A.R., 56, is a client in the extended care facility. She has amyotrophic lateral sclerosis (ALS)…

A.R., 56, is a client in the extended care facility. She has
amyotrophic lateral sclerosis (ALS) with muscle weakness that has progressed
and involves her legs and arms. A hydraulic lift is used to transfer her out of
bed. A student nurse and a classmate enter with the lift to assist A.R. OOB,
when she asks to use the bedpan. As they help her onto the bedpan, they recall
that the staff nurse gave A.R. the bedpan about a half hour ago. Returning in a
few minutes, they help A.R. off the bedpan and notice the urine is cloudy with
a foul odor. A.R. is not on I&O; however, they notice that
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A.R., 56, is a client in the extended care facility. She has
amyotrophic lateral sclerosis (ALS) with muscle weakness that has progressed
and involves her legs and arms. A hydraulic lift is used to transfer her out of
bed. A student nurse and a classmate enter with the lift to assist A.R. OOB,
when she asks to use the bedpan. As they help her onto the bedpan, they recall
that the staff nurse gave A.R. the bedpan about a half hour ago. Returning in a
few minutes, they help A.R. off the bedpan and notice the urine is cloudy with
a foul odor. A.R. is not on I&O; however, they notice that there is a very
small amount of urine. She tells them that she does not know why she is going
to the bathroom so often and why her urine smells bad.

The following questions will guide your development of a
nursing care plan for the case study.

1. What subjective data should be gathered? What objective
data should be gathered?

2. List diagnostic tests that may be ordered.

3. Write two nursing diagnoses for A.R., related to her
cystitis/UTI.

4. Write a goal related to each of A.R.’s nursing diagnoses.

5. List pertinent nursing actions for the care of A.R. for
each of the following areas as they relate to the cystitis/UTI:

elimination—bladder

diet and fluids

safety, comfort, and rest

teaching (client and nursing staff)

6. List two classifications of medications used for the
treatment of an UTI.

7. List two successful client outcomes for A.R.

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