help nurses! Need I & R for "altered urinary elimination"

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help :( I need 3 more Interventions & Rationale for altered urinary elimination r/t damage to renal tissue (Renal cancer) And I just cant find/think of any more. I'm struggling. Help me out

this is what I have so far:

I - Monitor urinary elimination, including consistency, odor, volume and color

R - These parameters help determine adequacy of urinary function (Weber, 2005)

I - Instruct pt. to drink a minimum of 1500 - 2000 mL of fluids per day

R - Increased fluids during the day will increase urinary output and discourage bacterial growth (Weber, 2005)

I - Appraise pt. knowledge on effects of renal tissue damage on urinary elimination

R - Assessing the clients knowledge will provide a foundation for building a teaching plan based on his present understanding of his condition (Weber, 2005).

I - Describe the rational behind management, therapy, and treatment recommendations

R - Adequate information about treatment options is important to diminish anxiety, promote compliance, and enhance decision making (Weber, 2005)

I - Cleanse perineal are and keep dry

R - Perineal care decreases risk of skin irritation, breakdown, and development of ascending infection (Weber, 2005).

I - Monitor blood urea nitrogen (BUN), creatine, white blood cell (WBC) count, and urinalysis (UA).

R - These labratoriy tests reflect renal funtion and can identify complications (Weber, 2005).

I - Assess for signs of fluid overload: dyspnea, tachycardia, crackles, distended neck veins, and peripheral edema

R - Hydration is used to counterbalance effects of calcium and protein buildup. Overhydration needs to be prevented (Gulanick & Myers, 2011).

Thanks

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How many do you have to have??? Good grief. :D

Sorry- got some ideas, but won't help you in the long run, to get this if suggestions are given.

What else is effected by the renal system????

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Specializes in CVSICU, Cardiac Cath Lab.

First of all, IMHO, this is a ridiculous crazy amount of work!

Second, what else can go downhill when the renal system fails? Back to basics...F/E, A/B, etc.

Good luck!

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I need ten. My brain is fried... I can't even think anymore. I still have clinical med sheets to do :(

Thanks though.... I'll try

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Specializes in CCU MICU Rapid Response.

what about monitoring i and o... as well as daily weights?? potassium and phosphorus and calcium play an important part in renal function... how so?? What about medications that the patient is on?? Does creatinine clearance play a part?? How would a patient's CBC be affected, and what would you see?? As the previous poster said, think of what is related to the kidneys, and what they directly, but also indirectly affect. Good Luck :) Ivanna

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Google them..........http://tinyurl.com/4x4xocp

http://wps.prenhall.com/wps/media/objects/3918/4012970/NursingTools/ch48_NCP_UrinElim_1316-1317.pdf

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Specializes in ER, SANE, Home Health, Forensic.

All I can think is "Thank GOD I am not still in school!!!"

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All I can think is "Thank GOD I am not still in school!!!"

I really can't WAIT until I can say that.... :uhoh3:

I did google them, it's just hard to find more that really related to the diagnosis. Maybe I'm just over thinking it. I think I got some though. Thank you for your help :)

And I agree it's a ridiculous amount of work.

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