Quote from ekka
For the impaired gas exchange AEB
Thank you so much for replying. I used Impaired gas exchange r/t decreased functional lung tissue and accumulation of fluid AEB crackles in mid right lobe, increased respiratory rate and patient complaining ofs shortness of breath.
Also, on the urinary retention we just received a new nanda list and I think the chronic is on there but I will check. I used obstruction because he has BPH and I was thinking his prostrate was the obstruction....am I off there? But I like the impaired urinary elimination r/t CKD so will probably use that. Thank you again
, don't put increased RR, put the actual RR: RR 20 breaths/min.
You're right on the BPH causing obstruction. I didn't see the BPH sorry! You can use impaired urinary elimination r/t mechanical obstruction (which would be from the BPH) and effects of CKD. So you would put "impaired urinary elimination r/t mechanical obstruction and effects of CKD.
Do you have a nursing diagnosis handbook
? If not, I would recommend Nursing Diagnosis Handbook by Betty Ackley and Gail Ladwig. It is a great book! It helped me do all my care plans
in nursing school and I never had any issues making them with it!
The Nursing Diagnosis Handbook Says
Impaired Urinary Elimination
- Dysuria; frequency; hesitancy; incontinence; nocturia; retention; urgency
- Anatomic obstruction; multiple causality; sensory motor impairment; urinary tract infection
s - Absence of urine output; bladder distention; dribbling; dysuria; frequent voiding; overflow incontinence; residual urine; sensation of bladder fullness; small voiding
- Blockage, high urethral pressure, inhibition of reflex arc, strong sphincter
I would use impaired urinary elimination based on the fact that you said he was unable to empty the bladder completely. Thus, his elimination is impaired. He does not have retention unless he has absence of output, bladder distention, etc. (I'm not sure why the defining characteristics for urinary retention has "frequent voiding," I would think it would be infrequent voiding based on the fact it also has absence of urine output - That's the first time I ever saw something I had to wonder about in that book! LoL!)
I didn't see chronic urinary retention in the NANDA 2018 - 2020 nursing diagnoses, but I could have missed it.
Nursing Care Plan BPH with Diagnosis and Interventions >> NANDA NURSING