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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Deficient Knowledge

Nursing Diagnosis

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May be related to

  • Unfamiliarity with nature and treatment of UTI.

Possibly evidenced by

  • Lack of questions.
  • Multiple questions.
  • Recurrent UTI.
  • Verbalizing inaccurate information.

Desired Outcomes

  • Client will verbalizes knowledge of causes and treatment of UTI, controls risk factors, and completes medical treatment of UTI.

Nursing Interventions and Rationale

1. Explain to the client about UTI risk factors, prevention, and treatment.
Frequent recurrences of UTI may indicate that the client has difficulty understanding the disease and complying with prescribed therapeutic management.

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2. Teach the client about measures to prevent urinary tract infections.
The goal of client teaching is to resolve the current infection and prevent a recurrence. Interventions may include:

  • Hygienic measures (showering rather than bathing in a in a tub).
    Bacteria in the bath water may enter the urethra.
  • Encourage not to ignore the need to void.
    Can result in the stasis of urine.
  • Perineal hygiene after a bowel movement.
    This will help in preventing the migration of the pathogen in the urethral opening and, in women, the vaginal opening.
  • The importance of frequent bladder emptying.
    Completely emptying the bladder prevents bladder distention and compromised blood supply to the bladder wall. These predispose the client to UTI.
  • Use tampons for periods.
    Tampons are advised during the menstruation rather than sanitary napkins because they keep the bladder opening area drier, hence limiting the growth of bacteria.
  • Avoid wearing tight-fitting or constricting undergarments made of non-breathing materials.
    Such fabrics can accumulate moisture and can provide an environment for bacterial growth. Cotton fabric and loose fitting clotting are more encouraged.
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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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