EDP UNIVERSITY

EXTENSION - HUMACAO
UNIVERSIDAD DE SALUD

NURSING CARE PLAN Jose Escobar Profa: (S.Burgo)

NAME: FULANITICO DE TAL
SEX: MALE
DIAGNOSIS: ACUTE URINARY RETENTION AGE: 7
Goal and expected
Assessment Nursing diagnosis Nursing analysis outcomes Nursing interventions Rationale Evaluation

Subjective: Urinary retention The over production of The patient will be able Independent: 1.)To provide base line Goal partially met:
related to proliferation the testosterone causes to void insufficient 1.) Monitor urinary data for comparison of
“It burns when I pee of the prostate gland as the prostate gland to amounts within 8 hours output records The patient was able to
pee” as verbalized by evidenced by bladder increase in its size. The of rendering nursing 2.) Monitor input void in sufficient
the patient. “He has had distention and reduced enlarged prostate gland care. 3.) Assist pediatric 2.)To prevent amounts after 8 hours
a fever of 39.7C” as urinary stream blocks the urethra that client to sit upright on worsening of the of rendering nursing
verbalized by the alters the normal bedpan or commode, or condition care.
mother. elimination pattern of stand
urine which leads it to 4.) Use techniques like 3.)To provide  Urine output of
Objectives: urinary retention. functional position of 25 ml/hr with
running water in the
sink or warm water voiding IFC connected
T :39.7 C
BP : 83/54 mmgH over perineum
6.) Encouraged client 4.)To stimulate
P : 79 Lat/Min urination
SPO2 : 98% to report problems
immediately
7.) Catheterize with 6.) To institute
 Urinary output treatment promptly
of 15ml/hr intermittent or
indwelling catheter as
ordered by the 7.)To resolve acute
 Bladder
physician retention
distention
8.) Administer
medications as 8.)To improves the
 Reduced
prescribed by MD patient’s prognosis and
urinary stream
status
 Difficulty of
urination