Nursing Diagnoses: Urinary Elimination

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?

As evidenced by bladder distention and residual urine on bladder scan Signup and view all the answers

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?

Urinary Incontinence Signup and view all the answers

Which team member will the nurse collaborate with about performing pelvic floor exercise teaching for a patient with stress incontinence?

Nurse continence specialist Signup and view all the answers

Goals for patients with urinary elimination alterations are structured around which desired outcomes?

Maintaining normal elimination pattern, Preventing associated risks, Coping with an altered pattern Signup and view all the answers

Which measurable goal for the patient with urinary retention begins with 'The patient will...?'

spontaneously empty bladder completely without assistance within 12 hours after treatment Signup and view all the answers

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'?

Risk for Ineffective Coping Signup and view all the answers

What does the NOC (Nursing Outcome Classification) category 'Urinary Elimination' indicate about the nursing diagnosis selected for the patient?

Impaired Urinary Elimination Signup and view all the answers

Which goal is realistic for an adult female patient who is unable to adequately clean herself after urinating one day following abdominal surgery?

Demonstrate safe and adequate toileting tasks within two days following ability to ambulate safely Signup and view all the answers

Study Notes

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.

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.