Questions and Answers
Which subjective data supports the nurse's selection of the nursing diagnosis Impaired Urinary Elimination?
Complaints of painful urination
Which nursing diagnosis will the nurse select for a patient being treated for her third urinary tract infection who complains of fatigue, feeling discouraged, and inability to endure another infection?
Ineffective Coping
Which objective patient data supports the nurse's decision to select the nursing diagnosis Toileting Self-Care Deficit?
Unable to perform toileting tasks, Presence of left-sided weakness
What should the nurse add to the nursing diagnosis 'Risk for Infection related to urinary retention' to individualize the diagnosis?
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The nurse selected the nursing diagnosis 'Risk for Impaired Skin Integrity' for a patient with a urinary elimination problem because the patient had which risk factor?
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Which team member will the nurse collaborate with about performing pelvic floor exercise teaching for a patient with stress incontinence?
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Goals for patients with urinary elimination alterations are structured around which desired outcomes?
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Which measurable goal for the patient with urinary retention begins with 'The patient will...?'
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Which nursing diagnosis is the nurse addressing with the goal of 'Patient will verbalize adjustment to plan of care within 24 hours after initiating treatment protocol for urinary alteration'?
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What does the NOC (Nursing Outcome Classification) category 'Urinary Elimination' indicate about the nursing diagnosis selected for the patient?
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Which goal is realistic for an adult female patient who is unable to adequately clean herself after urinating one day following abdominal surgery?
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Study Notes
Nursing Diagnoses Related to Urinary Elimination
- Impaired Urinary Elimination is supported by subjective data, such as complaints of painful urination.
- Ineffective Coping is indicated for a patient experiencing fatigue and discouragement after multiple urinary tract infections.
Objective Data for Nursing Diagnoses
- Toileting Self-Care Deficit can be determined from objective data, including the inability to perform toileting tasks and the presence of left-sided weakness.
- Risk for Infection linked to urinary retention can be individualized with evidence like bladder distention and residual urine on a bladder scan.
- Risk for Impaired Skin Integrity is associated with urinary incontinence as a significant risk factor.
Collaboration in Patient Care
- For patients with stress incontinence, collaboration with a nurse continence specialist is vital for pelvic floor exercise teaching.
Goals and Outcomes in Nursing Care
- Goals for patients facing urinary elimination changes focus on:
- Maintaining normal elimination patterns
- Preventing related risks
- Coping with altered elimination patterns
- A measurable goal for a patient with urinary retention is to spontaneously empty the bladder completely without assistance within 12 hours after treatment.
Nursing Diagnosis and Patient Adjustment
- The nursing diagnosis Risk for Ineffective Coping is addressed by the goal of the patient verbalizing adjustment to their plan of care within 24 hours of treatment initiation.
NOC Classification
- The NOC category Urinary Elimination indicates the selection of the nursing diagnosis Impaired Urinary Elimination for the patient.
Realistic Goals Post-Surgery
- For an adult female patient unable to clean herself post-abdominal surgery, a realistic goal is to demonstrate safe and adequate toileting tasks within two days after being able to ambulate safely.
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Description
Test your knowledge on nursing diagnoses related to urinary elimination issues. This quiz covers key concepts such as impaired urinary elimination, toileting deficits, and collaboration in patient care for urinary conditions. Enhance your nursing practice by understanding these vital diagnoses and their implications.