and burning sensation during urination. Some may have hematuria and may experience difficulty to void. It is usually accompanied by fever and chills and some low back pains.

In assessing a client with Urinary Tract Infection (UTI), you may expect the following signs and symptoms:

    1. Painful urination
    2. Urinary Frequency
    3. Fever
    4. Flank pain

Urinary Tract Infection Nursing Care Plan

Urinary Tract Infection Nursing Care Plan Full Text

Nursing Diagnosis

Altered Urinary Elimination

Possible Etiologies: (Related to)

Disease Process ( UTI)

Defining characteristics: (Evidenced by)

Subjective Data:

“I am bothered that I urinate frequently, which would sometimes have discomforts…” verbatim of the client.

Objective Data:

  • Positive urine culture
  • Feelings of urgency on urination
  • Some burning sensations when voiding as claimed
  • Incomplete emptying of the bladder

Objectives

Short term goal:

Client will be able to verbalize understanding of the condition and participate in doing measures to compensate for alteration in elimination.

Long term goal:

Client will be able to achieve a normal elimination pattern as evidenced by decreased in episodes of urgency and frequency in voiding and reduction in discomforts in voiding.

Nursing Interventions

  1. Obtain a history of illness and factors relating to the condition.
  2. Assess the client’s previous elimination pattern and note for  presence of frequency, urgency, burning sensation, size and force of urinary stream.
  3.  
  4. Determine presence of pain noting for location, duration, intensity.
  5. Monitor fluid intake and output and encourage fluid intake up to 3,000cc- 4,000cc or as tolerated and indicated.
  6. Emphasize not to hold urine and assist in toileting routines.
  7. Emphasize good hygiene and other measures such as wiping front to back after urination, and voiding immediately after intercourse.
  8. Encourage client to verbalize feelings and concerns relating to the condition.
  9. Monitor urine cultures and blood studies.

Rationale

  1. It could aid in providing baseline data regarding client’s status.
  2. It could aid in determining the degree of alteration; helps monitor the progress of condition.
  3. Presence of pain indicates the severity of condition; it may also indicate presence of stones increasing the pressure in urination.
  4. It could help maintain renal function, prevent from forming urinary stones, and prevent further infection.
  5. Sometimes client holds their urine to avoid experiencing discomforts or just timid to do so; emphasizing not to hold their urine prevents the stasis of bacteria in the urinary system and prevents the formation of renal stone.
  6. Hygiene helps in preventing reinfection, especially in women.
  7. Open communication could correct factors that contribute to the condition; it could also aid in encouraging client’s compliance with treatment procedures.
  8. It is to monitor the presence of bacteria to determine the presence of infection.

Evaluation 

Client should verbalize understanding of urinary tract infection, factors contributing to it, and how to manage the illness; participate in measures preventing reinfection.

Client should have achieved a normal elimination pattern as evidenced by decreased episodes of urgency, frequency, burning sensation, and other discomforts in voiding.

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