Question

Scenario

Name: Ali Al-Ghafri IP. No: 12345 Mr. Ali is 60 years old male, presented to male Outpatient clinic with complains of recurrent urination, urgency, he has history of pain while urination for 3 days, and cloudy urine output which is associated with nausea and vomiting. Blood investigation revealed increased white blood cells WBCS in the urine. Mr. Ali verbalized that he has these complains for first time. V/S were taken and recorded: HR: 98/MIN, 110/50mmhg, Spo2: 94% in room air, RR: 22/min. He is diagnosed as urinary tract infection

1-Formulate 2 nursing care plan with one actual nursing diagnosis and one potential nursing diagnosis. Write detailed health education

2-that you will give to Mr. Salim on the discharge

Answer 1

1. Actual nursing diagnosis

Assessment

Subjective data

• Cloudy urine
• Frequency urination
• Pain during voiding

Objective data

• Increased WBC
• Cloudy urine

Nursing diagnosis

Infection (in bladder) related to invasion of microorganisms in tue urinary tract as evidenced by increased WBcC,cloudy urine, frequency of urination

Goal

The patient will be treated for infection in a couple of days or three

Nursing interventions and rationale

• Assess for infection,to making nursing plan
• Antibiotics to be administered to treat infection
• Increase fluid intake ,IVF to alkanize the urine
• Monitor lab values,to know the infection level and plan for care

Evaluation

The patient will be free of infection

2.Potential nursing diagnosis

Assessment

Subjective data

• Pain while voiding
• Nausea and vomiting

Objective data

• Nausea
• Vomiting

Nursing diagnosis

Risk for imbalanced nutrition less than body requirement related to decreased food intake as evidenced by nausea and vomiting

Goal

The patient will maintain normal nutritional status

Nursing interventions and rational

• Assess the nutritional status,to rule out any deficiency
• Provide food preferred to encourage eating habits
• Administration of antiemetic drugs to prevent nausea and vomiting

Evaluation

The patient is maintaining normal nutritional status

2.The following health education can be given

• Encourage increased and adequate fluid intake
• Encourage to take cran verry juice ,vitamin C rich foods
• Avoid alcohol , caffeinated products
• Complete the medication prescribed as per order to prevent recurrence of infection