(^386) Medical-Surgical Nursing Demystified
NURSING DIAGNOSIS
- Fear
- Impaired urinary elimination
- Pain
NURSING INTERVENTIONS
- Monitor vital signs.
- Monitor intake and output.
- Assess abdomen for signs of bladder distention due to urinary retention.
- Assess for pain in back.
- Assess skin for signs of redness or breakdown if undergoing radiation
treatments. - Monitor for side effects of medications.
Pyelonephritis
WHAT WENT WRONG?
Pyelonephritis is an infection involving the kidneys. Inflammation of the tissue
accompanies the infectious process. The most common bacteria are E. coli, Kleb-
siella, Enterobacter, Proteus, Pseudomonas,andStaphylococcus saprophyticus.
Typically the infection begins in the lower urinary tract and ascends upward. Identi-
fication of infections and initiation of treatment is important to prevent the infec-
tion from getting worse.PROGNOSIS
Older patients and patients with comorbidities have a greater chance of complica-
tions from pyelonephritis. Impaired renal function may complicate recovery in
some patients. Septic shock may occur.HALLMARK SIGNS AND SYMPTOMS
- Flank pain
- Fever due to infection
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