- Acute Pain related to Inflammatory process and Infection as evidenced by Dysuria and Burning with urination
- Deficient Fluid Volume related to Urinary frequency and altered fluid intake as evidenced by Decreased urine output and Increased urine concentration
- Disturbed Sleep Pattern related to Impaired urinary elimination pattern and Urinary frequency as evidenced by Nocturia and Unintentional awakening
| Assessment | Nursing Diagnosis | Planning/Outcomes | Intervention | Evaluation |
| Subjective data: Verbal reports from the patient Expressions of pain, such as crying Objective data: Significant changes in vital signs Changes in appetite or eating patterns Changes in sleep patterns | Acute Pain related to Inflammatory process and Infection as evidenced by Dysuria and Burning with urination | Patient will report reduced flank or pelvic pain and relief from pain when urinating. Patient will verbalize two interventions to control pelvic pain with a UTI. Patient will report pain reduced to a 2 out of 10 or less. | 1. Apply a heating pad to the patient’s lower back or suprapubic area. Heat therapy helps relieve pain and relax the muscles in patients with urinary tract infections. 2. Administer analgesics as indicated. Medications like NSAIDs can help relieve the pain associated with UTIs. Phenazopyridine is another analgesic that alleviates the symptoms of dysuria, urgency, and frequency caused by UTIs. 3. Encourage the patient to avoid urinary tract irritants. Coffee, spicy foods, sodas, and alcohol are urinary tract irritants and should be avoided while being treated for a UTI. 4. Encourage the patient to use a sitz bath. A sitz bath is a warm and shallow bath that may help relieve discomfort and bladder spasms in patients with UTIs. | Patient reported reduced flank or pelvic pain and relief from pain when urinating. Patient verbalized two interventions to control pelvic pain with a UTI. Patient reported pain reduced to a 2 out of 10 or less. |
| Subjective data: Verbal reports from the patient increased Urine concentration Objective data: Oliguria Dysuria Changes in Vitals | Deficient Fluid Volume related to Urinary frequency and altered fluid intake as evidenced by Decreased urine output and Increased urine concentration | Patient will maintain blood pressure, temperature, pulse rate, and oxygen saturation within normal limits. Patient will exhibit a urine output of at least 0.5 ml/kg/hr. | 1. Encourage increased fluid intake, especially water. Increased fluid intake helps dilute urine and allows more urine production to flush bacteria from the urinary system. Provide and encourage fresh water around the clock if not contraindicated. 2. Monitor the patient’s intake and output. Accurate monitoring of the patient’s intake and output can help determine fluid deficits. 3. Advise to avoid caffeine and dark-colored drinks. Coffee, alcohol, and caffeinated drinks can irritate the bladder. These beverages and liquids with high sugar content are not the best to rehydrate the patient. 4. Assess laboratory values. A urinalysis may show a high urine specific gravity (greater than 1.030) and osmolality, indicating dehydration. Other serum lab values, like hematocrit, BUN, and creatinine, may be elevated with deficient fluid volumes. | Patient maintained blood pressure, temperature, pulse rate, and oxygen saturation within normal limits. Patient exhibited a urine output of at least 0.5 ml/kg/hr. |
| Subjective data: Verbal reports from the patient unable to sleep properly Objective data: Nocturia Difficulty maintaining sleep state Expresses tiredness Expresses dissatisfaction with sleep Unintentional awakening Nonrestorative sleep-wake cycle | Disturbed Sleep Pattern related to Impaired urinary elimination pattern and Urinary frequency as evidenced by Nocturia and Unintentional awakening | Patient will verbalize improved sleeping patterns and adequate rest and sleep. Patient will report not waking up to urinate more than once per night. | 1. Instruct the patient to avoid drinking large amounts of fluid before bedtime. Restrict fluids 2-4 hours before bedtime to prevent urinary urges while sleeping in patients with UTIs. 2. Instruct the patient to avoid alcohol and caffeine before sleeping. Caffeine and alcoholic beverages are urinary tract irritants and induce diuresis, which can increase urinary frequency when the patient is sleeping. Caffeine is a stimulant that reduces the patient’s ability to fall asleep, while alcoholic beverages can interfere with REM sleep. 3. Encourage sleep hygiene practices. Begin preparing for sleep several hours before bedtime by dimming lights, reducing noise, minimizing screen time, and setting the sleep environment to a comfortable temperature. 4. Schedule medication administration so it will not interrupt the patient’s sleep. Diuretics should be taken at least six hours before bedtime, if possible. Proper timing and scheduling of certain medications can help promote uninterrupted sleep patterns. | Patient verbalized improved sleeping patterns and adequate rest and sleep. Patient reported not waking up to urinate more than once per night. |