- Acute Pain Related to Presence of blood clots and Urinary tract infection as evidenced by Dysuria and Hesitancy with urination
- Deficient Knowledge related to Unfamiliarity of condition and Inadequate information as evidenced by Inaccurate statements about haematuria and Missed follow-up appointments
- Impaired Urinary Elimination Related to Inflammatory process and Obstruction as evidenced by Frequent voiding and Urinary retention
| Assessment | Nursing Diagnosis | Planning/Outcomes | Intervention | Evaluation |
| Subjective data: -Verbal reports from the patient -Expressions of pain, such as crying -Unpleasant feeling Objective data: -Significant changes in vital signs -Changes in appetite or eating patterns -Changes in sleep patterns | Acute Pain Related to Presence of blood clots and Urinary tract infection as evidenced by Dysuria and Hesitancy with urination | Patient will report significant improvement in pain relief when urinating. Patient will demonstrate interventions that can help improve pain symptoms. | 1. Encourage the use of non-pharmacologic pain interventions. The use of heat pads in the lower back and abdomen can help relax the muscles and relieve discomfort associated with dysuria and hematuria. 2. Administer pain and antibiotic medications as indicated. Analgesics are often prescribed for patients with renal calculi to help relieve discomfort. Antibiotics will treat an underlying infection. 3. Encourage the patient to increase clear fluid intake. Increasing fluid intake while avoiding beverages like coffee, soda, and alcohol can help increase urine production and facilitate the flushing out of bacteria without irritating the urinary tract system. 4. Encourage frequent voiding. Urinating frequently facilitates emptying of the bladder, reducing urine stasis, re-infection, and distention. | Patient reported significant improvement in pain relief when urinating. Patient demonstrated interventions that can help improve pain symptoms. |
| Subjective data: Verbalizes poor understanding Seeks additional information Objective data: -Exhibiting aggression or irritability regarding teaching follow-up -Poor adherence to recommended treatment or worsening medical condition | Deficient Knowledge related to Unfamiliarity of condition and Inadequate information as evidenced by Inaccurate statements about haematuria and Missed follow-up appointments | Patient will verbalize understanding of hematuria, possible complications, and interventions. Patient will verbalize when to seek care for hematuria and related symptoms. | 1. Educate on preventing urinary infections. Haematuria is often the result of a urinary or bladder infection. Instruct the client to maintain perineal hygiene by wiping front to back, urinating after sexual intercourse, not wearing tight clothing, and drinking plenty of water. 2. Educate on diagnostic tests. Haematuria can signal a malignancy of the bladder, prostate, or kidney cancer. The nurse can prepare the patient for tests and labs that assess for cancer. 3. Teach the patient signs and symptoms that need immediate medical attention. Haematuria can develop into complications if the underlying cause is left untreated. Encourage the patient to seek medical consultation for fever, changes in urination, foul urine odor, weight changes, or flank pain. 4. Educate about normal instances of haematuria. Hematuria is expected in some cases. Educate the patient that haematuria is normal after lithotripsy treatment for a kidney stone. A male patient who undergoes a TURP (transurethral resection of the prostate) may notice blood in the urine that will decrease. | Patient verbalized understanding of haematuria, possible complications, and interventions. Patient verbalized when to seek care for haematuria and related symptoms. |
| Subjective data: Urgency Hesitancy Dysuria Nocturia Objective data: -Bladder distention -Retention as detected through bladder scanning -Incontinence -Use of catheterization Frequency | Impaired Urinary Elimination Related to Inflammatory process and Obstruction As evidenced by Frequent voiding and Urinary retention | Patient will be able to achieve a normal elimination pattern without dysuria, incontinence, or urgency. Patient will verbalize interventions that can help prevent urinary retention. | 1. Monitor the patient’s intake and output. Documentation of the patient’s intake and output can help determine and monitor hydration status and urinary function. 2. Insert a urinary catheter. If the patient is unable to void and is experiencing distention, the nurse can insert an indwelling catheter. This can allow for accurate output measurement and visualization of urine color and concentration. 3. Encourage bladder training. Establishing a regular elimination pattern by voiding every 2-3 hours (even when the urge isn’t felt) can train the bladder to empty. 4. Consult with urology. The nurse may consult with the urology team for further instructions. Diagnostic tests such as uroscopy or kidneys/ureters/bladder (KUB) ultrasound may be necessary. | Patient achieved a normal elimination pattern without dysuria, incontinence, or urgency. Patient verbalized interventions that can help prevent urinary retention. |