4 Urinary Tract Infection Nursing Care Plans

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Urinary tract infections (UTI) are caused by pathogenic microorganisms in the urinary tract (kidney, bladder, urethra). Most UTIs are caused by the bacterium Escherichia coli (E. coli), normally found in the digestive system. Usually, bacteria that enter the urinary tract system are removed by the body before they can cause symptoms. But, in some cases, bacteria overcome the natural defenses of the body, therefore causes infection. UTIs are usually classified as infections involving the upper or lower urinary tract. An infection in the urethra is called urethritis. A bladder infection is called cystitis. Bacteria may ascend to the ureters to multiply and cause the infection of the kidneys (pyelonephritis). Signs and symptoms of urinary tract infections include; fever, chills, a strong, persistent urge to urinate, burning sensation when urinating, cloudy, foul-smelling urine, and pelvic pain in women.

Nursing Care Plans

The focus of this nursing care plan for urinary tract infections includes nursing interventions to relieve pain and discomfort, increase the client’s knowledge about the preventive measures and treatment regimen, and manage potential complications.

Here are four nursing care plans and nursing diagnoses for patients with urinary tract infection (UTI).

  1. Acute Pain UPDATED
  2. Impaired Urinary Elimination UPDATED
  3. Hyperthermia UPDATED
  4. Deficient Knowledge UPDATED
  5. Other possible nursing care plans
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Impaired Urinary Elimination

Nursing Diagnosis

May be related to

  • Frequent urination, urgency, and hesitancy.

Possibly evidenced by

  • Dysuria.
  • Urinary frequency; urge.
  • Urinary hesitancy.

Desired Outcomes

  • Client will achieve normal urinary elimination pattern, as evidenced by absence sign of urinary disorders (urgency, oliguria, dysuria).
  • Client will demonstrate behavioral techniques to prevent urinary infection.

Nursing Interventions and Rationales

1. Assess the patient’s pattern of elimination.
Can help determine the factors that may predispose the patient to UTI and serves as a basis for determining appropriate interventions. Assessment and physical exam may include:

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  • Asking the client on presence of symptoms such as frequency, urgency, dysuria, and nocturia.
  • Determining if there is pain the area of the bladder.
  • Determining the characteristics of the urine. Note color, cloudiness, and if there is malodorous smell.
  • Determining the pattern of urination and amount. How much and how often?

2. Note the client’s age and gender.
UTI is more prevalent in women than in men at younger ages, although the gap narrows in later life. About one out of every five women will develop a UTI during their lifetime. Older adults are also prone to developing UTI caused by incomplete bladder emptying due to structural abnormalities and decreased bladder tone.

3. Instruct the female client to wipe from front to back.
This technique helps prevent bacteria in the anal region from spreading to the vagina and, ultimately, the urethra. Proper perineal care helps in minimizing the risk of contamination and reinfection.

4. Encourage drinking cranberry juice.
Daily intake of cranberry juice (about 8 to 10 oz) helps prevent and control symptoms of UTI. It has been shown to reduce adherence of bacteria to the uroepithelial cells in the urinary tract.

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5. Limit the use of indwelling bladder catheters to manage incontinence.
Catheter use dramatically increases the risk for UTI. The risk for catheter-associated urinary tract infection (CAUTI) increases each day a urinary catheter is placed. Alternative measures such as regular toileting can prevent infection. If an indwelling catheter is necessary, follow strict interventions to prevent infection and urosepsis.

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Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See also

Other recommended site resources for this nursing care plan:

Other care plans and nursing diagnoses related to reproductive and urinary system disorders:

References and Sources

  1. Flores-Mireles, A., Hreha, T. N., & Hunstad, D. A. (2019). Pathophysiology, treatment, and prevention of catheter-associated urinary tract infectionTopics in spinal cord injury rehabilitation25(3), 228-240.
  2. Gupta, K., Grigoryan, L., & Trautner, B. (2017). Urinary tract infectionAnnals of internal medicine167(7), ITC49-ITC64.
  3. Lee, J. B., & Neild, G. H. (2007). Urinary tract infection. Medicine35(8), 423-428.
  4. Storme, O., Tiran Saucedo, J., Garcia-Mora, A., Dehesa-Dávila, M., & Naber, K. G. (2019). Risk factors and predisposing conditions for urinary tract infectionTherapeutic advances in urology11, 1756287218814382.
Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.
  • Thank you for sharing insight to urinary tract infections. The clinical relevance is super helpful in learning process and writing my pathophysiology paper on UTI’s.

  • It’s very helpful for me to write and understand about the NCP on UTI ….

    Thank you 🤞🏻🙏🏻

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