N320: Foundations Intercollegiate Center for Nursing Education of Eastern Washington University, Gonzaga University, and Whitworth College, and College of Nursing, Washington State University |
Elimination:
Genitourinary
Resource:
Directions and web site
Study/Discussion Questions - GU:
1. Discuss factors that influence the quantity of urine produced and those affecting a
person's ability to micturate.
2. Describe three major categories of pathology that cause alterations in urinary
elimination. Discuss the effects of anesthetics and commonly used medications on renal
function, urine output, and urine color.
3. Identify the signs and symptoms of each of the five types of urinary incontinence.
Assess for common signs and symptoms of other alterations in urinary function.
4. Formulate three-part NANDA diagnoses for clients with alterations in urinary
elimination.
5. Describe nursing interventions and rationale for clients with urinary retention and
urinary incontinence.
CASES:
Case A: Mrs. Hernandez had abdominal surgery using general anesthesia. She returned
from the Recovery Room 8 hours ago. Although she has received 100 cc of IV fluids per hour
she has not voided. She says she feels like she needs to but can't.
How might effects of the general anesthetic contribute to this problem?
List as many interventions as you can to encourage micturition.
Write a three-part nursing diagnosis for Mrs. Hernandez.
Case B: Mrs. Gold is 84 years old. She has recently moved from a retirement
apartment to a nursing home. For the past 2 years she has passed small quantities of urine
whenever she coughed or laughed. She uses incontinence pads to manage this problem. Since
her ad-mission to the nursing home she has been incontinent of urine on several occasions
usually at night. She says she knows she needs to urinate but can't get to the bathroom on
time.
Write nursing diagnose(s) for Mrs. Gold.
List specific outcomes and interventions for one diagnosis.